ANTIBIOTIC SENSITIVITY PATTERN AND BLOOD CULTURE CONFIRMATION OF TYPHOID

Authors

  • AM KHAN Department of Medicine, MTI, LRH, Peshawar, Pakistan
  • Z KHAN Department of Medicine, MTI, LRH, Peshawar, Pakistan
  • A BASIT Department of Pulmonology, MTI, LRH, Peshawar, Pakistan
  • MA KHAN Treatment Coordinator HDL Programmatic Management of Drug Resistant TB Unit, LRH Peshawar, Pakistan
  • A ALI Department of Medicine (Professor), MTI, MMC Mardan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.620

Keywords:

Typhoid fever, antibiotic sensitivity, blood culture confirmation, antibiotic resistance, epidemiology

Abstract

Typhoid fever, caused by the bacterium Salmonella enterica serotype Typhi, is a serious global health concern, particularly in areas with poor resources and sanitation. It is characterized by prolonged fever, abdominal discomfort, and other symptoms affecting the entire body. This retrospective study aimed to identify antibiotic sensitivity patterns and confirm cases of typhoid, thus contributing to the understanding of typhoid treatment in the population under study. The study was conducted at the Department of Medicine at the Medical Teaching Institution (MTI) Lady Reading Hospital (LRH), Peshawar, from January 2020 to July 2021, and included 100 patients. Demographic data, including age and gender, along with clinical information on typhoid fever diagnostic symptoms and indications, were collected. The results of antibiotic sensitivity tests were also recorded, showing the resistance rates to significant antibiotics such as ciprofloxacin, ampicillin, and trimethoprim-sulfamethoxazole. The study found that 60% of patients were male and 40% were female, with an average age of 28.5±6.2 years. Patients' ages were as follows: 30% between 18 and 25, 40% between 26 and 35, 20% between 36 and 45, 7% between 46 and 55, and 3% 56 and older. The study population was predominantly younger, with a slightly higher proportion of males. Overall, this study offers valuable insights into typhoid fever's demographic characteristics, clinical manifestations, and drug susceptibility patterns in this community.

Downloads

Download data is not yet available.

References

Akhtar, S., Sarker, M. R., Jabeen, K., Sattar, A., Qamar, A., and Fasih, N. (2015). Antimicrobial resistance in Salmonella enterica serovar typhi and paratyphi in South Asia-current status, issues and prospects. Critical reviews in microbiology 41, 536-545.

Al-Emran, H. M., Hahn, A., Baum, J., Cruz Espinoza, L. M., Deerin, J., Im, J., Ibrango, S., Kabore, L. P., von Kalckreuth, V., and Konings, F. (2016). Diagnosing Salmonella enterica serovar Typhi infections by polymerase chain reaction using EDTA blood samples of febrile patients from Burkina Faso. Clinical Infectious Diseases 62, S37-S41.

Algammal, A. M., Mabrok, M., Ezzat, M., Alfifi, K. J., Esawy, A. M., Elmasry, N., and El-Tarabili, R. M. (2022). Prevalence, antimicrobial resistance (AMR) pattern, virulence determinant and AMR genes of emerging multi-drug resistant Edwardsiella tarda in Nile tilapia and African catfish. Aquaculture 548, 737643.

Als, D., Radhakrishnan, A., Arora, P., Gaffey, M. F., Campisi, S., Velummailum, R., Zareef, F., and Bhutta, Z. A. (2018). Global trends in typhoidal salmonellosis: a systematic review. The American journal of tropical medicine and hygiene 99, 10.

Andersson, D. I., Balaban, N. Q., Baquero, F., Courvalin, P., Glaser, P., Gophna, U., Kishony, R., Molin, S., and Tønjum, T. (2020). Antibiotic resistance: turning evolutionary principles into clinical reality. FEMS Microbiology Reviews 44, 171-188.

Awol, R. N., Reda, D. Y., and Gidebo, D. D. (2021). Prevalence of Salmonella enterica serovar Typhi infection, its associated factors and antimicrobial susceptibility patterns among febrile patients at Adare general hospital, Hawassa, southern Ethiopia. BMC infectious diseases 21, 1-9.

Breiman, R. F., Cosmas, L., Njuguna, H., Audi, A., Olack, B., Ochieng, J. B., Wamola, N., Bigogo, G. M., Awiti, G., and Tabu, C. W. (2012). Population-based incidence of typhoid fever in an urban informal settlement and a rural area in Kenya: implications for typhoid vaccine use in Africa. PloS one 7, e29119.

Chidzwondo, F., and Mutapi, F. (2021). Challenge of diagnosing acute infections in poor resource settings in Africa. AAS Open Research 4, 28.

El-Radhi, A. S. (2018). Fever in common infectious diseases. Clinical Manual of Fever in Children, 85-140.

Habte, L., Tadesse, E., Ferede, G., and Amsalu, A. (2018). Typhoid fever: clinical presentation and associated factors in febrile patients visiting Shashemene Referral Hospital, southern Ethiopia. BMC research notes 11, 1-6.

Kim, C., Latif, I., Neupane, D. P., Lee, G. Y., Kwon, R. S., Batool, A., Ahmed, Q., Qamar, M. U., and Song, J. (2021). The molecular basis of extensively drug-resistant Salmonella Typhi isolates from pediatric septicemia patients. PLoS One 16, e0257744.

Kuan, C. H., Rukayadi, Y., Ahmad, S., Radzi, W. C. M., Kuan, C., Yeo, S., Thung, T., New, C., Chang, W., and Loo, Y. (2017). Antimicrobial resistance of Listeria monocytogenes and Salmonella Enteritidis isolated from vegetable farms and retail markets in Malaysia. International Food Research Journal 24, 1831.

Long, S. S. (2005). Distinguishing among prolonged, recurrent, and periodic fever syndromes: approach of a pediatric infectious diseases subspecialist. Pediatric Clinics 52, 811-835.

Masuet-Aumatell, C., and Atouguia, J. (2021). Typhoid fever infection–Antibiotic resistance and vaccination strategies: A narrative review. Travel Medicine and Infectious Disease 40, 101946.

Samuel, O. W., Omisore, M., and Ojokoh, B. (2013). A web based decision support system driven by fuzzy logic for the diagnosis of typhoid fever. Expert Systems with Applications 40, 4164-4171.

Sinha, A., Sazawal, S., Kumar, R., Sood, S., Reddaiah, V. P., Singh, B., Rao, M., Naficy, A., Clemens, J. D., and Bhan, M. K. (1999). Typhoid fever in children aged less than 5 years. The Lancet 354, 734-737.

Vollaard, A. M., Ali, S., Widjaja, S., van Asten, H. A., Visser, L. G., Surjadi, C., and van Dissel, J. T. (2005). Identification of typhoid fever and paratyphoid fever cases at presentation in outpatient clinics in Jakarta, Indonesia. Transactions of the Royal Society of Tropical Medicine and Hygiene 99, 440-450.

Walia, K., Madhumathi, J., Veeraraghavan, B., Chakrabarti, A., Kapil, A., Ray, P., Singh, H., Sistla, S., and Ohri, V. (2019). Establishing antimicrobial resistance surveillance & research network in India: journey so far. The Indian journal of medical research 149, 164.

Downloads

Published

2023-12-26

How to Cite

KHAN, A., KHAN, Z., BASIT, A., KHAN, M., & ALI, A. (2023). ANTIBIOTIC SENSITIVITY PATTERN AND BLOOD CULTURE CONFIRMATION OF TYPHOID. Biological and Clinical Sciences Research Journal, 2023(1), 620. https://doi.org/10.54112/bcsrj.v2023i1.620

Most read articles by the same author(s)

1 2 3 4 5 6 7 > >>