By ULY CLINIC Staff,
Typhoid Fever in Children
It is a systemic disease resulting from infection by Salmonella typhi and S.
paratyphi, serotypes A and B respectively. Infection is acquired through ingestion of contaminated food and water.
Diagnostic Criteria
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Headache
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Paradoxycal haemodynamic state
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Roth spots in the periumbilical area
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Increasing O titers
Investigations
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Widal test
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Indirect fluorescent Vi antibody
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ELISA IgM and IgG.
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Blood and stool cultures
Treatment
Non pharmacological Treatment
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Encourage feeding and breastfeed if child is still breastfeeding
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If patient has dehydration manage accordingly
Pharmacological treatment
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Ciprofloxacin 15mg/kg PO 12 hourly for 10 days OR
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Azithromycin 10 mg/kg PO once a day for 7 days OR
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Cefixime 10mg/kg 12 hourly for 14 days PLUS
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Paracetamol 15 mg/kg 8 hourly for 5 days
Note:
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Ciprofloxacin is safe to use in children.
Updated on 14.09.2020
References
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Tanzanian Standard treatment guideline for children 2017 edition page 84