TREATMENTS &
RESEARCH
latest
treatment
information
here.
Dr. Huntley's
Diagnosis
Checklist
See what questions
a doctor would ask.
Treatments for Typhoid fever
Treatment list for Typhoid fever:
The list of treatments mentioned in various sources for Typhoid fever includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
- Hospitalization
- Antibiotics
- Chloramphenicol
- Ampicillin
- Ceftriaxone
- Cefoperazone
- Intravenous antibiotics
- Intravenous fluids
- Intravenous salts
- Intravenous nutrition
- Isolation to avoid contagion
- Bed rest
Treatments of Typhoid fever: Online Medical Books
16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Typhoid fever.
Fever:
Treatment
(In a Page: Signs and Symptoms)
- Initial treatment of fever includes antipyretics (e.g., acetaminophen, NSAIDs)
-
Infection should be treated with appropriate antimicrobial therapy and tailored as antibiotic sensitivities are identified
–Many cases of deep-seated infection or abscess require percutaneous or surgical drainage - Fever due to malignancy will usually regress with surgical debulking, chemotherapy, and/or radiation directed at the primary tumor
- Rheumatologic disorders may require NSAIDs, steroids, methotrexate, hydroxychloroquine, or other cytotoxic agents
- Dantrolene for malignant hypothermia
Rash with Fever:
Treatment
(In a Page: Signs and Symptoms)
- Supportive management and thorough evaluation for multisystem disease is imperative in this patient subset.
- Doxycycline is the treatment of choice for RMSF, while ceftriaxone is commonly used for meningococcal therapy; because these two diseases can present similarly and rapidly evolve, many clinicians empirically treat with both of these antibiotics until the diagnosis is confirmed
- Unfortunately, a complete discussion of fever and rash is far beyond the scope of this brief excerpt; the importance of rapid and accurate assessment of every patient presenting with this complaint cannot be overemphasized; rule out the most serious diagnoses first, then “a watch and wait” approach may be considered
Fever – Cyclic:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
PFAPA
–Single dose prednisone with the onset of symptoms
–Prophylactic cimetidine and tonsillectomy have been tried to prevent recurrences -
Cyclic neutropenia
–Life-long therapy with GCSF decreases risk of infection -
Familial Mediterranean fever
–Daily colchicine to prevent attacks and amyloidosis -
Hyper-IgD
–Prednisone and colchicine have been used
–Even without treatment, attacks decrease with age -
TRAPS
–Prednisone and etanercept have been reported to be effective
Fever – Recurrent:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Repeated viral illnesses
–Reassurance of the parents
–Advice on antipyretics
–Encourage fluid intake
–Limit of sick exposure if possible -
UTI
–Antibiotics based on bacteria and sensitivity
–Prophylactic antibiotics if underlying cause is present - Bacterial infections: Bacteria-specific antibiotic
-
JRA, Behçet, or IBD
–Prednisone or immunosuppressive medications -
TRAPS
–Prednisone and etanercept -
Familial cold urticaria and Muckle-Wells syndrome
–Prednisone may be used
–If amyloidosis is present, colchicine may be required
Fever – Unknown Origin:
Treatment
(In A Page: Pediatric Signs and Symptoms)
- Specific treatment once diagnosis is made
- Empiric treatment with antibiotics is to be considered only for critically ill patients
- Empiric steroids may be justified only if Still disease is suspected
- Anti-inflammatory agents are sometimes used for a limited period of time and subsequently the patient is observed for recurrence of the fever
- Cessation of offending drugs
Fever – Acute:
Treatment
(In A Page: Pediatric Signs and Symptoms)
- Treating febrile episodes is common despite substantial evidence that fever is more beneficial than harmful; exception is patient with history of febrile seizures
- Antipyretics are relatively safe drugs that inhibit prostaglandin synthesis and reduce hypothalamic set point to normal
- Acetaminophen is safest antipyretic for young children
- Aspirin must be avoided (risk of Reye syndrome)
- NSAIDs are potent antipyretics and have antiinflammatory effects
- Physical methods (cooling blankets, lukewarm baths) may be counterproductive if not combined with an antipyretic; alcohol baths are not recommended
- Most viral syndromes are self-limited, requiring only antipyretics and increased fluid intake for risk of dehydration
- Empiric treatment with antibiotics and hospitalization recommended only in neonates and critically ill patients
Fever:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If you detect a fever higher than 106° F, take the patient’s other vital signs and determine his level of consciousness (LOC). Administer an antipyretic and begin rapid cooling measures: Apply ice packs to the axillae and groin, give tepid sponge baths, or apply a cooling blanket. These methods may evoke a cooling response; to prevent this, constantly monitor the patient’s rectal temperature.
Colorado tick fever:
Treatment
(Professional Guide to Diseases (Eighth Edition))
After correct removal of the tick, supportive treatment focuses on relieving symptoms, combating secondary infection, and maintaining fluid balance. Colorado tick fever needs to be differentiated from Rocky Mountain spotted fever and tularemia.
Lassa fever:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of Lassa fever includes I.V. ribavirin, I.V. colloids for shock, analgesics for pain, and antipyretics for fever. Infusion of immune plasma from patients who have recovered from Lassa fever may be useful, but test results on the benefit of this type of therapy are inconclusive.
Relapsing fever:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Doxycycline or erythromycin is the treatment of choice and should continue for 4 to 5 days. In cases of drug allergy or resistance, penicillin G may be administered as an alternative. However, neither drug should be given at the height of a severe febrile attack because it may cause Jarisch-Herxheimer reaction, resulting in malaise, rigors, leukopenia, flushing, fever, tachycardia, rising respiration rate, and hypotension. This reaction, which is caused by toxic by-products from massive spirochete destruction, can mimic septic shock and may prove fatal. Antimicrobial therapy should be postponed until the fever subsides. Until then, supportive therapy (consisting of parenteral fluids and electrolytes) should be given.
Rheumatic fever and rheumatic heart disease:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Effective management eradicates the streptococcal infection, relieves symptoms, and prevents recurrence, reducing the chance of permanent cardiac damage. During the acute phase, treatment includes penicillin, sulfadiazine, or erythromycin. Salicylates such as aspirin relieve fever and minimize joint swelling and pain; if carditis is present or salicylates fail to relieve pain and inflammation, corticosteroids may be used. Supportive treatment requires strict bed rest for about 5 weeks during the acute phase with active carditis, followed by a progressive increase in physical activity, depending on clinical and laboratory findings and the response to treatment.
After the acute phase subsides, low-dose antibiotics may be used to prevent recurrence. Such preventive treatment usually continues for 5 years or until age 21 (whichever is longer). Heart failure necessitates continued bed rest and diuretics. Severe mitral or aortic valve dysfunction that causes persistent heart failure requires corrective valvular surgery, including commissurotomy (separation of the adherent, thickened leaflets of the mitral valve), valvuloplasty (inflation of a balloon within a valve), or valve replacement (with prosthetic valve). Such surgery is seldom necessary before late adolescence.
Rocky Mountain spotted fever:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment requires careful removal of the tick and administration of antibiotics, such as chloramphenicol or tetracycline (preferably doxycycline), until 3 days after the fever subsides. Treatment also includes symptomatic measures and, in DIC, heparin and platelet transfusion.
Fever [Pyrexia]:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If you detect a fever higher than 106° F (41.1° C), take the patient’s other vital signs and determine his level of consciousness (LOC). Administer an antipyretic and begin rapid cooling measures: Apply ice packs to the axillae and groin, give tepid sponge baths, or apply a cooling blanket. These methods may evoke a cooling response; to prevent this, constantly monitor the patient’s rectal temperature.
Rheumatic fever and rheumatic heart disease:
Treatment
(Handbook of Diseases)
Effective management eradicates the streptococcal infection, relieves symptoms, and prevents recurrence, reducing the chance of permanent cardiac damage.
Treatment in acute phase
During the acute phase, treatment includes low doses of antibiotics, such as penicillin, sulfadiazine, or erythro-mycin. Salicylates, such as aspirin, can help relieve fever and minimize joint swelling and pain; if carditis is present or the salicylate fails to relieve pain and inflammation, corticosteroids may be used.
Supportive treatment requires strict bed rest for about 5 weeks during the acute phase with active carditis, followed by a progressive increase in physical activity, depending on clinical and laboratory findings and the patient’s response to treatment.
Preventive treatment
After the acute phase subsides, the patient is maintained on low-dose antibiotic therapy, especially during the first 3 to 5 years after the initial episode of rheumatic fever, to prevent recurrence. Such preventive treatment usually continues for 5 to 10 years.
Surgery and other measures
Heart failure necessitates continued bed rest and diuretic therapy. Severe mitral or aortic valvular dysfunction causing persistent heart failure requires corrective valvular surgery, including commissurotomy (separation of the adherent, thickened leaflets of the mitral valve), valvuloplasty (inflation of a balloon within a valve), or valve replacement (with a prosthetic valve). Corrective valvular surgery is rarely necessary before late adolescence.
Fever:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Regularly monitor the patient’s temperature, and record it on a chart for easy follow-up of the temperature curve. Provide increased fluid and nutritional intake. When administering a prescribed antipyretic, minimize resultant chills and diaphoresis by following a regular dosage schedule. Promote patient comfort by maintaining a stable room temperature and providing frequent changes of bedding and clothing. Prepare the patient for laboratory tests, such as complete blood count and cultures of blood, urine, sputum, and wound drainage.
Patient teaching
If the patient hasn’t been admitted to the facility, ask him to measure his oral temperature at home and record the time and value. Explain that fever is a response to an underlying condition that plays an important role in fighting infection. For this reason, advise him not to take an antipyretic until his body temperature reaches 101° F (38.3° C). Discuss signs and symptoms related to dehydration and when to notify the physician.
Fever:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If you detect a fever higher than 106° F (41.1° C), take the patient’s other vital signs and determine his level of consciousness (LOC). Administer an antipyretic and begin rapid cooling measures: Apply ice packs to the axillae and groin, give tepid sponge baths, or apply a hypothermia blanket. These methods may evoke a cooling response; to prevent this, constantly monitor the patient’s rectal temperature.
Fever [Pyrexia]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Regularly monitor and record the patient's temperature.
▪ Provide increased fluid and nutritional intake.
▪ When administering a prescribed antipyretic, minimize chills and diaphoresis by following a regular dosage schedule.
▪ Promote patient comfort by maintaining a stable room temperature and providing frequent changes of bedding and clothing.
▪ For high fevers, initiate treatment with a hypothermia blanket.
▪ Prepare the patient for laboratory tests, such as complete blood count and cultures of blood, urine, sputum, and wound drainage.
Patient teaching
▪ Instruct the patient about the proper way to take an oral temperature at home.
▪ Emphasize the importance of increased fluid intake.
▪ Discuss the proper use of antipyretics and antibiotics.
▪ Teach signs and symptoms that require immediate medical attention.
Medications used to treat Typhoid fever:
Note:You must always seek professional medical advice about any treatment or change in treatment plans.
Some of the different medications used in the treatment of Typhoid fever include:
- Cipro XR
- Ciprol XL
- Cimogal
- Ciprobiotic
- Ciproflox
- Ciprofur
- Ciproxina
- Eni
- Kenzoflex
- Microrgan
- Mitroken
- Nivoflox
- Novoquin
- Opthaflox
- Quinoflox
- Sophixin
- Suiflox
- Zipra
Unlabelled alternative drug treatments include:
- Amoxicillin
- A-Cillin
- Amoxil
- Apo-Amoxi
- Clavulin
- Larotid
- Novamoxin
- Nu-Amoxi
- Polymox
- Prevpac
- Trimox
- Wymox
Discussion of treatments for Typhoid fever:
If you suspect you have typhoid fever, see a doctor immediately. If you are traveling in a foreign country, you can usually call the U.S. consulate for a list of recommended doctors.You will probably be given an antibiotic to treat the disease. Three commonly prescribed antibiotics are ampicillin, trimethoprim-sulfamethoxazole, and ciprofloxacin. Persons given antibiotics usually begin to feel better within 2 to 3 days, and deaths rarely occur. However, persons who do not get treatment may continue to have fever for weeks or months, and as many as 20% may die from complications of the infection.
Typhoid
fever's danger doesn't end when symptoms disappear
Even if your symptoms seem to go away, you may still be carrying
S. Typhi. If so, the illness could return, or you could
pass the disease to other people. In fact, if you work at a job
where you handle food or care for small children, you may be barred
legally from going back to work until a doctor has determined
that you no longer carry any typhoid bacteria.
If you are being treated for typhoid fever, it is important to
do the following:
Keep taking the prescribed antibiotics for as long as the doctor
has asked you to take them.
Wash your hands carefully with soap and water after using the
bathroom, and do not prepare or serve food for other people. This
will lower
the chance that you will pass the infection on to someone else.
Have your doctor perform a series of stool cultures to ensure
that no S. typhi bacteria remain in your body. (Source: excerpt from Typhoid Fever (General): DBMD)
Find a Therapist or Health Professional
We have linked up with Psychology Today to bring you America's most comprehensive list of Health Professionals throughout the United States and Canada.
Buy Products Related to Treatments for Typhoid fever
» Next page: Alternative Treatments for Typhoid fever
Medical Tools & Articles:
Next articles:
- Alternative Treatments for Typhoid fever
- Doctors and Medical Specialists for Typhoid fever
- Prevention of Typhoid fever
- Cure Research for Typhoid fever
- Deaths from Typhoid fever
Tools & Services:
- Bookmark this page
- Take a survey relating to Typhoid fever
- Symptom Search
- Symptom Checker
- Medical Dictionary
- Give your feedback
Medical Articles:
Forums & Message Boards
Major Disease Research
symptoms, treatments,
and misdiagnosis
of major diseases.
Multiple Symptom
Checker
or many
symptoms
» Symptom checker
» Medical dictionary
» Videos
» Ask a Doctor
» Find a Doctor
» Find a Therapist
» Misdiagnosis center
» Forums & Message Boards
