Infections in pregnancyFree in the app
Typhoid — XDR strain
Extensively drug-resistant typhoid in Sindh since 2016.
Source: Euro Surveill 2019 · Pakistan practice| XDR resistance | Ampicillin, co-trimoxazole, chloramphenicol, fluoroquinolones and ceftriaxone. |
|---|---|
| Uncomplicated | Azithromycin (e.g. 1 g daily for 7 days). |
| Complicated or severe | Meropenem IV. |
| Pregnancy | Avoid fluoroquinolones. Azithromycin is the only oral option. |
| Prevention | Typhoid conjugate vaccine, safe water. |
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.