A Clinical Profile of Dengue in Children of Tertiary Care Hospitals in Davangere
Keywords:
Dengue, DHF, Hemoglobin, Fever, pediatric dengueAbstract
Background: Dengue fever is a rapidly spreading public health problem. The dengue fever shows high morbidity especially among children and sometime with severe complications followed by deaths. This research was done to study the clinical profile of confirmed dengue fever cases among children.
Materials and Methods: This is a hospital based cross sectional study. Confirmed dengue cases in children up to age 14 were the study participants. Pre designed and pre tested proforma was used to collect the information of confirmed dengue fever cases. χ2test, Fisher’s exact test and one way ANOVA were applied.
Results: Out of 150 paediatric dengue cases 41% were in the age group of 5-9 years. 74.7% of cases were from class III, IV and V socioeconomic status. 44.7% cases were reported in post-monsoon period. Purpura (19.3 %) was predominant bleeding manifestation. The mean haemoglobin and haematocrit values were 10.7 ± 2.6 gm/dl and 32.5 ± 7.6%, respectively. The mean platelet count was 136332.67 ± 115374.59/cumm.
Conclusion: The clinical manifestation of dengue varies vary widely ranging from undifferentiated fever to shock thus peripheral health worker and medical officer should be aware of the clinical profile of dengue infection for appropriate action.
References
Sunjay Kumar Mandal et al. Clinical profile of dengue fever in a teaching hospital of Eastern India. National J of medical research. 2013 Apr-June;3(2): 173-176.
World Health Organisation Regional Office for South-East Asia. Comprehensive Guidelines for Prevention and Con-trol of Dengue and Dengue Haemorrhagic Fever, Revised and Expanded Edition. WHO, New Delhi: South East Asia Regional Office; 2011. Available at URL: http://www.searo.who.int/entity/vector_borne_tropical_diseases/documents/en/ [Accessed on 23/09/2013]
Government of India. Guidelines for clinical management of dengue fever, dengue haemorrhagic fever and dengue shock syndrome. Directorate of NVBDCP. Director General of Health Services, New Delhi: Ministry of Health and Fami-ly Welfare. 2008. Available at URL: http://nvbdcp.gov.in/ [Accessed on 18/10/2013].
Government of India, Mid term plan 2011 to 2013 for pre-vention and control of dengue and chikungunya. National Vector Borne Disease Control Programme, Directorate of Health Services. Ministry of Heailth& Family Welfare, New Delhi;2011.
Dudala SR, Arlappa N. An Updated Prasad’s Socio Eco-nomic Status Classification for 2013. Int J Res Dev Health. April 2013;1(2):26 – 8.
Kulkarni MJ, Sarathi V, Bhalla V, Shivpuri D, Acharya U. Clinic-epidemiological profile of children hospitalized with dengue Indian J of paediatrics. 2010 Oct; 77: 1103-1107.
Arunagirinathan A, Thirunavukarasu B, Narayanaswamy DK, Raghavan A, RaghavendhranVDClinicalProfi le and Outcome of Dengue Fever Cases in Children by Adopting Revised Who Guidelines: A Hospital Based Study. Int J Sci Stud. 2015;3(2):174-178.
Kale AV et al, Clinical Profile and Outcome of Dengue Fe-ver from a Tertiary Care Centre at Aurangabad Maharashtra India: An Observational Study. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2014 Sep;13(9):14-19.
Narayanan M, Aravind MA, Thilothammal N, Prema R, Sargunam CS, Ramamurty N. Dengue fever epidemic in Chennai, A study of clinical profile and outcome. Indian Pediatr. 2002 Nov;39(11):1027-33.
ABM ShahidulAlam, S Anwar Sadat, ZakariaSwapan et al, Clinical Profile of Dengue Fever in Children. Bangladesh J child health 2009;33(2): 55-58.
Dutta P, Khan SA, Borah J, Mahanta J. Demographic and clinical features of patients with dengue in northeastern re-gion of India: A retrospective cross-sectional study during 2009–2011. Journal of Virology & Microbiology, 2012. Available at URL: http://www.ibimapublishing.com/journals/JVM/jvm.html [Accessed on 18/06/2015].
Joshi R, Baid V. Profile of dengue patients admitted to a tertiary care hospital in Mumbai. Turk j paediatrics. 2011 Nov - Dec;53:626-631.
Eregowda A, Valliappan S. Clinical profile of dengue infec-tion in a tertiary care hospital. Indian J Child Health. 2015;2(2):68-71.
Manjunath M N, Chaithanya C Nair and Sharanya R. A Study On Clinical Features And Cost Incurred By Dengue Syndrome Patients Admitted To Tertiary Care Hospital. BJMP 2015;8(2):a811.
Sunil Gomber, et al, haematological observations as diag-nostic markers in dengue haemorrhagic fever –a reapprais-al. Journal of Indian paediatrics. 2001; 38:477-481.
Aggarwal A, Chandra J, Aneja S, Patwari AK, Dutta AK. An epidemic of dengue hemorrhagic fever and dengue shock syndrome in children in Delhi. Indian Pediatr. 1998 Aug;35(8):727-32.
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