according to PCI

1. By : Ishika Choudhary
ARKA JAIN UNIVERSITY
Jamshedpur

2. INTRODUCTION
• Typhoid causative agent-
Salmonella typhi .
• Transmitted through the
ingestion of fooddrink
contaminated by the
faeces urine of infected
people .
• Enteric fever includes both
typhoid and paratyphoid
fever.
• Paratyphoid caused by
S.paratyphi A,B,C.

3. Mode of transmission :-

5. CLINICAL FEATURES :-
• 1st week :-malaise, headache, cough and sore throat in
prodormat stage . Step ladder rise in temp. (40-41C ) over 4to
5 days accompanied by headache, vague abdominal pain.
• 2nd week :-between 7th -10th day, mild hepatosplenomegaly
occurs in majority of patients. Relative brandycardia and rose
spot.
• 3rd week :- prolonged apathy, toxemia, delirium,
disorientation, coma .

7. SIGNS AND SYMPTOMS :
• Rose spot
• Pains
• High fever
• Diarrhoea
• Typhoid
• Meningitis
• Chest congestion

8. DIAGNOSIS
• Microbiological procedure (blood culture)
• Serological procedure (Widal Test)
• Diagnostic tests :-
• IgM dipstick test
• IDL tubex
• Typhidot-M

9. CONTROL OF TYPHOID FEVER
• Control of reservoirs
• Control of sanitation
• Immunization
• CONTROL OF RESERVOIRS :-
• Management of typhoid fever :-
• General :supportive care like antipyretics
• Specific :antimicrobial therapy

10. • CONTROL OF SANITATION :-
• Protection and purification of drinking water
• Improvement of basic sanitation
• Promotion of food hygiene.
• IMMUNIZATION :-
• 3types of vaccines :-
• Injectable typhoid vaccine
• TAB vaccine
• Live oral vaccine