@entity204 from Shigellosis is rare in developed countries, however it causes over a million deaths in developing countries worldwide annually. @entity204 from shigellosis is rare in Fiji. However, the global problem of emerging multidrug resistance raises some issues about the management of Shigellosis in this country. Within Fiji, Shigella is a notifiable disease. The Fiji Ministry of Health recorded 68 cases of Shigella in 1996, 173 cases in 1997 and 334 cases in 1998 (no data available for 1999). There was only one recorded death during this time--in 1998. Resistance to @entity2755 occurred in 82% of cases. @entity14341 in Fiji remains sensitive to @entity5821 and cefaclor. The current antibiotic guidelines in Fiji, recommend that antibiotics be used only for cases of moderate and severe @entity5163 . Shigellosis was suspected soon after presentation however the @entity1 was unable to take oral antibiotics and was treated with intravenous antibiotics ( @entity2755 and @entity869 ), which were ineffective due to resistance of the organism. The current antibiotic guidelines for severe @entity5163 recommend @entity2755 or @entity802 --the later not available in Fiji. However the only intravenous drugs that retain their sensitivity to Shigella- @entity2756 and @entity5821 , are expensive ( F 45.00 per vial of @entity2756 ) and these are only available in large regional hospitals.

XXXX from multi-resistant shigellosis in Fiji Islands.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity2756 :: ('MESH:D002443', 'Chemical') :: ['ceftriaxone'] @entity5821 :: ('MESH:D002512', 'Chemical') :: ['cephalothin'] @entity802 :: ('MESH:D009268', 'Chemical') :: ['nalidixic acid'] @entity14341 :: ('623', 'Species') :: ['Shigella flexneri'] @entity869 :: ('MESH:D000667', 'Chemical') :: ['ampicillin'] @entity2755 :: ('MESH:D002701', 'Chemical') :: ['chloramphenicol'] @entity204 :: ('MESH:D003643', 'Disease') :: ['Death'] @entity5163 :: ('MESH:D004403', 'Disease') :: ['dysentery']
@entity204 :: (MESH:D003643,Disease) :: ['Death']
