Typhoid fever, caused by the Salmonella typhi bacteria, is characterized by gradually increasing fever, gastrointestinal symptoms, and can be diagnosed through blood, stool, and urine tests. Prevention involves proper hand hygiene, avoiding contaminated food, and vaccination, while treatment includes multiple antibiotics and symptomatic management. A diet of light foods and hydration is recommended for recovery.

1. Typhoid Fever
Education
and
Treatment
Presented by Dr. Zoraiz Haider

2. What is typhoid?
• Also called Enteric fever
• Salmonella typhi
bacteria cause typhoid
and this bacteria grows in
the contaminated water
i.e contaminated pounds

4. What are symptoms of typhoid?
• Slowly increasing fever day by day …
• almost No fever at morning and at evening
fever appears round about 100F -101F and
after 5 to 7 days 104F.
• Some patients also have Rose spots appear on
body
• In the
• 1st week: Constipation seen and from
• 2nd week: Diarrhea also occur.

5. • Intestinal perforation ( means pores appear in
the Intestine )
• Abdominal pain
• Bloating(gas in the intestine), Nausea and
vomiting
• Loss of appetite
• Excessive feeling of tiredness
• Muscle weakness
• Skin rash
• Weight loss

7. Causes of typhoid?
• Cause by Gram –ve bacteria called Salmonella
typhi which is enter in our body by
contaminated food or water.
• (Gram +ve bacteria can easily destroy by single
antibiotic but Gram - ve bacteria can not
destroy by single antibiotic so we have to use
multiple antibiotic)

8. • It firstly attack on our digestive track and
increase their growth and as its population
increases it began to cause
• stomach pain,
• diarrhea,
• weight loss and
• if not treated it reaches in other organs of
body and hence patient also began to show
other symptoms like
• pneumonia,
• jaundice.

9. Diagnosis of typhoid?
• Effective Diagnose in
• 1st week: of typhoid fever is
• Blood culture test.
• Antibody test is a diagnose test In
• 2nd week: i.e Widal test

11. • In
• 3rd week: also diagnose from
• Stool culture test
• Fecal samples
• In
• 4th week: also diagnose from
• Urine test
• Bone Marrow

12. Prevention of typhoid?
• Avoid outside (external) food. Prefer
homemade meal.
• Always Wash hands properly before and after
meal.
• Use Typhoid Vaccine Oral and injectialbe form
• Mostly use in injectible form and recommed its
vaccine booster dose after every 2 years.
• Almost 70- 90% prevention from vaccine

14. Treatment for typhoid?
• Azenam injection (Aztreonam)
• For Adult:
• 2g dissolve with 100ml NS
and slow IV tid in
24 hours for about 2days
• After 2 days 1g dissolve
• with 100ml NS and slow
• IV for about 10- 14days.

15. • Gentamycin Inj 80mg/2ml IV or IM
• 2 times in 24 hours
for about 7-10 days.
• Ciprofloxacin 500mg/100ml infusion
2 times in 24 hours.

17. Types of Antibiotics commonly use in
typhoid treatment:
• 1. Ceftriaxone Inj
• For Adult:
• 2g dissolve in 100ml NS in morning and evening 50
drops/min IV infusion for first 2 days.
• After 2 days 1g days in morning and evening for next 5- 7.
• 2. Amikacin sulphate Inj 500mg bd IV
for 5- 7 days
• 3. Azithromycin 500mg Tabs
• p/o od upto 3 days almost 1 hour before meal.
• These 3 antibiotics use same time in 24 hrs.

18. 2nd – all symptomatic medicine
(according to symptoms)
• To treat Intestinal infection:
• Metronidazol 500mg/100ml 3 times in 24hrs
for about 5- 7days.
• If you have Fever:
• Paracetamol 500mg after breakfast , lunch and dinner
for about 3- 4 days.
• To treat Abdominal pain:
• Drotaverine 40mg/2ml IV or IM
when have abdominal pain.

20. • To treat Bloating, Vomiting and Nausea:
• Domperidone 10mg + pantoprazol 40mg
with empty stomach daily one time in 24hrs for
about 7- 10 days.
• If Nausea and Vomiting not treat from above
medicine then take.
• Ondensetron 2mg/1ml IV or IM
when vomiting or nausea (Onden inj)

22. • If you feel Muscle weakness or fatigue then
• Inj KCL 10ml ampule
• Inj kCL 5ml dissolved with 500ml DNS & take slow
IV
for 4 – 5 days in the morning.
• Vit B12 with B complex (Polybion inj) 1 ampule
dissolved with 500ml DNS & take slow IV
for 4 – 5 days in the evening.

24. • For fast recovery from typhoid to
increase immune system.
• Zinc sulphate 20mg tab one time after meal in
24 hours
for about 14 days
• Vitamin C 500mg tab two time after morning
brakfast and night dinner
for about 14 days

25. • To keep your digestive healthy:
• Sacromycesboulardii 250mg (Cap Sacro
250mg or Econorm) two time after morning
brakfast and night dinner
for about 14 days.

27. Diet for Typhoid
• Use light food
• Banana
• Fresh Fruit Juices
• Coconut water
• Green vegetables