ROLE OF SOME SHIGELLA SEROTYPES IN DIARRHEAL PATHOGENESIS IN CHILDREN UNDER FIVE YEARS OLD.

	ROLE OF SOME SHIGELLA SEROTYPES IN DIARRHEAL PATHOGENESIS IN CHILDREN UNDER FIVE YEARS OLD.
AL-TAQANI
Article 1, Volume 24, Issue 4, 2011, Pages 0-0
Abstract
Shigellosis presents not only as bacillary dysentery but also in other clinical forms , like gastroenteritis ,colitis and diarrhea . Septicemia can be a feature especially in children . The research aimed to study the induced of Shigella to the cases of diarrhea between children under five years age, determine the prevalence serotypes, determine the clinical signs accompanied by Shigella and determine their antibiotic susceptibility to the antibiotics used in treatment of diarrhea. The research extended over five months from April till August 2008, where 400 diarrheal fecal samples were collected; the acute diarrheal cases represent 79% of total diarrheal cases compression to 21% of chronic cases. From these samples 21 cases caused by Shigella at a percentage of 5.3%, in male the percentage was 43% while 57% in female. The serotypes were 62% for Shigella flexneri and 24% for Shigella sonnei and finally the type Shigella dysenteriae represent 14% . Shigella flexneri represent 6% and Shigella sonnei represent 2,4% for ages under one year, between one to three years Shigella flexneri represent 2%, Shigella sonnei represent 1% and Shigella dysenteriae represent 1%, between three to five years Shigella flexneri represent 2% and Shigella dysenteriae represent 1% . The clinical signs arranged between 84% for watery diarrhea, 80,8% for vomiting, 59.8% for hyperthermia and 30.3% for abdominal colic. The sensitivity test showed the resistance of Shigella to (Tetracycline,Cefotaxime , Ampicillin , Nalidixic acid , Cloramphenicol , Trimethoprim / sulfamethoxazole and Streptomycin ) and they were sensitive to ( Neomycin and Ciprofloxacin ) .

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