RESUMEN
Shigella infection rarely penetrates beyond the intestinal mucosa to cause bacteraemia. AIDS patients may be at increased risk. We investigated Shigella bacteraemia rates over a decade in a South African population with a high HIV prevalence and analysed presentation and outcome. A retrospective cohort analysis was performed for hospitalized patients for 2003-2006. The rates were compared to those for 1996-1998. Adult medical rates decreased from 0.195/1000 in 1996-1998 to 0.087/1000 admissions in 2003-2006, and paediatric rates were 0.807/1000 and 0.809/1000 admissions, respectively. Twenty patients were children (median age 7 months) and 14 were adults (median age 41 years). The main clinical presentations were acute (Asunto(s)
Bacteriemia/epidemiología
, Disentería Bacilar/epidemiología
, Infecciones por VIH/epidemiología
, Adolescente
, Adulto
, Anciano
, Anciano de 80 o más Años
, Bacteriemia/microbiología
, Niño
, Preescolar
, Estudios de Cohortes
, Disentería Bacilar/microbiología
, Heces/microbiología
, Femenino
, Infecciones por VIH/microbiología
, Humanos
, Lactante
, Persona de Mediana Edad
, Prevalencia
, Estudios Retrospectivos
, Shigella/aislamiento & purificación
, Sudáfrica/epidemiología
, Adulto Joven