Antimicrobial Resistance Pattern of Shigella species Over Five Years at a Tertiary-care Teaching Hospital in North India
2011

Antimicrobial Resistance Pattern of Shigella species Over Five Years

Sample size: 12983 publication Evidence: high

Author Information

Author(s): Urvashi Saxena, Sonal Dutta, Renu

Primary Institution: Lady Hardinge Medical College and Associated Hospitals, New Delhi, India

Hypothesis

What is the incidence and prevalence of Shigella serogroups and their drug resistance patterns in a tertiary-care hospital in North India over five years?

Conclusion

The study found a high level of antimicrobial resistance in Shigella species isolated from stool samples over a five-year period.

Supporting Evidence

  • Shigella accounts for a significant proportion of bacillary dysentery cases in tropical countries.
  • Over 98% of isolates were found to be multiple drug-resistant.
  • The most commonly affected age group was children aged 1-5 years.

Takeaway

Doctors studied stool samples from sick patients to see how many had Shigella germs and how resistant they were to medicines. They found many germs that didn't respond to common treatments.

Methodology

This cross-sectional study included patients with acute, bloody diarrhea from 2004 to 2008, analyzing stool samples for Shigella isolation and antimicrobial susceptibility.

Limitations

The study is retrospective and conducted in a single hospital, which may limit the generalizability of the findings.

Participant Demographics

The study included 106 patients, with a mean age of 17.66 years, predominantly affecting children under five years old.

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