Diagnosis of enteric fever in the emergency department: A retrospective study from Pakistan

Uzma Rahim Khan, Junaid Razzak, Ali Faisal Saleem, Adnan Ahmed, Sabeena Jalal

Research output: Contribution to journalArticle

Abstract

Background Enteric fever is one of the top differential diagnoses of fever in many parts of the world. Generally, the diagnosis is suspected and treatment is initiated based on clinical and basic laboratory parameters. Aims The present study identifies the clinical and laboratory parameters predicting enteric fever in patients visiting the emergency department of a tertiary care hospital in Pakistan. Methods This is a retrospective chart review of all adult patients with clinically suspected enteric fever admitted to the hospital through the emergency department during a 5-year period (2000-2005). Results A total of 421 emergency department patients were admitted to the hospital with suspected enteric fever. There were 53 cases of blood culture-positive enteric fever and 296 disease-negative cases on culture. The mean age in the blood culture-positive group was 27 years (SD: 10) and in the group with negative blood culture for enteric fever, 35 years (SD: 15) with a male to female ratio of 1:0.6 in both groups. Less than half (48%) of all patients admitted with suspected enteric fever had the discharge diagnosis of enteric fever, of which only 13% of the patients had blood culture/serologically confirmed enteric fever. None of the common clinical and laboratory parameters differed between enteric fever-positive patients and those without it. Conclusion Commonly cited clinical and laboratory parameters were not able to predict enteric fever.

Original languageEnglish (US)
Pages (from-to)33-37
Number of pages5
JournalInternational Journal of Emergency Medicine
Volume3
Issue number1
DOIs
StatePublished - Mar 2010
Externally publishedYes

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Typhoid Fever
Pakistan
Hospital Emergency Service
Retrospective Studies
Tertiary Healthcare
Tertiary Care Centers
Differential Diagnosis
Fever

Keywords

  • Emergency department
  • Enteric fever
  • Likelihood ratio
  • Pakistan

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Diagnosis of enteric fever in the emergency department : A retrospective study from Pakistan. / Khan, Uzma Rahim; Razzak, Junaid; Saleem, Ali Faisal; Ahmed, Adnan; Jalal, Sabeena.

In: International Journal of Emergency Medicine, Vol. 3, No. 1, 03.2010, p. 33-37.

Research output: Contribution to journalArticle

Khan, Uzma Rahim ; Razzak, Junaid ; Saleem, Ali Faisal ; Ahmed, Adnan ; Jalal, Sabeena. / Diagnosis of enteric fever in the emergency department : A retrospective study from Pakistan. In: International Journal of Emergency Medicine. 2010 ; Vol. 3, No. 1. pp. 33-37.
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