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SHORT COMMUNICATION |
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Year : 2012 |
Volume
: 37 | Issue : 4 | Page
: 256-258 |
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Study of Clinical Profile and Antibiotic Sensitivity Pattern in Culture-positive Typhoid Fever Cases
Ashwini Kumar1, Vinay Pandit2, Seema Shetty2, Chythra R Rao1, Sanjay Pattanshetty1, Charmaine M Samarasinghe3
1 Department of Community Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India 2 Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India 3 Department of Pulmonary Medicine, Medical Officer, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
Correspondence Address:
Ashwini Kumar Department of Community Medicine, Kasturba Medical College, Manipal University, Manipal - 576 104, Karnataka India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0970-0218.103475
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Background: Salmonella enteric serotype Typhi has created a significant therapeutic problem as these strains have developed resistance to the commonly used antimicrobials for the treatment of typhoid fever. Objectives: To assess the clinical profile and sensitivity patterns to anti-typhoid drugs. Materials and Methods: A retrospective analysis of 106 culture-positive typhoid cases admitted in a tertiary care hospital during the years 2005-2008. Results: Records of 106 patients were evaluated, 83 (78.3%) males and 23 (21.7%) females. Fever was present in all patients. Headache in 63 (59.4%) patients and generalized body ache in 53 (32.5%) patients were the most common symptoms, while spleenomegaly in 47 (44.3%) patients and hepatomegaly in 42 (39.6%) patients were the common presenting signs. A maximum sensitivity of 96.6% was observed with cephalosporins, whereas a resistance of 29.2% was seen with fluoroquinolones. Conclusion: A high degree of sensitivity was noted to chloramphenicol, ampicillin and sulphonamides, showing a trend of roll-back of sensitivity to conventional antibiotics. |
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