Chloromycetin in typhoid fever.

Antiseptic

Published: October 1949

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Objectives: Non-typhoidal (NTS) commonly causes a self-limiting illness but invasive disease (iNTS) can be life-threatening. Antimicrobial resistance (AMR) increases the risk of mortality. This systematic review aimed to estimate the proportion of NTS isolated in those attending healthcare services, serovar burden, AMR, serovar-specific AMR, and case fatality rate (CFR) in India, Bangladesh, Sri Lanka and Vietnam.

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  • * In a study conducted in Northwest Ethiopia from June 2022 to August 2023 across 58 dairy farms, 362 samples were tested for NTS, resulting in detection of 28 isolates (7.7%), with S. Uganda being the most prevalent serovar.
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Background: Invasive non-typhoidal (iNTS) disease continues to be a major public health problem, especially in sub-Saharan Africa (SSA), where incidence rates are 227 cases [range 152-341] per 100,000 populations. Populations at risk of iNTS include adults with human immunodeficiency virus (HIV) infection, malnourished children, and those with recent malaria or sickle-cell anaemia (SCA). In Kenya, iNTS disease is particularly a major challenge in poor informal settlements, with infants and young children less than 5 years of age being the most affected.

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  • * Significant risk factors associated with S. Typhi infection include not washing hands before meals, eating raw vegetables, and drinking stream water, indicating potential prevention measures.
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