“…4 Thus, with the availability of these low cost, highly effective, and safe TCV, there is growing optimism regarding the elimination of typhoid fever in endemic regions. 3,4 In addition, it is imperative to promote widespread use of the vaccine due to the increasing incidence of extensively drug-resistant (XDR) Salmonella typhi, making available treatment less effective and costly. Typhi isolates are defined as XDR, if they are multidrug resistant, nonsusceptible to fluoroquinolones, and resistant to third-generation cephalosporins, that is, ceftriaxone.…”