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an outbreak of peritonitis caused by multidrug-resistant salmonella typhi in kinshasa, democratic republic of congo.between october 2004 and january 2005, 144 patients with peritonitis were admitted to the surgical wards of kinshasa general hospital and a few private city clinics. 63 patients (44%) underwent surgical intervention because of intestinal perforation consistent with typhoid fever; the case fatality rate was 53%. the majority of patients had received a course of first-line antibiotics such as chloramphenicol, ampicillin or co-trimoxazole before admission. on bacteriological investigation, salmonel ...200919174300
the diagnosis of typhoid fever in the democratic republic of the congo.the diagnosis of typhoid fever (tf) in kinshasa (dr congo) was assessed by on-site surveys, external quality assessment (eqa) of the widal test and a microbiological blood culture surveillance study. in 331/536 (61.8%) health facilities, clinicians diagnosed tf by clinical picture and the widal test. an eqa on the widal test consisting of three samples revealed correct scores by respectively 27.1%, 65.6% and 3.1% of 125 participating laboratories. most (80.9% of 152 laboratories) performed <100 ...201222551639
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