title: Sensitivity and specificity of bloody diarrhea in shigella gastroenteritis.
abstract: The sensitivity and specificity of bloody diarrhea in the diagnosis of shigella gastroenteritis in a Shigella sonnei prevalent center was investigated. The shigella-proven gastroenteritis cases who were admitted to Hacettepe University Ihsan Doğramaci Children's Hospital Diarrheal Diseases Unit (Jan 2003 - Oct 2006) constituted the study group (n=65). Age- and sex-matched children admitting to the same center with non-shigella diarrhea constituted the control group (n=65). The sensitivity, specificity, and positive and negative predictive values of bloody diarrhea were found to be 30%, 100%, 100% and 58%, respectively. Sensitivity of bloody diarrhea in the diagnosis of shigella gastroenteritis was low in this center. New strategies and recommendations in the management of mild nonbloody cases are needed.
authors: Social Pediatrics Unit, Department of Pediatrics, Ihsan Dogramac, Children's Hospital, Microbiology Laboratory, Hacettepe University, Ankara, Turkey.
authors: Elif N
authors: EN
authors: Ozmert
authors: Emel
authors: E
authors: Orün
authors: Meltem
authors: M
authors: Sengelen
authors: S Songül
authors: SS
authors: Yalçin
authors: Kadriye
authors: K
authors: Yurdakök
authors: Deniz
authors: D
authors: Gür
mesh_terms: D000293:Adolescent; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000382:microbiology*; D004405:Dysentery, Bacillary / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D012764:Shigella sonnei; D014421:Turkey