Clinical and antimicrobial susceptibility profile of typhoid fever in children in the era of antibiotic resistance

Trop Doct. 2024 Apr;54(2):112-115. doi: 10.1177/00494755231217317. Epub 2023 Dec 10.

Abstract

Enteric fever remains a significant public health problem in low- and middle-income countries with further challenges from emerging antimicrobial resistance. Our prospective study evaluated the current clinical and antimicrobial susceptibility profile of enteric fever in 88 children and compared it to previously established literature. Enteric fever usually presents with nonspecific signs and symptoms, with predominant respiratory complaints. A paradigm shift in the antimicrobial sensitivity pattern has been noted, with increasing resistance for first-line antibiotics and older antibiotics such as ampicillin, cotrimoxazole, and chloramphenicol showing good sensitivity. Thus, the introduction of the latter merits consideration.

Keywords: Asia; Bacterial infection; general health; typhoid.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents*
  • Child
  • Drug Resistance, Microbial
  • Humans
  • Microbial Sensitivity Tests
  • Prospective Studies
  • Salmonella typhi
  • Typhoid Fever* / diagnosis
  • Typhoid Fever* / drug therapy
  • Typhoid Fever* / epidemiology

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents