Prevention of dysentery (shigellosis)
Last reviewed: 23.04.2024
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Prevention of dysentery (shigellosis) is based primarily on strict compliance with the technology of preparation, storage and timing of food and anti-epidemic regimens in preschool and school institutions.
The importance is the early diagnosis of dysentery (shigellosis) and isolation of the patient (or shigella bacilli ) in a hospital or at home. All patients with shigellosis and bacillary discharges are filled with emergency notification in SES (Form No. 58). In the focus of infection after isolation of the patient , the final disinfection is carried out. Contact children are assigned medical supervision for 7 days, quarantine is not imposed. In the focus of infection during the observation period, current disinfection is carried out, strict control of the children's chair is carried out, in the nursery groups of the kindergarten there is a table of chairs. Each child with bowel dysfunction must be isolated and examined with a bacteriological method.
Shigella bacteria are not allowed in children's preschool institutions until the organism is completely sanitized from the pathogen, followed by a follow-up. The appointment of antibiotics and chemopreparations for the purpose of sanitation, as a rule, is ineffective and does not contribute to reducing the time of bacterial excretion.
For active immunization, there is a vaccine for the prevention of dysentery (Shigellvac) - against shigella Sonne lipopolysaccharide liquid. Inoculation from dysentery Sonne is administered once, deeply subcutaneously or intramuscularly at a dose of 0.5 ml (50 μg), regardless of age, starting at 3 years. Vaccination is recommended to be carried out according to epidemiological indications, in groups visiting children's institutions, going to health camps, as well as all persons departing to regions with a high incidence of dysentery Sonne. It is also advisable to vaccinate workers of infectious hospitals and bacteriological laboratories, as well as persons engaged in catering and public amenities.
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