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Bacillary Dysentery B.

Dirty, green, fibrous sloughing areas or

ulcers are formed.
(Shigellosis) C. Within a few days, the stool may contain
pus, mucus, and blood.
Bacillary dysentery is an acute bacterial infection of
the intestines characterized by diarrhea and fever Clinical Manifestation:
and is associated with the passing out of bloody- – Fever, especially in children
mucoid stools accompanied by tenesmus. – Tenesmus, nausea, vomiting, and headache
Tenesmus – cramping rectal pain. It is the sensation – Colicky or cramping abdominal pain
of inability or difficulty to empty the bowel at associated w/ anorexia and body weakness
defecation, even if the bowel contents have already – Diarrhea w/ bloody-mucoid stools that bare
been evacuated. watery at first
– Rapid dehydration and loss of weight.
Etiologic Agent:
Shigella Dysenteriae: the most severe
Shigella Flexneri: the epidemic group and  Rectal prolapse, particularly in
easily turn to chronic undernourished children.
Shigella Boydii: tropical and suborn  Respiratory complications, such as cough
Shigella Sonnei: the most mild and pneumonia.
 Non-suppurative arthritis (infectious
Incubation period: arthritis; caused by bacterial infection in the
joint) and peripheral neuropathy.
– The incubation period is 7 hours to seven
days, with an average of three to five days. Diagnostic Procedures:

Period of communicability: 1. Fecalysis or microscopic examination of

– The patient is capable of transmitting the
2. Isolation of the causative organism fr4om
microorganism during the acute infection
rectal swab or culture.
until the feces negative of the organism.
3. Peripheral blood examination
Some patients remain carriers for a year or
4. Blood culture
5. Sheets if polymorphoneuclear leukocytes
Mode of transmission: seen in staining w/ methylene blue.

The organism is transmitted through Modalities of treatment:

ingestion of contaminated food or water or
Antibiotics are of question in the treatment
of shigellosis; however, ampicillin,
It is transmitted by flies or through other
tetracycline, and Cotrimoxazole may be
objects contaminated by the feces of the
useful in severe cases.
IV might be infused with normal saline (with
Fecal-oral transmission is possible.
electrolytes) to prevent dehydration
Low-residue diet is recommended.
Anti-diarrheal drugs are contraindicated
A. After the incubation period, the organism because they delay fecal excretion that can
invades the intestinal mucosa and causes lead to prolonged fever.
Nursing Management:

 Maintain fluid and electrolyte balance

to prevent profound dehydration.
 Keep the patient warm and
 Restrict food until nausea and vomiting
 Isolation can be carried out through
medical aseptic technique.
 Personal hygiene must be maintained.
 Excreta must be properly disposed.
 Concurrent and terminal disinfection
should be employed.
 Return to normal activities must be
gradual because relapse may occur as a
result of fatigue.

Common Nursing Diagnosis:

Pain and discomfort
Alteration in bowel elimination
Altered nutrition: Less than body
Altered body temperature
High risk for infection
A. Sanitary disposal of human feces
B. Sanitary supervision of processing,
preparation, and serving of food, particularly
those eaten raw.
C. Adequate provision of safe washing
D. Fly control and protection against fly
E. Isolation of patient during acute stage.
F. Protection and purification of public water
G. Persons known to be infected should be
excluded from handling food for public