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A NOVEL STRAIN OF SHIGELLA SPECIES OUTBREAK IN A RESIDENTIAL SCHOOL IN PEMAGATSHEL, BHUTAN, 2012

Public Health of Indonesia · Vol. 2 No. 4 (2016) · hlm. 165–171

DOI
10.36685/phi.v2i4.98
ISSN
2477-1570, 2528-1542
Terbit
2016-12-28
Penerbit
YCAB Publisher
Bahasa
eng

Abstrak

Background: A cluster of suspected shigellosis was reported from health center in Pemagatshel district to Royal Center for Disease Control on 14th May 2012. The investigation was done to determine the cause and risk factor for the outbreak so that appropriate control and prevention measures can be implemented.Methods: A descriptive study was used for the outbreak investigation. The food items and drinks served to boarding students were collected from the mess in-charge in order to assess their risk for the outbreak. The kitchen and its premises were inspected to study the likely contamination by rodents and other animals. The water and stool specimens were tested in the laboratory to identify all possible enteric pathogens.Results: 82 boarding students were affected with an overall attack rate of 28% (82/294). Diarrhea was the predominant symptom followed by abdominal pain and headache. The onset date of the cases varied between 11th and 18th May, 2012. Shigella species was isolated from stool specimens that showed resistant to amoxicillin, nalidixic acid, chloramphenicol and sulfamethoxazole. Water specimen collected from source, distribution reservoir and tap water at school were found grossly contaminated.Conclusion: The outbreak was caused by novel strain of Shigella species which was not detected earlier in Bhutan. The promotion and provision of boiled water will greatly reduce the incidence of shigellosis especially in boarding facility.

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27 penulis · 113 tautan kepenulisan bersama · 13 lintas organisasi

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  • Sriwijaya University
  • Royal Centre for Disease Control
  • Ministry of Education
  • Community Health Center
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Rekan penulisOrganisasiArtikel bersama
Rizma Adlia SyakurahSriwijaya University1
Sabrina Intan ZorayaSriwijaya University1
Mutiara Tri FlorettiraSriwijaya University1
Abdillah Adipatria Budi AzharCommunity Health Center1
Andika OkparastaSriwijaya University1
Tshe TenAfiliasi tidak diketahui1
Laigden DzedAfiliasi tidak diketahui1
Sangay ThinleyAfiliasi tidak diketahui1
Deki TshomoMinistry of Education1
Karma DechenMinistry of Education1
Zang MoAfiliasi tidak diketahui1
Dhan Bdr MongarAfiliasi tidak diketahui1
Thupten PalzangAfiliasi tidak diketahui1
Karma YangzomAfiliasi tidak diketahui1
Tandin GyeltshenAfiliasi tidak diketahui1
Pema ChokiAfiliasi tidak diketahui1
Eddy RoflinSriwijaya University1
Tungki Pratama UmarSriwijaya University1
Agita Diora FitriSriwijaya University1
Reynold SiburianSriwijaya University1

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Sumber metadata: OAI-PMH (metadata jurnal) http://stikbar.org/ycabpublisher/index.php/PHI/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">A NOVEL STRAIN OF SHIGELLA SPECIES OUTBREAK IN A RESIDENTIAL SCHOOL IN PEMAGATSHEL, BHUTAN, 2012</dc:title>
	<dc:creator>Tsheten, Tsheten</dc:creator>
	<dc:creator>Tshering, Dorji</dc:creator>
	<dc:creator>Gyem, Kinley</dc:creator>
	<dc:creator>Dorji, Sangay</dc:creator>
	<dc:creator>Wangchuk, Sonam</dc:creator>
	<dc:creator>Irfani, Tri Hari</dc:creator>
	<dc:creator>Letho, Letho</dc:creator>
	<dc:subject xml:lang="en-US">Shigellosis</dc:subject>
	<dc:subject xml:lang="en-US">MDR-Shigella</dc:subject>
	<dc:subject xml:lang="en-US">Boarding school</dc:subject>
	<dc:subject xml:lang="en-US">Bhutan</dc:subject>
	<dc:description xml:lang="en-US">Background: A cluster of suspected shigellosis was reported from health center in Pemagatshel district to Royal Center for Disease Control on 14th May 2012. The investigation was done to determine the cause and risk factor for the outbreak so that appropriate control and prevention measures can be implemented.Methods: A descriptive study was used for the outbreak investigation. The food items and drinks served to boarding students were collected from the mess in-charge in order to assess their risk for the outbreak. The kitchen and its premises were inspected to study the likely contamination by rodents and other animals. The water and stool specimens were tested in the laboratory to identify all possible enteric pathogens.Results: 82 boarding students were affected with an overall attack rate of 28% (82/294). Diarrhea was the predominant symptom followed by abdominal pain and headache. The onset date of the cases varied between 11th and 18th May, 2012. Shigella species was isolated from stool specimens that showed resistant to amoxicillin, nalidixic acid, chloramphenicol and sulfamethoxazole. Water specimen collected from source, distribution reservoir and tap water at school were found grossly contaminated.Conclusion: The outbreak was caused by novel strain of Shigella species which was not detected earlier in Bhutan. The promotion and provision of boiled water will greatly reduce the incidence of shigellosis especially in boarding facility.</dc:description>
	<dc:publisher xml:lang="en-US">YCAB Publisher</dc:publisher>
	<dc:date>2016-12-28</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Peer-reviewed Article</dc:type>
	<dc:type xml:lang="en-US">original research</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/98</dc:identifier>
	<dc:identifier>10.36685/phi.v2i4.98</dc:identifier>
	<dc:source xml:lang="en-US">Public Health of Indonesia; Vol. 2 No. 4 (2016): October - December; 165-171</dc:source>
	<dc:source>2477-1570</dc:source>
	<dc:source>2528-1542</dc:source>
	<dc:source>10.36685/phi.v2i4</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/98/pdf</dc:relation>
	<dc:relation>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/98/226</dc:relation>
	<dc:relation>10.36685/phi.v2i4.98.g86</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2016 Public Health of Indonesia</dc:rights>
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