Background: Enteric fever is a systematic clinical syndrome produced by certain organisms. Typhoid fever, the most frequenta and best studied type of enteric fever, tends to be the more severe of the other form. The disease result from a poor environmental sanitation but is preventive if proper management is done.
Design: This is a retrospective study.
Setting: This study was conducted at Vicente Sotto Memorial Medical Center, Ward X pediatric department, a tertiary, DOH run hospital.
Population: All pediatric patients admitted and discharged as enteric fever at Vicente Sotto Memorial Medical Center Ward X Pediatric department from January 2002 to December 2003.
Results: There were 93 subjects included in the study. It was found out that majority of patients were between 11 to 15 years of age group in female subjects and between 6 to 10 years age group in male subjects where females predominate (54.84%) contrary to previously reported review of literature. Fever was the prominent clinical features or chief complaint on all cases. Other common signs and symptoms in all age groups, included body malaise (94.62%), anorexia (57%), abdominal pain (52.16%), vomiting (25.81%), headache (14%), cough (17%), pallor (14%), diarrhea (6.45%) and behavioral changes (2.15%). Next to fever, the most common presentation or chief on admission were abdominal pain (14%), headache (11.82%), vomiting (8.60%), and anorexia (7.52%), respectively. Complications are frequent among the 5 to 13 years of age and were noted to occur more commonly during the first week of illness. In this study, illness was relatively mild with no mortalities. Relapse cases were not identified in this study.
Conclusion: Enteric fever more commonly affects older children. Other than fever, certain signs and symptoms occur more frequently than others and frequency of occurrence varies with age. Respiratory tract infections were common frequent complication due to concomitant organism followed by hemorrhage manifested as gastrointestinal bleeding. Outcome is satisfactory with no mortality in this study.