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Shigella Bacteremia: A Retrospective Study

Pediatric Infectious Disease Unit, Pediatric Department D, Soroka University Medical Center; the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

Shai Marcu, MD

Pediatric Department D, Soroka University Medical Center; the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

Rimma Melamed, MD

Pediatric Infectious Disease Unit, Pediatric Department D, Soroka University Medical Center; the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

Matityahu Lifshitz, MD

Pediatric Department D, Soroka University Medical Center; the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

The aims of this study were to determine the risk factors in, and the clinical and laboratory characterizations of, Shigella bacteremia, as well as the subspecies of Shigella, and the antibiotic susceptibility. A retrospective study of all patients younger than 18 years of age with documented Shigella bacteremia from January 1989 through December 2001 was conducted. Fifteen children with Shigella bacteremia were treated at our center. The mean age (± SD) was 20.5 months (± 34.2), median 7 months. Thirteen (87%) patients failed to gain weight. The mean duration of diarrhea was 14.7 days. Patients were hospitalized for a mean (± SD) of 13.5 days (±9.2). There were no fatalities in our study sample. The vast majority (86.7%) of the Shigella isolates were flexneri. Most isolates were susceptible to ceftriaxone, ciprofloxacine, and gentamicin but resistant to ampicillin and trimethoprim/sulfamethoxazole.

Clinical Pediatrics, Vol. 42, No. 5, 411-415 (2003)
DOI: 10.1177/000992280304200504


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