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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 01
Laboratory Findings of Enteric Fever in Children - A Study in a Tertiary Care Hospital, Dhaka, Bangladesh
Muhammad Amjad Hossain, Amal Kanti Banik, ATM Nurul Kabir, Abu Tayab, Jahangir Alam
Published: Jan. 28, 2019 | 73 76
DOI: 10.36347/sjams.2019.v07i01.035
Pages: 197-201
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Abstract
Enteric fever caused by Salmonella enterica serotype Typhi and Paratyphi A and B, is endemic in the Indian sub-continent including Bangladesh, South-east and Far-east Asia, Africa and South Central America. We conducted a cross-sectional descriptive study in the Department of Paediatric Medicine of Dhaka Shishu Hospita during the period from 10th October 2013 to 9th April 2014. Our aim was to document laboratory findings of Enteric Fever in Children. Study subjects were divided into three groups: 1) Children suspected of enteric fever; 2) Febrile children (other than enteric fever) and 3) Non-febrile children. Total sample size for this study was 150. Around half of the participants were in the ‘≤ 5 years’ age group. Mean ± SD was (5.874±2.943) for group-I, (5.598±3.000) for group-II and (5.740 ± 2.741) for group-III. More than half of the participants in all groups were males. Male: Female ratio was about 1.2:1 in group-I, 1.5:1 in group-II and 1.4:1 in group-III. There was no statistical deference in age distribution between the groups (p=0.972) and male-female distribution (p=0.563). There was no significant statistical difference in Parent's educational qualification (p=0.801) and job (p=0.079). For both enteric group and non-enteric group, fever was present in all (100.0%) participants. Blood culture was done in all 150 participants. Among all 123 individual were culture negative and the remaining 27 (18.0 %%) were culture positive. All culture positive participants were in Group-I. The agglutinin levels against TO and TH antigen of the three groups; for group-I children were either widal positive or culture positive and/or both, for group-II widal positive cases were confirmed by negative blood culture findings. TO was found 1:160 or more in 52.0% in enteric fever patients and 12.0% of non-enteric febrile patient.