Table 3. . Preferred therapy for management of typhoid fever.
Antimicrobial agents | Route of administration | Children | Adult |
---|---|---|---|
Ceftriaxone | IM/IV | 50 mg/kg per day IV; for 7–10 days | 1–2 g per day IV; for 7–10 days |
Ciprofloxacin, levofloxacin or other FQ† | Oral/IV | – | FQ given in full doses as recommended; for 7–10 days |
Azithromycin | Oral | Used in complicated cases | 500 mg twice a day for 5 days |
Cefixime–ofloxacin | Oral | – | 200–200 mg; for 7–14 days |
†High-dose therapy is based on antimicrobial susceptibility profile of the infected typhoidal Salmonella strain, as majorities are nonsusceptible to quinolones. Least preferred as majority of the isolates show intermediate resistance to quinolones.
FQ: Fluoroquinolone; IM: Intramuscular; IV: Intravenous.