Shigellosis: Etiologic Agent
Shigellosis: Etiologic Agent
Shigellosis: Etiologic Agent
Etiologic Agent
caused by a group of bacteria called Shigella. There are four different species of Shigella:
Shigella sonnei (the most common species in the United States)
Shigella flexneri
Shigella boydii
Shigella dysenteriae
Mode of Transmission
Fecal-oral transmission
Getting Shigella germs on their hands and then touching your food or mouth. You can
get Shigella germs on your hands after:
o Touching surfaces contaminated with germs from stool from a sick person, such as toys,
bathroom fixtures, changing tables or diaper pails
o Changing the diaper of a sick child or caring for a sick person
Eating food that was prepared by someone who is sick with shigellosis
Swallowing recreational water (for example, lake or river water) while swimming or drinking
water that is contaminated with stool (poop) containing the germ
Incubation Period- The incubation period depends on the serotype. It varies from 12 hours to 4 days,
but is usually 1–7 days.
Period of Communicability
During acute infection and until the infectious agent is no longer present in faeces, as determined
by negative culture, usually within 4 weeks after onset of illness. Asymptomatic carriers may
transmit infection. Rarely, the carrier state may persist for months or longer. Appropriate
antimicrobial treatment usually reduces duration of carriage to a few days.
Diagnostic Procedure
Stool exam- presence of shigella bacteria or their toxins.
Treatment Modalities
Treatment will usually include antibiotics to eliminate the bacteria from your digestive tract.
azithromycin (Zithromax)
ciprofloxacin (Cipro)
sulfamethoxazole/trimethoprim (Bactrim)
Fluid and salt replacement- Children may benefit from an oral rehydration solution, such as
Pedialyte
Nursing Management
Instruct to avoid eating raw foods
Educate on proper hygiene and disposing human excreta
Monitor intake and output
Give antipyretic for fever
Instruct to increase fluid intake do avoid dehydration
Prevention
You can prevent shigellosis by practicing good personal hygiene.
Wash your hands before and after you use the bathroom or change a diaper.
Discard dirty diapers in a closed bag or trashcan to prevent the spread of the bacteria. Use soap
and warm water every time you wash your hands.
Wipe down changing tables and kitchen counters with antibacterial wipes before and after use.
Avoid close personal contact with someone who is infected with Shigella until at least 2 days after
the diarrhea has ended.