Assessment of Efficacy of Various Treatment Regimes in Patients with Typhoid Fever: A Prospective Study
DOI:
https://doi.org/10.21276/61135w90Keywords:
Regimes, Treatment, Typhoid feverAbstract
Background: Typhoid fever is caused by Salmonella enterica serovar Typhi (S typhi), a Gram negative bacterium. Typhoid fever is among the most common febrile illnesses encountered by practitioners in developing countries. Hence; we planned the present study to evaluate the efficacy of various treatment regimes in treating patients with typhoid fever.
Materials & Methods: The present study included assessment of efficacy of different treatment regimes in treating patients with typhoid fever. A total of 40 patients were included in the present study and were broadly divided into two study groups with 20 patients each group. Group 1 included patients who were treated ceftriaxone therapy while group 2 included patients who were treated with chloramphenicol. Bacteriological culturing of the blood, stool and urine samples was done for confirming the diagnosis at the start of the treatment. Repetition of the blood and stool culture was done on day 5 and day 12 after the discharge of the patient. All the results were analyzed by SPSS software. Results: Complete clinical cure occurred in 17 and 19 patients of group 1 and group 2 respectively. Positive blood culture for S. typhi on day 5 occurred in 0 and 10 days of group 1 and group 2 patients respectively. Conclusion: In treating patients with typhoid fever, Ceftriaxone could be safely used.
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Berkley JA, Lowe BS, Mwangi I, Williams T, Bauni E, Mwarumba S, et al. Bacteremia among children admitted to a rural hospital in Kenya. N Engl J Med 2005;352: 39-47.
Wain J, Diep TS, Ho VA, Walsh AM, Nguyen TT, Parry CM, et al. Quantitation of bacteria in blood of typhoid fever patients and relationship between counts and clinical features, transmissibility, and antibiotic resistance. J Clin Microbiol 1998;36: 1683-7.
Shirakawa T, Acharya B, Kinoshita S, Kumagai S, Gotoh A, Kawabata M. Decreased susceptibility to fluoroquinolones and gyrA gene mutation in the Salmonella enterica serovar Typhi and Paratyphi A isolated in Kathmandu, Nepal, in 2003. Diagn Microbiol Infect Dis 2006;54: 299-303.
Crump JA, Luby SP, Mintz ED. The global burden of typhoid fever. Bull World Health Organ 2004;82: 346-53.
Renuka K, Sood S, Das BK, Kapil A. High-level ciprofloxacin resistance in Salmonella enterica serotype Typhi in India. J Med Microbiol 2005;54: 999-1000.
Brooks WA, Hossain A, Goswami D, Nahar K, Alam K, Ahmed N, et al. Bacteremic typhoid fever in children in an urban slum, Bangladesh. Emerg Infect Dis 2005;11: 326-9.
Graham SM. Salmonellosis in children in developing and developed countries and populations. Curr Opin Infect Dis 2002;15: 507-12.
Nsutebu EF, Martins P, Adiogo D. Prevalence of typhoid fever in febrile patients with symptoms clinically compatible with typhoid fever in Cameroon. Trop Med Int Health 2003;8: 575-8.
Tatli MM1, Aktas G, Kosecik M, Yilmaz A. Treatment of typhoid fever in children with a flexible-duration of ceftriaxone, compared with 14-day treatment with chloramphenicol. Int J Antimicrob Agents. 2003 Apr;21(4):350-3.
Khan MA1, Hayat Z, Sadick A. Ofloxacin in the treatment of typhoid fever resistant to chloramphenicol and amoxicillin. Clin Ther. 1994 Sep-Oct;16(5):815-8.
Acharya G1, Butler T, Ho M, Sharma PR, Tiwari M, Adhikari RK, Khagda JB, Pokhrel B, Pathak UN. Treatment of typhoid fever: randomized trial of a three-day course of ceftriaxone versus a fourteen-day course of chloramphenicol. Am J Trop Med Hyg. 1995 Feb;52(2):162-5.
Islam A, Butler T, Kabir I, Alam NH. Treatment of typhoid fever with ceftriaxone for 5 days or chloramphenicol for 14 days: a randomized clinical trial. Antimicrobial Agents and Chemotherapy. 1993;37(8):1572-1575.
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