Publications

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the role of preschool children and day-care centers in the spread of shigellosis in urban communities. 19744596998
from the centers for disease control. shigellosis in child day care centers--lexington-fayette county, kentucky, 1991. 19921640601
shigellosis in child day care centers--lexington-fayette county, kentucky, 1991.in january 1991, the lexington-fayette county (kentucky) health department (lfchd) received three reports of shigella sonnei infections from the university of kentucky microbiology laboratory. the infections occurred in children aged 2-3 years, each of whom attended a different child day care center in lexington-fayette county (population: 200,000). this report summarizes the findings of an investigation by the lfchd and the kentucky department for health services to assess the impact of day car ...19921608391
shigellosis in kentucky, 1986 through 1989.a marked increase in the number of cases of shigellosis was reported in kentucky in 1988. to examine reasons for this increase, we reviewed the 389 cases of shigellosis reported from 1986 through 1989. ninety-three percent (285/305) of cases due to known species were due to shigella sonnei. sixty-two percent (243/389) of cases occurred in children less than 10 years of age. the annual incidence for blacks (6.8 cases per 100,000) was nearly four times that for whites (1.8 per 100,000). the increa ...19912068620
outbreaks of multidrug-resistant shigella sonnei gastroenteritis associated with day care centers--kansas, kentucky, and missouri, 2005.infection with shigella sonnei that is resistant to antibiotics commonly used in pediatric practice has become more common during the past decade. in 2005, kansas, kentucky, and missouri reported increases in shigellosis cases associated with day care centers caused predominantly by multidrug-resistant (mdr) (i.e., resistant to ampicillin and trimethoprim-sulfamethoxazole [tmp/smx]) strains of s. sonnei. pulsed-field gel electrophoresis (pfge) patterns for isolates from kansas and missouri were ...200617021592
annotation: a community-focused strategy for the control of day-care center shigellosis. 19957762706
communitywide shigellosis: control of an outbreak and risk factors in child day-care centers.the study's objectives were to assess (1) control of a community outbreak of shigellosis through the promotion of handwashing, (2) risk factors in day-care centers, and (3) shigellosis attributable to attendance at a day-care center.19957762715
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