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A Clinical Study of Shigellosis Epidemics over 10 Years in the Kyung Nam Area

Journal of the Korean Pediatric Society 2001;44(5):517-522.
Published online May 15, 2001.
A Clinical Study of Shigellosis Epidemics over 10 Years in the Kyung Nam Area
Ji-Young Hwang1, Ji-Hyoun Seo1, Su-Jin Lee1, Myoung-Bum Choi1, Chan-Hoo Park1, Hyang-Ok Woo1, Hee-Shang Youn1, Jung-Hee Kim2, Eun-Jung Kim2, Chul Kyu Kim2, Yang-Suk Jung3, Dong-Jin Lee3
1Department of Pediatrics, College of Medicine, Gyeongsang National University, Chinju, Korea
2Department of Pediatrics, Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea
3Department of Pediatrics, Dongkang General Hospital, Ulsan, Korea
최근 10년간 경남지방에서 유행한 세균성 이질의 임상적 특징
황지영1, 서지현1, 이수진1, 최명범1, 박찬후1, 우향옥1, 윤희상1, 김정희2, 김은정2, 김철규2, 정양숙3, 이동진3
1경상대학교 의과대학 소아과학교실
2성균관의대 마산 삼성병원
3울산 동강병원 소아과
Abstract
Purpose
: The occurrence of shigellosis patients has increased radically in 2 recent years. For this, the authors investigated the epidemic aspect of shigellosis by regional groups to know whether the epidemic aspect of shigellosis is a general situation which occurs identically in various areas of Kyung Nam.
Methods
: We reviewed pediatric patients who were hospitalized in Ulsan(eastern), in Masan(central), in Chinju(western) of Kyung Nam from January, 1988 to April, 1999.
Results
: A total of 54 cases of shigellosis were noted from Ulsan(12), Masan(21) and Chinju(21) over ten years. The number of patients was 1 each in 1991 and 1993, 5 each in 1998 and 1999 at Ulasan, 9 in 1988, 8 between 1990 and 1995, 3 in 1998, 1 in 1999 at Masan, 1 each in 1990, 1991, 1994, 4 in 1998, 14 in 1999 at Chinju. The shigellosis patients increased from 1998, especially in Chinju. S. flexneri was reported in Masan(AMP)(R)5, AMP+(TMP/SMX(R)4) before 1990, in Masan (2) between 1990 and 1995 and in Chinju(AMP(R)7, AMP+TMP/SMX(R)1) in 1999. S. sonnei was reported in Ulsan(AMP(R)1, TMP/SMX(R)1), in Masan(6) and in Chinju(AMP(R)2, TMP/SMX(R) 1) between 1990 and 1995 and in Ulsan(TMP/SMX(R)9, AMP+TMP/SMX(S)1), in Masan(TMP/ SMX(R)2, AMP+TMP/SMX(R)1+(S)1) and in Chinju(TMP/SMX(R)6) between 1998 and 1999.
Conclusion
: Independent of the past, shigellosis patients occurred by regional groups in three parts of Kyung Nam. The present epidemic aspect of the eastern area is similar to that of the central area, but is partially similar to that of western Kyung Nam.
Key Words: Shigellosis


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