Diagnostic and Therapeutic Protocol in Treatment of Enteric Fever in Children

Dr. Himanshu Dua; Dr. Anjali Edbor; Dr. Roopal B. Khobragade

Volume : VI, Issue : IX, September - 2017

Diagnostic and Therapeutic Protocol in Treatment of Enteric Fever in Children

Dr. Himanshu Dua, Dr. Anjali Edbor, Dr. Roopal B. Khobragade

Abstract :

Present study was done for retrospective analysis of Diagnostic and treatment protocol for management of suspected and probable cases of Enteric fever in children. Methods: Observational descriptive study conducted on data of case papers of Enteric fever patients admitted & treated during January 2015 to January 2016. In the pediatric population in the age group of 2 to 20 years at NKPSIMS, Digdoh, Hingna, Nagpur. Results: Out of the 41 children with enteric fever, male to female ratio was 1.3:1 with common age group between 11-20 years. Maximum i.e. 20 cases are from urban areas, 13 from Rural and 8 are from Suburban area. S typhi was isolated in … cases while S. paratyphi in … cases. Clinical features of S. typhi and S. paratyphi were indistinguishable. None of the children were immunized for Typhoid fever. Fever with or without chills are the commonest symptoms. Average duration of stay is 6.8 days and a No relation of age of child with hospital stay during treatment of typhoid fever cases. No significant relevance of pre hospital duration of fever with patient�s hospital stay & hence response to antibiotic treatment. Significant Co-morbidities have not been seen .Blood culture though a gold standard test is of limited use in resource limited scenario, especially in children with prior antibiotics treatment. Ceftriaxone as a solo drug is effective in the treatment of majority of patients of enteric fever.Conclusion: Public health interventions to minimize human carrier contact, improvement in environmental sanitation, improved personal hygienic measures including health care behavior strategies, typhoid vaccination and rational antibiotic selection based on sensitivity pattern to prevent resistance will help to reduce the morbidity and mortality of this global health problem.