أعرض تسجيلة المادة بشكل مبسط
| dc.contributor |
Epicentre, 8 rue Saint Sabin, 75011 Paris, France. philippe.guerin@epicentre.msf.org |
|
| dc.creator |
Guerin, P J |
|
| dc.creator |
Brasher, C |
|
| dc.creator |
Baron, E |
|
| dc.creator |
Mic, D |
|
| dc.creator |
Grimont, F |
|
| dc.creator |
Ryan, M |
|
| dc.creator |
Aavitsland, P |
|
| dc.creator |
Legros, D |
|
| dc.date |
2004-11 |
|
| dc.date.accessioned |
2017-01-31T07:09:13Z |
|
| dc.date.available |
2017-01-31T07:09:13Z |
|
| dc.identifier |
Case management of a multidrug-resistant Shigella dysenteriae serotype 1 outbreak in a crisis context in Sierra Leone, 1999-2000. 2004, 98 (11):635-43 Trans. R. Soc. Trop. Med. Hyg. |
|
| dc.identifier |
0035-9203 |
|
| dc.identifier |
15363643 |
|
| dc.identifier |
10.1016/j.trstmh.2004.01.005 |
|
| dc.identifier |
http://hdl.handle.net/10144/17254 |
|
| dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/17254 |
|
| dc.identifier |
Transactions of the Royal Society of Tropical Medicine and Hygiene |
|
| dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/17254 |
|
| dc.description |
From December 1999 to the end of February 2000, 4218 cases of dysentery were reported in Kenema district, southeastern Sierra Leone, by a Médecins Sans Frontières team operating in this region. Shigella dysenteriae serotype 1 was isolated from the early cases. The overall attack rate was 7.5% but higher among children under 5 years (11.2%) compared to the rest of the population (6.8%) (RR = 1.6; 95% CI 1.5-1.8). The case fatality ratio was 3.1%, and higher for children under 5 years (6.1% vs. 2.1%) (RR = 2.9; 95% CI 2.1-4.1). A case management strategy based on stratification of affected cases was chosen in this resource-poor setting. Patients considered at higher risk of death were treated with a 5 day ciprofloxacin regimen in isolation centres. Five hundred and eighty-three cases were treated with a case fatality ratio of 0.9%. Patients who did not have signs of severity when seen by health workers were given hygiene advice and oral rehydration salts. This strategy was effective in this complex emergency. |
|
| dc.language |
en |
|
| dc.publisher |
Elsevier |
|
| dc.relation |
http://www.sciencedirect.com/science/journal/00359203 |
|
| dc.rights |
Archived on this site with the kind permission of Elsevier Ltd. and the Royal Society of Tropical Medicine and Hygiene, http://www.rstmh.org/transactions.asp |
|
| dc.title |
Case management of a multidrug-resistant Shigella dysenteriae serotype 1 outbreak in a crisis context in Sierra Leone, 1999-2000. |
|
الملفات في هذه المادة
|
لا توجد أي ملفات مرتبطة بهذه المادة.
|
هذه المادة تبدو في المجموعات التالية:
أعرض تسجيلة المادة بشكل مبسط