When the widal is positive for practical purpose, it is better to start on the necessary antibiotic depending on the experience of the doctor.This is ideal approach even in rural areas. Even earlier positivity is also acceptable unlike seven days after testing of previous years. How to assess the severity of Enteric Fever? 1.
Depending on the dilution of Widal test- if it is 1:320 positive it is definitely severe.There are controversies regarding the widal test in the recent past in the literature, but in India still it is the ideal test for starting treatment earlier with out much expense and early recovery. Only thing is whenever the practitioner treat fever with out testing and using steroids which is very common at General Practitioners level in India, the test become quickly positive and also at higher dilution is my observation in practice. Even senior and Junior paediatricians…
