Validation of the Nelwan Score as a screening tool for the diagnosis of typhoid fever in adults in Indonesia.

ABSTRACT:

Introduction

Typhoid fever diagnosis is challenging for clinicians in areas with limited laboratory facilities. Scoring methods based on signs and symptoms are useful for screening for probable cases of typhoid fever. The Nelwan Score variables are derived from the clinical signs and symptoms of patients with suspected typhoid. We validated the Nelwan Score compared to laboratory tests as the gold standard.

Methods

This cross-sectional study was conducted between July 2017 and January 2018 in five hospitals and two primary health care centers in Jakarta and Tangerang, Indonesia. Patients with fever for 3-14 days and gastrointestinal symptoms were evaluated using the Nelwan Score. Blood cultures, samples for polymerase chain reaction testing, and additional rectal swab cultur

SUBMITTER: Nelwan EJ 

PROVIDER: S-EPMC10180627 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature