title: Shigella in Tulsa County, 1993: epidemiology, day care center association, and control.
abstract: Tulsa County experienced an epidemic of Shigella sonnei infection and diarrheal disease during 1993. Of the 298 cases documented, 262 occurred in day care centers. There were 227 epidemiologically-linked secondary cases, primarily in parents and siblings. The mode of transmission was primarily person-to-person among family members and children in day care centers. In addition, transmission may also have occurred as the result of fomities in some day care centers. Control was achieved by antibiotic therapy, inspection, and retraining all day care centers' staffs in hand washing techniques and infection control concepts.
authors.affiliation: Tulsa City-County Health Department, OK 74112-6199, USA.
authors.forename: G G
authors.initials: GG
authors.lastname: Caldwell
authors.forename: D
authors.initials: D
authors.lastname: Fiegel
authors.forename: L
authors.initials: L
authors.lastname: Bryant
authors.forename: D
authors.initials: D
authors.lastname: Chambers
authors.forename: P
authors.initials: P
authors.lastname: Rask
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002656:Child Day Care Centers; D002675:Child, Preschool; D004196:Disease Outbreaks; D004405:Dysentery, Bacillary / Q000188:drug therapy / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009825:Oklahoma / Q000453:epidemiology; D012764:Shigella sonnei / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents