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A School Outbreak of Shigella sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology.

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  • Additional Information
    • Publication Year:
      2012
    • Subject Terms:
    • Author-Supplied Keywords:
      Antibiotic susceptibility
      China
      Outbreak
      Shigella sonnei
    • NAICS/Industry Codes:
      NAICS/Industry Codes 424210 Drugs and Druggists' Sundries Merchant Wholesalers
      414510 Pharmaceuticals and pharmacy supplies merchant wholesalers
      325411 Medicinal and Botanical Manufacturing
      325410 Pharmaceutical and medicine manufacturing
      622110 General Medical and Surgical Hospitals
      622111 General (except paediatric) hospitals
    • Abstract:
      Objective: To describe the clinical features of infection, and the antibiotic susceptibility of epidemic strains, and investigate plasmid maps and integrons of the isolates from an outbreak of Shigella sonnei infection at an elementary school in southwest China. Study design: Cross-sectional study. Setting: An elementary school and five hospitals in Chengdu in southwest China. Results: There were 1,134 students in the school. 937 (82.6%) students had signs and symptoms. Of the 568 (60.6%, 568/937) hospitalized students, 93.3% 86.8%, 72.4%, and 28.9% of the hospitalized patients had diarrhea, fever, abdominal pain, and vomiting, respectively. S. sonnei strains were isolated from the stool samples of 36.0% (337/937) students. All of the outbreak isolates had the same high-level antimicrobial resistance and plasmid profiles, which were different from that of sporadic strains. All the outbreak S. sonnei isolates were positive for the integrin gene and contained class 2 integron; however, two outbreak isolates contained class 1 and class 2 integrons. Conclusions: Diarrhea, fever, and abdominal pain were the three most common clinical manifestations observed in patients infected with S. sonnei. High-level antibiotic resistance was observed among Shigella species. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Indian Pediatrics is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      00196061
    • Accession Number:
      75245399
  • Citations
    • ABNT:
      XIAO, G. G. et al. A School Outbreak of Shigella sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology. Indian Pediatrics, [s. l.], v. 49, n. 4, p. 287, 2012. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=75245399. Acesso em: 24 set. 2020.
    • AMA:
      Xiao GG, Fan J, Deng JJ, et al. A School Outbreak of Shigella sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology. Indian Pediatrics. 2012;49(4):287. Accessed September 24, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=75245399
    • APA:
      Xiao, G. G., Fan, J., Deng, J. J., Chen, C. H., Zhou, W., Li, X. H., He, Y. W., Li, H., Hu, B., Qiao, Y., Chen, G. H., & Wan, C. M. (2012). A School Outbreak of Shigella sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology. Indian Pediatrics, 49(4), 287.
    • Chicago/Turabian: Author-Date:
      Xiao, G. G., J. Fan, J. J. Deng, C. H. Chen, W. Zhou, X. H. Li, Y. W. He, et al. 2012. “A School Outbreak of Shigella Sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology.” Indian Pediatrics 49 (4): 287. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=75245399.
    • Harvard:
      Xiao, G. G. et al. (2012) ‘A School Outbreak of Shigella sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology’, Indian Pediatrics, 49(4), p. 287. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=75245399 (Accessed: 24 September 2020).
    • Harvard: Australian:
      Xiao, GG, Fan, J, Deng, JJ, Chen, CH, Zhou, W, Li, XH, He, YW, Li, H, Hu, B, Qiao, Y, Chen, GH & Wan, CM 2012, ‘A School Outbreak of Shigella sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology’, Indian Pediatrics, vol. 49, no. 4, p. 287, viewed 24 September 2020, .
    • MLA:
      Xiao, G. G., et al. “A School Outbreak of Shigella Sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology.” Indian Pediatrics, vol. 49, no. 4, Apr. 2012, p. 287. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=75245399.
    • Chicago/Turabian: Humanities:
      Xiao, G. G., J. Fan, J. J. Deng, C. H. Chen, W. Zhou, X. H. Li, Y. W. He, et al. “A School Outbreak of Shigella Sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology.” Indian Pediatrics 49, no. 4 (April 2012): 287. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=75245399.
    • Vancouver/ICMJE:
      Xiao GG, Fan J, Deng JJ, Chen CH, Zhou W, Li XH, et al. A School Outbreak of Shigella sonnei Infection in China: Clinical Features, Antibiotic Susceptibility and Molecular Epidemiology. Indian Pediatrics [Internet]. 2012 Apr [cited 2020 Sep 24];49(4):287. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=75245399