There is a higher risk of typhoid fever in countries or areas with low standards of hygiene and water supply facilities.
The chronic typhoid carrier state can occur following symptomatic or subclinical infections of Salmonella
typhi. Chronic carriers of typhoid are, by definition, asymptomatic. Transmission may occur person-toperson or by ingestion of food or water contaminated by the urine or feces of acute cases or carriers.
Humans are the only known reservoir for S. typhi. Among untreated cases
Sign and symptoms of chronic typhoid fever
- Abdominal pain
- Vomiting
- A dry cough
- Severe mental confusion
- A skin rash
- Loss of appetite
- Weight loss
- Rapid breathing
Nursing Intervention for Chronic typhoid fever
- Monitor the status of hydration (moisture of mucous membranes, skin turgor, adequate pulse, blood pressure orthostatic) if needed.
- Monitor the input of food / liquid and count daily calorie intake.
- Collaborate with other medical team for IV fluid administration
- Daily Monitor weight
- Monitor nausea and vomiting.
- Give health education about the disease and treatment of clients
