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Wednesday, 22 June 2016

Typhoid

Typhoid, also called typhoid fever, is an illness caused by the bacterium Salmonella Typhi. The disease is spread through water which has the Salmonella Typhi bacteria in it ( transmission is by faeco oral route)


Typhoid usually lasts between two weeks and a month. The symptoms of typhoid often appear 10 to 14 days after infection. If no treatment is given, between one and three out of every ten patients die. The rest usually get better after a month, at the most.


Typhoid causes a steady fever of at least 103-104 degrees F (39-40 degrees C). Also, it can cause stomach pains, headache, being delirious (restless, excited, seeing things), and not being hungry. In some cases, flat, pink coloured spots show up on the patient's body. Sometimes there are no symptoms.

Treatment for Typhoid


Presents with unexplained symptoms described in Table 1 within 60 days of returning from an typhoid fever (enteric fever) endemic area or following consumption of food prepared by an individual who is known to carry typhoid, broad-spectrum empiric antibiotics should be started immediately. Treatment should not be delayed for confirmatory tests since prompt treatment drastically reduces the risk of complications and fatalities. Antibiotic therapy should be narrowed once more information is available.

Compliant patients with uncomplicated disease may be treated on an outpatient basis. They must be advised to use strict handwashing techniques and to avoid preparing food for others during the illness course. Hospitalized patients should be placed in contact isolation during the acute phase of the infection. Feces and urine must be disposed of safely.

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