Shigellosis primary prevention: Difference between revisions
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Revision as of 17:42, 4 December 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Primary Prevention
There is no vaccine to prevent shigellosis. However, the spread of Shigella from an infected person to other persons can be stopped by frequent and careful handwashing with soap. Frequent and careful handwashing is important among all age groups. Frequent, supervised handwashing of all children should be followed in day care centers and in homes with children who are not completely toilet-trained (including children in diapers). When possible, young children with a Shigella infection who are still in diapers should not be in contact with uninfected children.
People who have shigellosis should not prepare food or pour water for others until they have been shown to no longer be carrying the Shigella bacterium.
If a child in diapers has shigellosis, everyone who changes the child's diapers should be sure the diapers are disposed of properly in a closed-lid garbage can, and should wash his or her hands carefully with soap and warm water immediately after changing the diapers. After use, the diaper changing area should be wiped down with a disinfectant such as household bleach, Lysol or bactericidal wipes.
Basic food safety precautions and regular drinking water treatment prevents shigellosis. At swimming beaches, having enough bathrooms near the swimming area helps keep the water from becoming contaminated.
Simple precautions taken while traveling to the developing world can prevent getting shigellosis. Drink only treated or boiled water, and eat only cooked hot foods or fruits you peel yourself. The same precautions prevent traveler's diarrhea in general.
Some tips for preventing the spread of shigellosis
- Wash hands with soap carefully and frequently, especially after going to the bathroom, after changing diapers, and before preparing foods or beverages.
- Dispose of soiled diapers properly.
- Disinfect diaper changing areas after using them.
- Keep children with diarrhea out of child care settings.
- Supervise handwashing of toddlers and small children after they use the toilet.
- Persons with diarrheal illness should not prepare food for others.
- Avoid drinking pool water[1]
What is the government doing about shigellosis?
The Centers for Disease Control and Prevention (CDC) monitors the frequency of Shigella infections in the country, and assists local and State health departments to investigate outbreaks, determine means of transmission and devise control measures. CDC also conducts research to better understand how to identify and treat shigellosis. The Food and Drug Administration inspects imported foods, and promotes better food preparation techniques in restaurants and food processing plants. The Environmental Protection Agency regulates and monitors the safety of our drinking water supplies. The government has also maintained active research into the development of a Shigella vaccine. [2]