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Molecular epidemiology of multidrug-resistant Shigella dysenteriae type 1 causing dysentery outbreaks in Central African Republic, 2003-2004.

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dc.contributor Institut Pasteur de Bangui, BP 923, Bangui, Central African Republic.
dc.creator Bercion, R
dc.creator Demartin, M
dc.creator Recio, C
dc.creator Massamba, P M
dc.creator Frank, T
dc.creator Escribà, J M
dc.creator Grimont, F
dc.creator Grimont, P A D
dc.creator Weill, F X
dc.date 2006-12
dc.date.accessioned 2017-01-31T07:11:38Z
dc.date.available 2017-01-31T07:11:38Z
dc.identifier Molecular epidemiology of multidrug-resistant Shigella dysenteriae type 1 causing dysentery outbreaks in Central African Republic, 2003-2004. 2006, 100 (12):1151-8 Trans. R. Soc. Trop. Med. Hyg.
dc.identifier 0035-9203
dc.identifier 16701761
dc.identifier 10.1016/j.trstmh.2006.02.007
dc.identifier http://hdl.handle.net/10144/31332
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/31332
dc.identifier Transactions of the Royal Society of Tropical Medicine and Hygiene
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/31332
dc.description Shigella dysenteriae type 1 (Sd1) represents a particular threat in developing countries because of the severity of the infection and its epidemic potential. Antimicrobial susceptibility testing and molecular subtyping by pulsed-field gel electrophoresis (PFGE) and plasmid profiling (PP) of Sd1 isolates collected during two dysentery outbreaks (2013 and 445 cases of bloody diarrhoea) in Central African Republic (CAR) during the period 2003-2004 were reported. Eleven Sd1 comparison strains (CS) acquired by travellers or residents of Africa (n=10) or Asia (n=1) between 1993 and 2003 were also analysed. The 19 Sd1 isolates recovered from CAR outbreaks were multidrug resistant, although susceptible to quinolones and fluoroquinolones. Molecular subtyping by PFGE was more discriminatory than PP. The PFGE using XbaI and NotI restriction enzymes indicated that the two outbreaks were due to two different clones and also revealed a genetic diversity among the CS recovered from outbreak or sporadic cases between 1993 and 2003. This study was the result of a fruitful collaboration between field physicians and microbiologists. The data collected will serve as the basis for establishing long-term monitoring of Sd1 in CAR.
dc.language en
dc.rights Published by Elsevier Archived on this site with the kind permission of Elsevier Ltd. ([url]http://www.sciencedirect.com/science/journal/00359203[/url]) and the Royal Society of Tropical Medicine and Hygiene ([url]http://www.rstmh.org/transactions.asp[/url])
dc.title Molecular epidemiology of multidrug-resistant Shigella dysenteriae type 1 causing dysentery outbreaks in Central African Republic, 2003-2004.


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