meropenem not effective in enteric fever

i am seeing many pts who were given meropenem for enteric fever for 8 to 10 days by some pediatricians.these pts continued to have high fever.these all pts responded very well either to ceftriaxone alone or cxone+ofloxacin within 4 to5 days.one pt responded nicely to oral cefuroxime.using meropenem for enteric fever is in my opinion wastage of both time and money.

rickettial fever on the rise

we are seeing more and more cases of rickettial fever in children.we have managed 3 cases of it in last 15 days.all patients recovered and sent home on day 3 with adv to complete 10 days of abs course.