Publications

epidemic shigella dysenteriae type 1 in natal.	since its first isolation in south africa in 1994, shigella dysenteriae type 1 has now spread to cause an epidemic outbreak in natal kwazulu, resulting in a steep rise in admissions for dysentery and the haemolytic uraemic syndrome in children. we report on the epidemic as it has evolved so far. a large outbreak is to be expected in south africa in view of large scale poverty, lack of housing, and adequate water and sanitation, unless urgent public health measures are taken.	1995	8531259
nalidixic acid-resistant shigella dysenteriae type i in kwazulu-natal.		1996	8685796
epidemic shigella dysentery in children in northern kwazulu-natal.	to describe the epidemiology, clinical features, management and outcome of children with shigella dysenteriae type i infection admitted to a rural district hospital.	1997	9063314
an outbreak of shiga bacillus dysentery in kwazulu/natal, south africa.	an outbreak of shiga bacillus (shigella dysenteriae type 1) infection has been detected for the first time in south africa. forty-eight cases of this epidemic that presented to a referral hospital were clinically evaluated. patients presented with dysentery from all age groups and 16 (33%) were admitted to hospital. there were two geographical regions where 32 (67%) of the patients resided. the isolates were demonstrated to be pathogenic by in vitro testing for invasion and toxin production, and ...	1997	9138132
post-dysenteric hemolytic uremic syndrome in children during an epidemic of shigella dysentery in kwazulu/natal.	we report 81 of 107 cases of hemolytic uremic syndrome (hus), admitted between july 1994 and february 1996, following an outbreak of shigella dysenteriae type 1 dysentery in kwazulu/natal. all patients, excluding 1, were black with a mean age of 38 months (range 1-121); 50 (61.7%) were males. the mean duration of dysentery was 11.3 days (range 1-41) and hus 15 days (range 1-91). most patients had acute oliguric renal failure (90.1%), 42 (51.6%) required peritoneal dialysis. complications include ...	1997	9323280
laboratory surveillance of shigella dysenteriae type 1 in kwazulu-natal.	to collect data on the antimicrobial susceptibility of shigella dysenteriae type 1 in kwazulu-natal, including the testing of newer therapeutic agents, and to evaluate the ability of laboratories to participate in a provincial surveillance programme.	1999	10070415
re-evaluating criteria for peritoneal dialysis in "classical" (d+) hemolytic uremic syndrome.	indications for peritoneal dialysis in children with post-dysenteric hemolytic uremic syndrome (d+ hus) have not been thoroughly evaluated. although early institution of dialysis may reduce mortality, the procedure has attendant complications.	2001	11269677