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Research Article Open access CC BY 4.0

Changing Patterns and Outcomes of Typhoid Fever in Egypt

Mahmoud Sheded, Mohamed Mosaad, Adel Hassan, Ahmed Faisal, Said Abbadi, Dalia Ghareeb

International Journal of TROPICAL DISEASE & Health · pp. 1–8 · Published 29 Oct 2018

10.9734/IJTDH/2018/44396

Abstract

Introduction: Typhoid fever is an endemic disease in our country; however, the changing presentation may alter our diagnosis and management. The Aim of the Work: To improve the management of typhoid fever in Egypt through studying the changes in the clinical picture, laboratory findings, response to antimicrobial treatment & outcomes. Subjects and Methods: 590 patients were involved in the study, presenting symptoms, laboratory results, responses to medications and the outcomes were registered. Results: fever was the most prevalent symptom (98.6%) followed by a headache (82.9%) and abdominal pain (71.5%); eating outdoor is the most prevalent risk factor (80.8%); Thirty patients who used quinolone were relapsed (14.4% of cases who used quinolone), while fifty-five patients who used 3rd generation cephalosporin were relapsed (21.1% of cases who used cephalosporins). Conclusion: Food handlers constitute the major risk factors, while the classical form of the disease is not the common presentation, with a low yield of blood culture and increasingly resistant to fluroquinolone and ceftriaxone.

Drugs resistance Egypt enteric fever salmonella typhoid

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Cited by 3

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Mother's Care for Child with Typhoid Fever

Rabab Salah Hassan El Fekey, Nahla Ahmed Abd Elaziz, Asmaa Talaat Mohamed · Egyptian Journal of Health Care · 2022

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