Management of Typhoid Fever in Emergency Department

Abstract

In the emergency department (ED), timely identification and management of typhoid fever are critical to prevent complications and ensure optimal patient outcomes. Key nursing considerations include thorough patient assessment, which involves obtaining a detailed travel history to identify potential exposure to the pathogen, Salmonella Typhi, as well as an evaluation of symptoms such as prolonged fever, abdominal pain, and gastrointestinal disturbances. Nurses should ensure the collection of appropriate laboratory specimens, including blood cultures, which are essential for confirming the diagnosis. Monitoring vital signs and recognizing signs of potential complications, such as intestinal perforation or sepsis, are imperative aspects of nursing care in an ED settingAntibiotic therapy should be promptly initiated as per established guidelines, considering local resistance patterns to commonly used medications. Nurses should also focus on patient education regarding the disease process, the importance of completing antibiotic courses, and preventive measures such as vaccination and food safety practices. Documentation of nursing interventions and patient responses is vital for continuity of care and to inform subsequent management strategies.