Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

An Epidemiological Investigation on an Outbreak of Shigellosis during Travelling Cambodia and Vietnam among Korean Rural People, 2005

2005년 농촌 주민들에서 캄보디아와 베트남 여행 중 발생한 세균성이질

  • Lim, Hyun-Sul (Department of Preventive Medicine, Dongguk University College of Medicine) ;
  • Lee, Hwan-Seok (Department of Pediatrics, CHA Gumi Medical Center, CHA University)
  • 임현술 (동국대학교 의과대학 예방의학교실) ;
  • 이환석 (차의과학대학교 구미차병원 소아청소년과)
  • Published : 2009.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: A group consisted of 32 Korean rural people had been travelled to Cambodia and Vietnam. During their travel for 7 days, first diarrheal case had occurred on 3rd day of travel and overall 8 people had diarrhea during travel. So we investigated the case for determination of the cause and route of infection. Methods: We interviewed all 32 people by visiting or telephone and took 23 stool samples from them, which are examined by Gyeungsangbuk-do Government Public Institute of Health & Environment in Korea. We interviewed travel agency for travel route and schedule. Results: The attack rate was 25.0% (8 cases) among 32 people. Of them, 3 cases were microbiologically confirmed to have the infection of Shigella flexneri (Serotype 3a). The result of this epidemiological investigation showed that the infection of shigellosis was happened in foreign countries. We assumed the water from Angkor-Watt was contaminated by S. flexneri. We could not able to test environmental specimens because of the infection is thought to be occurred in foreign countries. Conclusions: Most common infectious diseases from foreign countries are transmitted by water or food. Travellers to foreign countries must take caution for communicable diseases and must do report and get appropriate treatment when symptoms developed after travel.

농촌 주민들 32명이 캄보디아와 베트남을 여행하였다. 7일간의 여행 중 8명이 설사를 하였다. 이에 원인과 감염경로를 파악하기 위해 역학조사를 시행하였다. 여행자 32명 전원을 대상으로 방문 혹은 전화로 역학조사를 시행하였으며, 23명의 직장도말 검체를 경상북도 보건환경연구원에서 검사하였다. 또한 여행사를 통해 여행 경로와 일정을 조사하였다. 발병률은 25.0%(8명)이었으며, 그 중 3명은 미생물학적으로 Shigella flexneri(Serotype 3a)에 의한 감염을 확인하였다. 외국에서 감염이 발생하였다고 추정하여 환경가검물을 검사할 수 없었지만 공동매개체로는 세균성이질의 잠복기와 역학적 특성을 고려할 때 앙코르와트에서 사 먹은 생수가 세균성이질 균에 오염된 것으로 생각한다. 가장 흔한 해외 유입 전염병은 물이나 음식을 매개로 하는 전염병이다. 외국을 여행하는 여행자들은 수인성/음식매개 감염병에 대하여 철저히 예방을 하고 여행 후 증상이 있는 경우 신고 및 적절한 치료를 받아야 할 것이다.

Keywords

References

  1. World Tourism Organization. Inbound tourism: short-term data 2008. UNWTO World Tourism Barometer 2009;7(1):5-8
  2. 통계청. 해외여행 경험 및 횟수. 2009. Available from: URL: http://www.kosis.kr
  3. Steffen R. Epidemiology of Traveler's Diarrhea. Clin Infect Dis 2005:41(Suppl 8):S536-S540 https://doi.org/10.1086/432948
  4. 질병관리본부. 전염병관리 사업지침 2008. 서울, 질병관리본부, 2008, 쪽43-61
  5. 질병관리본부. 전염병대응센터 역학조사팀, 전염병감시팀. 해외유입 전염병의 최근 동향. 주간 건강과질병 2008;1(38):633-637
  6. Chun D. Classification of dysentery bacilli and their prevalence in Korea. J of Korean Med Ass 1970;13(9):704-710(Korean)
  7. Lim HS. Changing patterns of communicable diseases in Korea. J Prev Med Public Health 2005;38(2):117-124(Korean)
  8. 배현주. Salmonella와 Shigella 감염. In: 대한감염학회. 감염학. 1판, 서울, 군자출판사, 2007, 쪽423-439
  9. Lee HD, Lee SO, Lim HS. An epidemiological investigation on an outbreak of shigellosis in a special school for handicapped in Yeongcheon-si and in a rehabilitation facility in Gyeongsan-si, Korea, 2008. J Agri Med & Community Health 2009;34(1):24-33(Korean) https://doi.org/10.5393/JAMCH.2009.34.1.024
  10. 질병관리본부. 2008년 법정전염병 보고 현황. In: 질병관리본부. 2008 전염병 감시연보. 서울, 질병관리본부, 2009, 쪽10-13
  11. von Sonnenburg F, Tornieporth N, Waiyaki P, Lowe B, Peruski LF Jr, DuPont HL, Mathewson JJ, Steffen R. Risk and aetiology of diarrhoea at various tourist destinations. Lancet 2000;356(9224):133-134 https://doi.org/10.1016/S0140-6736(00)02451-X
  12. Jiang ZD, Lowe B, Verenkar MP, Ashley D, Steffen R, Tornieporth N, von Sonnenburg F, Waiyaki P, DuPont HL. Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay). J Infect Dis 2002;185(4):497-502 https://doi.org/10.1086/338834
  13. Ericsson CD. Travellers' diarrhea. Int J Antimicrob Agents 2003;21(2):116-124 https://doi.org/10.1016/S0924-8579(02)00282-0
  14. Ekdahl K, Andersson Y. The epidemiology of travel-associated shigellosis - regional risks, seasonality and serogroups. J Infect Dis 2005;51(3):222-229 https://doi.org/10.1016/j.jinf.2005.02.002
  15. Jin SM, Lee TY. An epidemiological survey on the outbreak of cholera of overseas travelers in Daejeon. Korean J Epidemiol 2006;28(1):119-128(Korean)
  16. Chin J. Control of communicable diseases manual. 17th ed., Washington DC, American Public Health Association, 2000, pp451-455

Cited by

  1. Infection of Extended-Spectrum β-Lactamase Producing Shigella flexneri in Children Attending a Childcare Center in Korea vol.23, pp.3, 2016, https://doi.org/10.14776/piv.2016.23.3.223