Prevalence of enteric fever in the patients admitted to paediatric ward in a rural tertiary care teaching hospital: a retrospective study

K. Santosh Kumar; B. I. Sasireka; I. Kannan

doi:10.18203/2349-3291.ijcp20182566

Authors

K. Santosh Kumar Department of Pediatrics, CRRI, Tagore Medical College and Hospital, Rathinamangalam, Chennai, Tamil Nadu, India
B. I. Sasireka Department of Pediatrics, Tagore Medical College and Hospital, Chennai, Tamil Nadu, India
I. Kannan Department of Microbiology, Tagore Medical College and Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20182566

Keywords:

Enteric fever, Prevalence, Paediatrics, Salmonella typhi, Widal test

Abstract

Background: Enteric fever or typhoid is one of the major cause of morbidity among the human population in many regions of the world. The current knowledge on epidemiological aspects comes from studies in adult populations. However, there are conflicting opinion about the prevalence rate in paediatric age groups. Hence, in the present study an attempt has been made to find the prevalence of the enteric fever among paediatric age group in a teaching hospital of rural area.

Methods: The retrospective study was carried out in Tagore Medical College and Hospital, Rathinamangalam village, Tamil Nadu, a rural teaching hospital in India over a period of 1^st January 2015 to 31^st December 2017. Data regarding admitted children below 12 years of age with signs and symptoms suggestive of enteric fever were recorded.

Results: Total of 224 cases of enteric fever case were admitted during the study period. There were 115 (51%) males and 109 (49%) females. Most of the patients were above the age of 4 years. The leading clinical feature were fever (100%), headache (92.85%), followed by coated tongue (88.4%), anorexia (85.71%) and hepatomegaly (79.02%).

Conclusions: It is imperative to include Enteric fever in the differential diagnosis of febrile paediatric patients with abdominal symptoms. Even though blood culture is the confirmatory test, Widal test plays supportive role in diagnosis of enteric fever, especially when patients come after a course of antibiotics. In the present study, ciprofloxacin is still a good drug for the treatment of enteric fever.

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