Suspect when fever is high, continuous lasting for over a week. Patient looks ill, with mind splenomegaly, no tachycardia, Leukopenia, and Widal test is positive.
Treatment.
Bed rest.
Small frequent feeds. Soft diet-Avoid chillies, spicy and oily foods. Maintain oral hygiene.
IV CIPLOX&actContent=TYPHOID FEVER&redTo=disease&drg_tid=35814'>CIPLOX&actContent=TYPHOID FEVER&redTo=disease&drg_tid=35793'>CIPLOX&actContent=TYPHOID FEVER&redTo=disease&drg_tid=35814'>CIPLOX 200mg bd x 2-4 days, Then Tab. CIPLOX&actContent=TYPHOID FEVER&redTo=disease&drg_tid=35814'>CIPLOX&actContent=TYPHOID FEVER&redTo=disease&drg_tid=35793'>CIPLOX&actContent=TYPHOID FEVER&redTo=disease&drg_tid=35814'>CIPLOX 500mg bd for 10-15 days. Or
IV Oflox 200mg 12hourly x 2-4 days the Tab. Oflox 500 mg bd for 10-15 days. Or
IV CHLOROMYCETIN 1gm 6hourls x 2-4 days. Then Cap. CHLOROMYCETIN 500 mg 6 hourly for 2 weeks.
Tab. ULTRAGIN 6 hourly or S.O.S when there is fever.
Tab. RANTAC 150mg bd (acid inhibitors)
Tab. WYSOLONE 10mg 10mg x tds x 5 days, if the patient is toxic.
Tab. PERINORM 1 tds if there is comiting.
IV fluids during acute phase, as and when necessary.
If there is no response after 4-5 days;
Probably there is resistance to quinoloness and chloromycetcin
Inj. Cephaxone 1 gm IV BD to 6 hourly till fever is controlled, then orally tab. CETIL 500mg 1-2 BD for total 14 days. or
Tab. CEFI 400 mg 1BD for 10-14 days.
Tab. AZEE 1gm OD for 5 days.
Inj. Decadron 2cc IC 12 hourly for 2-3 days
In pregnant females, prefer third generation cephalosporin.
Prevention:
Vaccinate all contacts in home. Also vaccinate people who eat hotel food and outside water frequently.
Oral Typhoral – one capsule on alternate days, on empty stomach in morning, 3 doses. With booster every 5 hours.
Inj. Typhin Vi 0.5 ml IM, Booster every 3 years.
IV CHLOROMYCETIN
Tab. AZEE
Inj. Decadron
Tab. Typhoral
