title: [Shigella sonnei outbreak in a school in Northern Spain].
abstract: In October 2012, an outbreak of acute gastroenteritis caused by Shigella sonnei was detected in a nursery and primary school in the north of Spain affecting 112 people: 63.7% were pupils and teachers and 35.7% their co-habitants. The source was a sick child who had travelled to an endemic country, and the key trigger factor was inadequate hygiene in one of the toilets of the school. The enforcement of strict hygiene measures was essential for controlling the outbreak.
authors.affiliation: Subdirección de Salud Pública de Gipuzkoa, Gobierno Vasco, Donostia-San Sebastián, Gipuzkoa, España. Electronic address: epidem2-san@ej-gv.es.
authors.forename: Juncal
authors.initials: J
authors.lastname: Artieda
authors.affiliation: Sección de Microbiología, Laboratorio de Análisis Clínicos, Hospital Mendaro, Mendaro, Gipuzkoa, Servicio Vasco de Salud-Osakidetza, España.
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Manterola
authors.affiliation: Salud Pública de Comarca Bajo Deba, Eibar, Gipuzkoa, España.
authors.forename: Elena
authors.initials: E
authors.lastname: Tolosa
authors.affiliation: Laboratorio de Salud Pública de Gipuzkoa, Donostia-San Sebastián, España.
authors.forename: Belen
authors.initials: B
authors.lastname: Moreno
authors.affiliation: Servicio de Pediatría, Hospital Mendaro, Mendaro, Gipuzkoa, Servicio Vasco de Salud-Osakidetza, España.
authors.forename: Jesus
authors.initials: J
authors.lastname: Alustiza
authors.affiliation: Centro de Salud, Servicio Vasco de Salud-Osakidetza, Eibar, Gipuzkoa, España.
authors.forename: Uxue
authors.initials: U
authors.lastname: Astigarraga
authors.affiliation: Centro de Salud, Servicio Vasco de Salud-Osakidetza, Eibar, Gipuzkoa, España.
authors.forename: Rene
authors.initials: R
authors.lastname: Botello
authors.affiliation: Centro de Salud, Servicio Vasco de Salud-Osakidetza, Eibar, Gipuzkoa, España.
authors.forename: Nerea
authors.initials: N
authors.lastname: Arostegui
authors.affiliation: Subdirección de Salud Pública de Gipuzkoa, Gobierno Vasco, Donostia-San Sebastián, Gipuzkoa, España.
authors.forename: Mikel
authors.initials: M
authors.lastname: Basterrechea
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D004405:Dysentery, Bacillary / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012574:Schools; D012764:Shigella sonnei; D013030:Spain / Q000453:epidemiology; D055815:Young Adult
keywords: Brote; Control measures; Epidemiological survey; Investigación epidemiológica; Medidas de control; Outbreak; Shigella