Treatment of typhoid is complete, when the patient is no more the carrier of typhoid fever. It was a common problem in olden days when chloramphenicol was used to treat the typhoid fever. Chloramphenicol is a bacteriostatic drug. With the advent of bactericidal drugs, you have less number of carriers of typhoid fever. You have to do repeated culture of stool sample to rule out the carrier stage. Some times the typhoid bacteria is hidden in gall bladder and then you may have to remove the gall bladder. Such precautions are practically never taken in developing countries.
You have ciprofloxacin, ceftriaxone injections, azithromycin and chloramphenicol to treat the typhoid fever. One of the above drug can treat the typhoid fever.
widal test.
Without treatment some 15 to 20 % patient of typhoid die. With good medical treatment the mortality is less than one percent.
I mean widal test result positive after treatment
Antibiotic treatment is effective. However, up to 25% of those who have contracted the disease can die without treatment.
Typhoid can be effectively treated with ciprofloxacin 750 mg twice a day for ten to fourteen days.
It is very common practice in developing countries to treat the typhoid fever as a case of malaria, specially in the first week. You tell patient that he has malaria. He does not respond to your antimalarial treatment. Then you have no option but to tell the patient that he has got both malaria and typhoid at the same time. The fact is that typhoid is usually difficult to diagnose in the first week of fever. It is always better to rule out the malarial fever by giving the antimalarial treatment in first week of febrile illness.
Preventing typhoid relapse involves ensuring complete adherence to prescribed antibiotic treatment and following up with healthcare providers to monitor recovery. Maintaining good hygiene practices, such as regular handwashing and consuming safe food and water, is vital to prevent reinfection. Additionally, vaccination can offer protection, particularly in high-risk areas. Regular health check-ups and prompt treatment of any new symptoms are also crucial for prevention.
It is not an easy job for your physician to diagnose the typhoid fever. He will do careful physical examination. There may be splenomegaly. He may go for your blood culture in the first week of fever. Later on he may go for your Widal teat at weekly interval. He will do your TLC and DLC examination along with hemoglobin. He will tell that you have typhoid after one or more tests or on clinical ground alone.
There are many different symptoms one might exhibit if experiencing typhoid. One symptom is becoming sick suddenly as well as diarrhea and a rash. One must seek medical treatment if experiencing symptoms.
Paratyphoid fever is treated with antibiotics over a two- to three-week period
the typhoid disease is prevented with a vaccine called typhoid vaccine