Evaluation of Patients with Typhoid Fever in a Typhoid Outbreak in One Military Unit

Typhoid fever is a global health problem , that12 -23 miliion cases occurring worldwide each year.In endemic countries the incidence of infection is highest in children but in epidemic event infection can involvement and result high and mortality in adult age. This is a retrospective study in a admitted patients with typhoicl fever. Patient’s recurite to this study when first diagnosis typhoid fever. Total cases are 54 person of a militaty unit , that all cases is men and age between 19 - 21 year's, 39 patients (72/2%) have clinical diagnosis , 2 patients (3/7%) have microorganism diagnosis, 13 patients (34%) have serologic diagnosis with Widal test. All patient’s treated imiprical with combination antibiotic with ceftriaxone lgr/Bid pluse Ciprofloxacin 500 mg/Bid. Two patients (3/7%) have antibiogram test that found sensitive to Chloramphenicol , Ampicillin , cotrimoxasol . Six patients (11/1%) have a bad condition and Complication of typhoid fever and suspected to DlC that referred to center hospital. Two patients (3/7%)have intestinal perforation and give surgical treatment and one patient (1/8%) was expired. The source of epidemic was water borne and 40patient's (74%) had consumption water from container and 14 patients (25/9%) from tap water. The epidemic control needed to complete management and the cause of epidemic should be rapidly diagnosed. Epidemic should be treated with the best and cost effective drugs. The sourcsof Epidemic should be controlled and eradicated as soon as possible. Drinking water should be sanitized and chlorinating for military.