“Clinical profile of Typhoid fever in children aged between 6 months to 18 years: A study in a tertiary care hospital, Chittagong, Bangladesh”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
This cross sectional study was carried out the in Pediatric & Medicine wards of Chittagong Medical College Hospital (CMCH), Chittagong during the period of July 2012 to June 2013, aims to describe clinical profile of typhoid fever in children admitted in a tertiary care hospital, Chittagong, Bangladesh. We conducted this study with a total number of 150 suspected cases of typhoid fever (age >6 months to18years) admitted in the above mentioned hospitals and enrolled in this study maintaining inclusion criteria. Majority (56.7%) of the patient’s age belonged to 1-5 years and male to female ratio was 1.2:1. More than a half (56.0%) of the patients came from rural area. Most (62.7%) of the patients suffered from fever for ≤5 days, 50.7% had change of bowel habit, 38.7% had abdominal pain, 26.0% had diarrhea and 18.7% had constipation. One third (33.3%) of the patients had tongue coating, 19.3% had palpable liver, 7.3% had palpable spleen and only0.7% had caecal gurgling. The mean Hb was found 10.78±1.55 g/dl, TC 13018.44±6510.33/cumm, N was 67.78±15.61% L was 27.59±15.24% M was 2.57±0.93 %, E was 1.68±0.87 % and B was 0.31±0.54 %. Blood Culture for Salmonella typhi was found positive in 16(10.7%) patients out of which only 1(6.25%) received typhoid vaccination. Antibiotic Sensitivity among culture positive patients revealed that, Azithromycin, Ceftriaxone and Imipenem were 100% sensitive followed by Cefixime 68.8%, Nalidixic acid 56.3%, & Chloramphenicol 38.35%. Almost a half (47.3%) of the patients received pre admission antibiotic and among culture positive patients 07(43.8%) received antibiotic during pre admission period. In the conclusion, we can say that clinical profile can guide treatment of febrile patients and provide a good knowledge about specific disease patterns.
Authors and Affiliations
Dr. Zabeen Choudhury, Dr. Shanjana Islam, Dr A M M Minhazur Rahman
Keywords
Related Articles
- EP ID EP409169
- DOI 10.9790/0853-1711024550.
- Views 74
- Downloads 0
Neonatal Screening for Hearing Loss Using OAE and Comparison it with Conventional Methods
Introduction: Communication is the essence of life. Speech, Language and Hearing are involved rigorously in any communication around us. Children Hearing loss in children constitutes a considerable handicap because it is...
Role of Intratympanic Methylprednisolone in Sudden Sensorineural Hearing Loss. A Clinical Study
Objective: Sudden sensorineural hearing loss (SSNHL) is a common emergency in Otology. The etiology, clinical features and treatment remains a matter of debate for over decade. The aim of this study is to evaluate the ef...
Uterine sarcoma – A retrospective analysis of 19 years experience from a tertiary care centre in south India
Aim: Retrospective analysis of uterine sarcomas to identify the histological type , prognostic factors, adjuvant treatment and their outcome. Materials and Methods: From 1991 to 2009, 55 uterine sarcomas were treated in...
An Evaluation of the Effects of Inhalation of Gasoline Vapour on the Lungs, Liver and Kidney of Wistar Albino Rats
Exposure to gasoline vapour in a similar way as found at work place environment in wistar albino rats was shown to have untoward effects. The animals were exposed to gasoline vapour in an exposure chamber. The serum calc...
Prevalence And Determinants of Benign Prostatic HyperplasiaAmong Males Attending Primary Health Care Clinics At KFMMC, Dhahran, Eastern Region, KSA
Background: The benign prostatic hyperplasia is of significant importance to public health, affecting tens of millions of older men globally. Objectives: To determine the prevalence, investigate risk factors, and to clar...