Research Article

Epidemiology and Performances of Typhidot Immunoassay and Widal Slide Agglutination in the Diagnosis of Typhoid Fever in Febrile Patients in Bafoussam City, Cameroon: A Cross-Sectional Comparative Study

Table 3

Prevalence of typhoid fever by sociodemographic characteristics, lifestyle, and signs and symptoms in the study population.

CharacteristicsNumber (N = 336)Salmonella Typhi positive (n = 44)Salmonella Paratyphi positive (n = 26) value ()

Sociodemographic characteristics

Gender
Female196 (58.33)34 (77.27)19 (73.07)0.76 (0.09)
Male140 (41.66)10 (22.72)7 (26.92)

Age groups (years)
[1–10]195 (58.03)27 (61.36)14 (53.84)
[11–20]59 (17.55)7 (15.90)6 (23.07)
[21–30]33 (9.82)5 (11.36)3 (11.53)0.62 (3.50)
[31–40]28 (8.33)2 (4.54)3 (11.53)
[41–50]13 (3.86)2 (4.54)0 (0)
[51–60]8 (2.38)1 (2.27)0 (0)

Level of education
Primary137 (40.77)20 (45.45)10 (38.46)
Secondary153 (45.53)19 (43.18)11 (42.30)
Higher22 (6.54)3 (6.81)3 (11.53)0.96 (0.29)
No level24 (7.14)2 (4.54)2 (7.69)

Marital status
Married61 (18.15)7 (15.90)9 (34.61)0.34 (3.55)
Single224 (66.66)31 (70.45)15 (57.69)
Divorced32 (9.52)4 (9.09)1 (3.84)
Widow19 (5.65)2 (4.54)1 (3.84)

Occupation
Student218 (64.88)28 (63.63)7 (26.92)
Private94 (27.97)15 (34.09)15 (57.69)
Civil servant12 (3.57)0 (0)2 (7.69)0.01 (11.03)
Housewife12 (3.57)1 (2.27)2 (7.69)

Residence
Urban area216 (64.28)28 (63.63)18 (69.23)0.63 (0.22)
Rural area120 (35.71)16 (36.36)8 (30.76)

Life style

Do you know about typhoid fever?
Yes328 (97.61)44 (100)22 (84.61)
No8 (2.38)0 (0)4 (15.38)0.007 (7.17)

If yes, state knowledge source
Hospital69 (20.53)11 (25.00)8 (30.76)
School117 (34.82)16 (36.36)8 (30.76)
Media27 (8.03)4 (9.09)2 (7.69)0.94 (0.39)
Street123 (36.60)13 (29.54)8 (30.76)

Typhoid transmission route
Soiled food174 (51.78)22 (50.00)16 (61.53)0.34 (4.49)
Blood route13 (3.86)2 (4.54)0 (0)
Contact with a sick person41 (12.2)5 (11.36)5 (19.23)
Dirty water96 (28.57)13 (29.54)4 (15.38)
From mother to child12 (3.57)2 (4.54)1 (3.84)

Hygiene measure against typhoid
Do not washing hand after bowel movements86 (25.59)8 (18.18)3 (11.53)0.32 (4.62)
Hand washing before and after meal46 (13.69)7 (15.90)3 (11.53)
Washing fruits and vegetables before consumption82 (24.4)7 (15.90)10 (38.46)
Hand washing after returning from public places70 (20.83)10 (22.72)5 (19.23)
Hand washing after greeting a loved one52 (15.47)12 (27.27)5 (19.23)

Drinking water used
Camwater82 (24.40)11 (25.00)11 (42.30)0.52 (4.15)
Rain water6 (1.78)1 (2.27)0 (0)
Well21 (6.25)6 (13.63)1 (3.84)
River14 (4.16)3 (6.81)1 (3.84)
Drilled holes (bore holes)200 (59.52)22 (50.00)12 (46.15)
Mineral13 (3.86)1 (2.27)1 (3.84)

Hygiene measure used to make water safe to drink
Chlorination48 (14.28)5 (11.36)3 (11.53)
Filtration84 (25.00)6 (13.63)7 (26.92)
Boiling13 (3.86)2 (4.54)0 (0)0.53 (3.15)
Decanting21 (6.25)1 (2.27)1 (3.84)
None170 (50.59)30 (68.18)15 (57.69)

Signs and symptoms

Headaches
Yes232 (69.04)32 (72.72)17 (65.38)
No104 (30.95)12 (27.27)9 (34.61)0.51 (0.42)

Vomiting
Yes189 (56.25)27 (61.36)8 (30.76)
No147 (43.75)17 (38.63)18 (69.23)0.01 (6.11)

Aches and pain
Yes234 (69.64)31 (70.45)17 (65.38)
No102 (30.35)13 (29.54)9 (34.61)0.65 (0.19)

Fever
Yes268 (79.76)38 (86.36)17 (65.38)0.03 (4.27)
No68 (20.23)6 (13.63)9 (34.61)

Shivering
Yes281 (83.63)36 (81.81)23 (88.46)0.46 (0.54)
No55 (16.36)8 (18.18)3 (11.53)

Diarrhea
Yes208 (61.90)28 (63.63)21 (80.76)0.13 (2.28)
No128 (38.09)16 (36.36)5 (19.23)

Constipation
Yes286 (85.11)40 (90.90)17 (65.38)0.008 (7.04)
No50 (14.88)4 (9.09)9 (34.61)

Asthenia
Yes286 (85.11)42 (95.45)26 (100)0.27 (1.21)
No50 (14.88)2 (4.54)0 (0)

Type of stool
Mucoid167 (49.70)26 (59.09)10 (38.46)
Watery78 (23.21)11 (25.00)6 (23.07)
Hard74 (22.02)5 (11.36)8 (30.76)0.17 (4.97)
Bloody17 (5.05)2 (4.54)2 (7.69)

Anorexia
Yes303 (90.17)28 (63.63)23 (88.46)
No33 (9.82)16 (36.36)3 (11.53)0.02 (5.09)

Abdominal pains
Yes324 (96.42)42 (95.45)25 (96.15)0.88 (0.019)
No12 (3.57)2 (4.54)1 (3.84)

Values in brackets are in percentage (%). In column three, the denominator is 44. In column four, the denominator is 26. Numbers in bold represent the P value of each sociodemographic characteristic which is significantly different compared to the normal P value (0.05).