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Typhoid and Paratyphoid Enteric Fevers - Treatment

Enteric Fever Treatment

  • Antibiotic treatment by giving Chloramphenicol
  • Oral Chloramphenicol
  • Severe infections - Intravenous injection of Chloramphenicol
  • In Chloramphenicol resistance - Ampicillin, Co-trimoxazole, Ciprofloxacin

Gastroenteritis

  • Replacement of fluids and electrolytes
  • Antibiotics is mostly not required for treatment of gastroenteritis

Salmonella bacteremia

  • Bacteremia treatment requires antibiotic treatment of Chloramphenicol, Co-trimoxazole, Ampicillin.
  • Newer Cephalosporins (Cefotazime / Ceftriazone) are now used for treating heavy bacteremia caused by Salmonella infection.
  • For treating abscess caused by Salmonella surgical drainage is done to remove abscess.

Asymptomatic Carriers

  • Gall bladder removal (Cholecystectomy) with antibiotic treatment can cure asymptomatic carriers.
  • Risk of spreading bacteria during surgery and causing metastasis.
  • Antibiotics used for treatment - Ampicillin, Amoxicillin, Co-trimoxazole, Ciprofloxacin.

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