title: [Burden of salmonellosis and shigellosis in four departments of Guatemala, 2010].
abstract: OBJECTIVE
  Estimate the burden of disease from Salmonella spp. and Shigella spp. in four departments of Guatemala in 2010.
  
  
  METHODS
  Burden of disease study based on document analysis of published population surveys, laboratory files, and surveillance data from the Health Management Information System (SIGSA) in four departments of Guatemala: Huehuetenango, Jutiapa, Quetzaltenango, and Santa Rosa, in 2010. Information was supplemented by a laboratory survey. Burden of disease was estimated using methodology adapted by the World Health Organization from the United States Centers for Disease Control and Prevention.
  
  
  RESULTS
  Surveillance data yielded 72 salmonellosis and 172 shigellosis cases. According to population surveys, the percentage of the population that consults health services for diarrhea is 64.7% (95% CI: 60.6%-68.7%) in Quetzaltenango and 61.0% (95% CI: 56.0%-66.0%) in Santa Rosa. In the 115 laboratories that answered the survey (72.8% response rate), 6 051 suspected samples were collected for stool culture and 3 290 for hemoculture; 39.4% and 100.0% of them were processed, respectively. In all, 85 Salmonella spp. and 113 Shigella spp. strains were isolated. For each reported case of salmonellosis and shigellosis, it was estimated that 40 cases are not reported in Quetzaltenango, 55 in Huehuetenango, 345 in Santa Rosa, and 466 in Jutiapa. Estimated burden of disease ranged from 5 to 2 230 cases per 100 000 population for salmonellosis and from 60 to 1 195 cases per 100 000 population for shigellosis.
  
  
  CONCLUSIONS
  Salmonellosis and shigellosis are a major public health problem in the departments studied and in Guatemala. Burden of disease from these pathogens is higher than that reported by SIGSA.
authors.affiliation: Laboratorio Nacional de Salud, Villa Nueva, Guatemala, sheiqb06@gmail.com.
authors.forename: Sheilee L
authors.initials: SL
authors.lastname: Díaz
authors.affiliation: Universidad del Valle de Guatemala, Laboratorio Nacional de Salud, Ciudad de Guatemala, Guatemala.
authors.forename: Claudia
authors.initials: C
authors.lastname: Jarquin
authors.affiliation: Universidad del Valle de Guatemala, Laboratorio Nacional de Salud, Ciudad de Guatemala, Guatemala.
authors.forename: Ana Judith
authors.initials: AJ
authors.lastname: Morales
authors.affiliation: Laboratorio Nacional de Salud, Villa Nueva, Guatemala, sheiqb06@gmail.com.
authors.forename: Melissa
authors.initials: M
authors.lastname: Morales
authors.affiliation: Laboratorio Nacional de Salud, Villa Nueva, Guatemala, sheiqb06@gmail.com.
authors.forename: Claudia
authors.initials: C
authors.lastname: Valenzuela
mesh_terms: D003967:Diarrhea / Q000453:epidemiology; D004405:Dysentery, Bacillary / Q000453:epidemiology; D006166:Guatemala / Q000453:epidemiology; D006801:Humans; D012478:Salmonella Food Poisoning; D012480:Salmonella Infections