ARCHIVED - Shigellosis

Nationally notifiable since 1924

1.0 National Notification

Only confirmed cases of disease should be notified.

2.0 Type of Surveillance

Routine case-by-case notification to the federal level

3.0 Case Classification

3.1 Confirmed case

Laboratory confirmation of infection with or without clinical illness:

• isolation of Shigella sp. from an appropriate clinical specimen (e.g. sterile site, deep tissue wounds, stool, vomit or urine)

3.2 Probable case

Clinical illness in a person who is epidemiologically linked to a confirmed case

4.0 Laboratory Comments

Further strain characterization (e.g., drug resistance testing, serotyping, PFGE typing) is indicated for epidemiologic, public health and control purposes.

5.0 Clinical Evidence

Clinical illness is characterized by diarrhea, fever, nausea, vomiting cramps and tenesmus. Asymptomatic infections may occur.

6.0 ICD Code(s)

6.1 ICD-10 Code(s)

A03

Shigellosis

A03.0

Shigellosis due to Shigella dysenteriae (Group A shigellosis)

A03.1

Shigellosis due to Shigella flexneri (Group B shigellosis)

A03.2

Shigellosis due to Shigella boydii (Group C shigellosis)

A03.3

Shigellosis due to Shigella sonnei (Group D shigellosis)

A03.8

Other shigellosis

A03.9

Shigellosis, unspecified (Bacillary dysentery not otherwise specified (NOS)

6.2 ICD-9/ICD-9CM Code(s)

004

Shigellosis (includes bacillary dysentery)

004.0

Shigella dysenteriae Infection by group A Shigella (Schmitz) (Shiga)

004.1

Shigella flexneri Infection by group B Shigella

004.2

Shigella boydii Infection by group C Shigella

004.3

Shigella sonnei Infection by group D Shigella

004.8

Other specified Shigella infections

004.9

Shigellosis, unspecified

7.0 Type of International Reporting

8.0 Comments

Probable case definitions are provided as guidelines to assist with case finding and public health management, and are not for national notification purposes.

9.0 References

Date of Last Revision/Review:

May 2008