Epidemiology of dysentery in South Khorasan province, Iran (2016-2020)

Document Type : Original Article

Authors

1 Iranshahr Health Services, Iranshahr University of Medical Sciences, Iranshahr, Iran

2 Birjand University of Medical Sciences, Birjand, Iran

3 Research Center for social determinants of health, Jahrom University of Medical Sciences, Jahrom, Iran

Abstract

Background: Dysentery is an inflammatory bowel disease (IBD) caused by microorganisms invading the intestinal mucosa.
Objectives: This study aimed to determine the epidemiological profile of dysentery and identify associated risk factors in South Khorasan Province, Iran.
Methods: This cross-sectional study was conducted on 1181 patients with dysentery during 2016–2020 in South Khorasan Province, Iran. Data were collected through the disease surveillance system.
Results: The highest prevalence of dysentery was observed in counties such as Sarbisheh, Zirkooh, Darmiyan, and Nehbandan. Men accounted for the majority of cases (n = 639, 54.1%), while children under the age of 6 accounted for 30.6% of all cases. Shigella species were responsible for 48.2% of all cases of dysentery.
Conclusion: Shigella and E. coli were the most common causative agents of dysentery in South Khorasan Province, Iran. Additionally, counties located near the borders had the highest prevalence of diarrheal diseases.

Keywords

References

  1. Van den Bossche A, Ceyssens P-J, Denayer S, Hammami N, van den Beld M, Dallman TJ, et al. Outbreak of Central American born Shigella sonnei in two youth camps in Belgium in the summer of 2019. Eur J Clin Microbiol Infect Dis. 2021; 40 (7):1573-7. doi:10.1007/s10096-021-04164-y PMid:33569724 PMCid:PMC8205880
  2. Jafari-Sales A, Shariat A. Antibiotic resistance pattern in Shigella species isolated from children with acute diarrhea in Tabriz city, Iran. J Health Sci Med. 2021;4(2):219-22. doi:10.32322/jhsm.859497
  3. Rahman AE, Moinuddin M, Molla M, Worku A, Hurt L, Kirkwood B, et al. Childhood diarrhoeal deaths in seven low-and middle-income countries. Bull WHO. 2014;92:664-71.doi:10.2471/BLT.13.134809 PMid:25378757 PMCid:PMC4208570
  4. Havelaar A, Grace D, Wu F. Foodborne diseases from dairy products in developing countries: Hazards and health implications. 2019.
  5. Bauza V, Sclar G, Majorin F, Clasen T. Interventions to improve sanitation for preventing diarrhea. Cochrane Database Syst Rev. 2019;2019(5). doi:10.1002/14651858.CD013328 PMCid:PMC6497425
  6. Juckett G, Trivedi R. Evaluation of chronic diarrhea. Am Fam Physician. 2011;84(10):1119-26.
  7. Bawankule R, Shetye S, Singh A, Singh A, Kumar K. Epidemiological investigation and management of bloody diarrhea among children in India. PloS one. 2019;14(9): e0222208. doi:10.1371/journal.pone.0222208
    PMid:31518363 PMCid:PMC6743764
  8. Soltan Dallal MM, Rahimi-Forushani A, Aminharati F, Ohadian-Moghadam S, Nikmanesh B, Rastegare-Lari A. Investigation the Shigella serotypes invasive cells isolated from patients with diarrhea in HEp-2 cell culture. J Shahrekord Univ Med Sci. 2014;15(6).
  9. Al Amin AI. Identification of Agents associated with Infectious and Non-infectious Infantile Diarrhea. Afr J Med Sci. 2016;1(2).
  10. Parsaei P, Bahmani M, Naghdi N, Asadi-Samani M, Rafieian-Kopaei M, Sepehri-Boroujeni M. Shigellosis phytotherapy: A review of the most important native medicinal plants in Iran effective on Shigella. Pharm Lett. 2016;8(2):249-55.
  11. Thapa B, Ventkateswarlu K, Malik A, Panigrahi D. Shigellosis in children from north India: a clinicopathological study. J Trop Pediatr. 1995;41(5):303-7. doi:10.1093/tropej/41.5.303 PMid:8531265
  12. Kahbazi M, Dorreh F, Najmi AR, Arjomandzadegan M. Aetiology of dysentery in infants in infection ward of Amir Kabir Hospital, Arak, in 2010-2011. J Ayub Med Coll Abbottabad. 2011;23(3):91-3.
  13. Istrati G, Meitert T, Ciufecu C, Sulea I. A study on cross-immunity in Shigellae following local immunization with living non-infectious agents. Zentralbl Bakteriol Orig. 1970;215(1):73-6.
  14. Wang XY, Tao F, Xiao D, Lee H, Deen J, Gong J, et al. Trend and disease burden of bacillary dysentery in China (1991-2000). Bull WHO. 2006;84(7):561-8. doi:10.2471/BLT.05.023853 PMid:16878230 PMCid:PMC2627389
  15. Brooks JT, Shapiro RL, Kumar L, Wells JG, Phillips-Howard PA, Shi Y-P, et al. Epidemiology of sporadic bloody diarrhea in rural Western Kenya. Am J Trop Med Hyg. 2003;68(6):671-7. doi:10.4269/ajtmh.2003.68.671 PMid:12892051
  16. Dallal MMS, Ranjbar R, Pourshafie MR. The study of antimicrobial resistance among Shigella flexneri strains isolated in Tehran, Iran. J Pediatr Infect Dis. 2011;6(02):125-9.doi:10.3233/JPI-2011-0307
  17. Ziyaei M, Azarkar G, Saadatjou S, Namaei M. Study of shigella genera and their drug resistance in dysenteric patients referring to Nehbandan health-care centers and health houses. J Birjand Univ Med Sci. 2007;14(02).
  18. Abu-Elyazeed RR, Wierzba TF, Frenck RW, Putnam SD, Rao MR, Savarino SJ, et al. Epidemiology of Shigella-associated diarrhea in rural Egyptian children. Am J Trop Med Hyg. 2004; 71(3):367-72. doi:10.4269/ajtmh.2004.71.367 PMid:15381821
  19. Carlos CC, Saniel MC. Etiology and epidemiology of diarrhea. Phillips J Microbio Infect Dis. 1990;19:51-3.
  20. Sonawala M, Saraswathi K, Deodhar L. Serogroup prevalence of Shigellae in Bombay. J Postgrad Med. 1995;41(4):104.
  21. Riddle MS, Tribble DR, Jobanputra NK, Jones JJ, Putnam SD, Frenck RW, et al. Knowledge, attitudes, and practices regarding epidemiology and management of travelers' diarrhea: a survey of front-line providers in Iraq and Afghanistan. Mil Med. 2005; 170 (6):492-5. doi:10.7205/MILMED.170.6.492 PMid:16001598
  22. Katouli M, Jaafari A, Farhoudi-Moghaddam A, Ketabi G. Aetiological studies of diarrhoeal diseases in infants and young children in Iran. J Trop Med Hyg. 1990;93(1):22-7.
  23. Katouli M, Jaafari A, Ketabi G. The role of diarrhoeagenic Escherichia coli in acute diarrhoeal diseases in Bandar-Abbas, Iran. J Med Microbiol. 1988; 27 (1):71-4. doi:10.1099/00222615-27-1-71 PMid:3050109
  24. Nanan D, White F, Azam I, Afsar H, Hozhabri S. Evaluation of water, sanitation, and hygiene education intervention on diarrhea in northern Pakistan. Bull WHO. 2003;81:160-5.
  25. Victora CG, Barros A, Fuchs S, De Francisco A, Morris J, Hall A, et al. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Lancet. 2000;355(9202):451-5.doi:10.1016/S0140-6736(00)82011-5
  26. McCabe-Sellers BJ, Beattie SE. Food safety: emerging trends in foodborne illness surveillance and prevention. J Am Dietetic Assoc. 2004;104(11):1708-17. doi:10.1016/j.jada.2004.08.028 PMid:15499359
  27. Talan DA, Moran GJ, Newdow M, Ong S, Mower WR, Nakase JY, et al. Etiology of bloody diarrhea among patients presenting to United States emergency departments: prevalence of Escherichia coli O157: H7 and other enteropathogens. Clin Infect Dis. 2001;32(4):573-80. doi:10.1086/318718 PMid:11181120
  28. Chang Z, Zhang J, Ran L, Sun J, Liu F, Luo L, et al. The changing epidemiology of bacillary dysentery and characteristics of antimicrobial resistance of Shigella isolated in China from 2004-2014. BMC Infect Dis. 2016;16(1):1-10. doi:10.1186/s12879-016-1977-1 PMid:27863468 PMCid:PMC5116132
Journal of Preventive and Complementary Medicine
Volume 1, Issue 2 - Serial Number 2
March 2022
Pages 101-107

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History

  • Receive Date: 15 January 2022
  • Revise Date: 10 February 2022
  • Accept Date: 10 February 2022

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