Seroprevalence of Typhoid Fever and Its Associated Risk Factors Among Clinically Diagnosed Febrile Patients Visiting the Outpatient Department at Debark Hospital and Drug Susceptibility Patterns of Isolates.

Typhoid fever is caused by the bacterium Salmonella Typhi, which poses major health problems in developing countries, including Ethiopia. However, there is limited information regarding typhoid fever, contributing factors with it, and its drug susceptibility pattern in the research area. The aim of...

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Publicado en:BioMed Research International Vol. 2025; pp. 1 - 12
Autores principales: Muleta, Atsede, Meseret, Naod, Komatsu, Haruki
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 1/31/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/31/2025
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      pub: Wiley-Blackwell
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        10.1155/bmri/1717780
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        atl: Seroprevalence of Typhoid Fever and Its Associated Risk Factors Among Clinically Diagnosed Febrile Patients Visiting the Outpatient Department at Debark Hospital and Drug Susceptibility Patterns of Isolates.
      aug:
        au:
          Muleta, Atsede
          Meseret, Naod
          Komatsu, Haruki
        affil: Department of Biology, , College of Natural and Computational Sciences, , University of Gondar, , Gondar, Ethiopia, uog.edu.et
      sug:
        subj:
          Typhoid Epidemiology
          Typhoid Risk Factors
          Drug Resistance, Microbial
          Outpatient Service
          Hospitals
          Risk Assessment
          Ethiopia
          Human
          Male
          Female
          Child
          Adolescence
          Adult
          Middle Age
          Cross Sectional Studies
          Epidemiological Research
          Outpatients
          Microbial Culture and Sensitivity Tests
          Salmonella
          Blood Culture
          Feces Analysis
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Sex Factors
          Marital Status
          Residence Characteristics
          Toileting
          Disease Transmission
          Health Knowledge
          Hygiene
          Data Analysis Software
          Descriptive Statistics
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Typhoid fever is caused by the bacterium Salmonella Typhi, which poses major health problems in developing countries, including Ethiopia. However, there is limited information regarding typhoid fever, contributing factors with it, and its drug susceptibility pattern in the research area. The aim of this study was to determine the seroprevalence of typhoid fever and its associated risk factors among clinically diagnosed febrile patients at Debark Hospital and evaluate the drug susceptibility patterns of the isolates. A hospital‐based cross‐sectional study was conducted among 158 febrile patients from December 2022 to April 2023. Blood and stool samples were collected from each febrile patient. The Widal test was used to test Salmonella Typhi O and H antigens sera from blood, and bacteria were cultured from the stool. Gram staining and biochemical analyses were carried out for each isolate. Antibiotic susceptibility testing was performed for the isolates using Kirby–Bauer disk diffusion techniques. Descriptive statistics and logistic regression were used for analysis. In this study, the seroprevalence of typhoid fever among febrile patients at Debark Hospital was 22.8%. Gender (adjusted odds ratio (AOR): 95% confidence interval (CI): 0.02, 0.31, p ≤ 0.001), marital status (AOR: 95% CI: 2.63, 4.66, p ≤ 0.001), family size (AOR: 95% CI: 0.01, 0.31, p ≤ 0.001), residence (AOR: 95% CI: 0.09, 0.83, p = 0.021), practice of using toilet (AOR: 95% CI: 0.08, 0.086, p = 0.027), washing fruits and vegetables before eating (AOR: 95% CI: 0.12, 0.87, p = 0.025), and awareness of typhoid fever transmission and prevention (AOR: 95% CI: 0.12, 0.91, p = 0.032) are the associated risk factors for typhoid fever. Fifty percent of the isolates showed multidrug resistance to two or more antibiotics. It was suggested that improving personal hygiene, providing safe drinking water, and careful use of antibiotics could considerably reduce the prevalence of typhoid fever in the study area.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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