A skeleton in the closet: The implications of COVID-19 on XDR strain of typhoid in Pakistan


Shoaib AhmadChristos TsagkarisAbdullahi Tunde AborodeMuhammad Tanzeel Ul HaqueShayan Iqbal KhanUzzam Ahmed KhawajaAna Carla Dos Santos CostaMohammad Yasir EssarDon Eliseo Lucero-Prisno 3rd 


Extensively drug resistant typhoid fever is a major public health concern in Pakistan. During the COVID-19 pandemic, poor sanitation is leading typhoid cases to a surge and obsolete diagnostic methods are paving the way towards ir-rational pharmacotherapy. In particular, the overuse of azithromycin for the treatment of COVID-19 might impair one of the few remaining regimens against XDR. Facing COVID-19 and XDR at the same time can lead to a catastrophy, unless the government, the stakeholders and healthcare workers take joint action to improve sanitation, educate the public, vaccinate vulnerable groups and establish good diagnostic and management practices.

Click here to read the article, published in Public Health in Practice.