Bacillary Dysentery

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Clinical Description

  • Bloody and mucoid diarrhoea caused by Shigella species
  • Alternative names: dysentery, shigellosis

Clinical Features

SIGNS AND SYMPTOMS

  • Bloody and mucoid diarrhea
  • Abdominal pain

INVESTIGATIONS

  • FBC
  • Stool microscopy

Treatment 

NON-PHARMACOLOGICAL

  • Health education on handwashing with soap, food hygiene, appropriate disposal of faeces
  • Isolate the patient
  • Hygiene precautions by all in contact with the patient
  • Investigate source of contamination and inform environmental health authorities

PHARMACOLOGICAL

Use antibiotics only if the patient is systemically unwell, septic or immunosuppressed

Adults

  • Ciprofloxacin 500mg PO 12 hourly for 5 days

Children

  • Ciprofloxacin 10mg/kg PO 12 hourly for 5 days