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.