Shigella sonnei
Shigella sonnei is a species of Shigella, a
Gram-negative, rod-shaped, non-motile, and non-spore-forming bacterium. It is one
of the primary causes of shigellosis, a diarrheal disease12.
2. Transmission of Shigella sonnei
Shigella sonnei is primarily transmitted through the
fecal-oral route. This can occur via contaminated food or water, direct
person-to-person contact, or contact with contaminated surfaces. It can
also spread during sexual activity involving exposure to feces2.
3. Epidemiology of Shigella sonnei
Shigella sonnei is responsible for the majority of
shigellosis cases in industrialized countries. It is particularly prevalent in
areas with poor sanitation and hygiene. Children
under five, travelers to endemic areas, and men who have sex with men are at
higher risk23.
4. Pathology, Disease, and Infection Caused by Shigella
sonnei
Shigella sonnei causes shigellosis, characterized by
symptoms such as diarrhea (which can be bloody), fever, stomach cramps, and
tenesmus (a feeling of needing to pass stools even when the bowels are
empty). Severe
cases can lead to complications like dehydration, hemolytic uremic syndrome
(HUS), and reactive arthritis12.
5. Laboratory Tests for Shigella sonnei
- Gram
Stain: Gram-negative
- Cell
Shape: Rod-shaped
- Cell
Arrangement: Single or in pairs
- Culture
Media: Grows on MacConkey agar, Hektoen enteric agar, and XLD agar
- Selective
Culture Media: Hektoen enteric agar, XLD agar
- Biochemical Tests:
Lactose fermentation (negative), Indole (negative), Urease (negative),
Citrate (negative), and Motility (negative)13.
6. List of Specimen Types for Shigella sonnei
- Stool
samples
- Rectal swabs2
7. List of Specimen Collection Sites
- Rectum
(via rectal swab)
- Stool collection2
8. Colony Morphology of Shigella sonnei
- Edge:
Entire
- Elevation:
Low convex
- Surface:
Smooth
- Size:
Small to medium
- Form:
Circular
- Opacity:
Opaque
- Colour:
Pale or colorless
- Consistency:
Moist
- Effect
on the Media: No significant effect
- Pigment: None13
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10. Antimicrobial Susceptibility Testing (AST) for Shigella sonnei
Antimicrobial susceptibility testing (AST) is crucial for
determining the most effective antibiotics to treat infections caused by
Shigella sonnei, especially given the increasing prevalence of
antibiotic-resistant strains.
Commonly Tested Antibiotics
- Azithromycin
- Ciprofloxacin (a
fluoroquinolone)
- Ceftriaxone (a
third-generation cephalosporin)
- Trimethoprim-sulfamethoxazole
(TMP-SMX)
- Ampicillin12
Resistance Patterns
- Multidrug-Resistant
(MDR) Shigella: Resistant to three or more of the commonly used
antibiotics1.
- Extensively
Drug-Resistant (XDR) Shigella: Resistant to all five of the commonly
recommended antibiotics2.
Testing Methods
- Culture
and Sensitivity Testing: If a culture is positive for Shigella, AST is
performed to determine the susceptibility of the bacteria to various
antibiotics2.
- Culture-Independent Diagnostic Tests (CIDTs): If
Shigella is detected via CIDTs, a reflex culture should be requested to
perform AST2.
Importance of AST
- Guiding Treatment: Helps in selecting the most
effective antibiotic, especially in the context of rising antibiotic
resistance12.
- Monitoring Resistance Trends: Provides data on the
prevalence of MDR and XDR strains, which is essential for public health
surveillance and response12.
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