Typhoid and Paratyphoid Enteric Fevers - Treatment

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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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