my 7 year old daughter has been diagonised typhoid positive - typhidot positive in immunology serology crp(it) 6.0, neutophil 56, lymphocyte 40. she has fever between 99 and 101, we are giving her medication with cefixime and long is the recovery period? and how long is the bed rest recommended? is there any test which suggests the severity rather than a test which shows typhoid posotive.what are the chances of relapse and how lond do we need to keep precautions? i have been told the infection can be in tge body for a year and can be passed to other family members as well? please give me info regarding the same...thanks and regards

Hi Bhawna,

Severity: No test is required to grade severity: Her general condition is what is assessed by your doctor to judge the severity.

Bed Rest: Go by your doctor's advice regarding need and duration of bed rest.

Precautions: Just follow instructions of your doctor diligently!!

Prevention: All family members should be careful about food and personal hygiene. Everyone should be vaccinated with typhoid vaccine (and then re-vaccinated every 3 years to prevent typhoid fever). Your daughter should be vaccinated one month after recovery to prevent typhoid fever in future.

Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, dwarka,
New Delhi, India



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Dr. Puneet Kumar


I would be happy to answer general queries on prevention and treatment of ailments in newborn, infant, toddler, child or an adolescent. Needless to say, it will not be possible to answer any query that requires diagnosing, since it is not possible to examine a child online.


I have worked in various capacities (medical officer, resident, senior resident, consultant) in public as well as private sector in Pediatrics and Neonatology. Today, I have over 17 years of experience in the field.

Currently, I am running my own clinic (Kumar Child Clinic) in Dwarka, New Delhi and am attached to Lifeline Hospital, Dwarka as consultant pediatrics and neonatology. I am also developing my clinic website into a comprehensive child health/ parenting website (

(a) Chapter "National Immunization Schedule" in Frontiers of Social Pediatrics, Jaypee Publishers: 2nd edition, 2016. (b) Article, "All about Pertussis vaccines" in special issue of Indian Journal of Practical Pediatrics, July-Sept 2015 (c) Three chapters (DTP vaccines, Pneumococcal vaccines and Poliovirus vaccines) in "Textbook of Pediatrics for Post-graduates" First edition: 2015. (c) Chapter: "Alternative delivery methods of vaccines" in IAP textbook of Vaccines, First edition, 2014 (published by IAP/ Jaypee Brothers) (d) Special Article: "50 years of Immunization in India: Progress and Future" in January 2013 issue of Indian Pediatrics (e) Four chapters in "FAQ: Book on Vaccines and Immunization Practices" First edition, 2011 AND 2nd edition, 2015 published by Jaypee Brothers. (f) Three articles in special issue of Journal of Pediatric Sciences on “Controversies and Challenges in Pediatric Vaccination Today" in Sept, 2010. Co-edited the series also. (f) Regular column, “How do I treat” in Pediascene ( (g) Review article, “Role of Anti-Poliovirus Agents in Polio eradication and beyond” in Polio Pulse, April, 2008. (h) Chapter on “Acute Infectious Diarrhea” in Textbook of Infectious Diseases in Children. (An IAP Publication), 2007. 2nd edition in 2011. (i) Book-Review (IAP Pediatric Drug Formulary, 2004) in Pediascene, March 2005 ( ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

After MBBS, I have done DNB residency in Pediatrics.

Awards and Honors
Winner of IAP practising pediatrician's quiz in 2001.

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