Prevalence and characterization of human Shigella infections in Henan Province, China, in 2006.

S. Xia, B. Xu, L. Huang, J. Y. Zhao, L. Ran, J. Zhang, H. Chen, C. Pulsrikarn, S. Pornruangwong, Frank Møller Aarestrup, Rene S. Hendriksen

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Abstract

In 2006, 3531 fecal samples were collected from patients with diarrhea in Henan Province, China. A total of 467 (13.2%) Shigella strains were isolated and serotyped. Seventy-one Shigella flexneri strains were characterized by MIC determination, pulsed-field gel electrophoresis (PFGE), and detection of genes encoding cephalosporin resistance. Most infections were caused by S. flexneri variant X [IV:(7),8] (27.6%), S. sonnei (24.2%), and S. flexneri 2a (20.8%). However, large regional differences were observed. Significantly higher odds (2.0) of females compared to males were infected with S. flexneri 2a. Untypeable S. flexneri (–:6) isolates were absent among males, as were untypeable S. flexneri [I:(7),8] isolates among females. Patient ages ranged from 2 months to 82 years, with 231 subjects (49.7%)
Original languageEnglish
JournalJournal of Clinical Microbiology
Volume49
Issue number1
Pages (from-to)232-242
ISSN0095-1137
DOIs
Publication statusPublished - 2011

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