A Retrospective study on clinical Profile and Outcome of Dengue Fever Admitted in a Tertiary Care Center
Journal Title: Journal Of Pediatric Critical Care - Year 2017, Vol 4, Issue 2
Abstract
Background India is among the countries reporting regular outbreaks of Dengue infection. Present study describes clinical profile and outcome of dengue cases. Objective To study the clinical profile and outcome of dengue fever in pediatric age group using WHO fluid management guidelines (2012) Methods is a retrospective observational study of 6 months. All dengue patients admitted during the outbreak from Nov 2015 to May 2016 were included in the study. After clinical assessment, they were investigated and classified according to WHO classification of dengue. Serial monitoring for clinical and hematological parameters was done. Intravenous fluids were administered according to WHO guidelines along with supportive management. Statistical evaluation of the various clinical parameters was done using p value estimation. Final outcome were studied and described. Results , pain abdomen and vomiting were found to be most common presenting symptoms. Thrombocytopenia was found in 94 % cases and leukopenia in 67.4% cases. Shock was present in34% patients and average time taken for shock reversal was 2 days. Hepatitis (48.5), AKI (29.7%) and encephalitis 6.2% were the main complications. Survival rate was 99.4% with mortality being one patient (0.6%). Conclusion Liver and renal involvement is more common in dengue then previously reported. A high index of suspicion in endemic areas was important .Fluid management played a vital role and helped in recovery.. Early assessment of shock and use of central venous catheterization for fluid resuscitation has shown good outcome.
Authors and Affiliations
G. J Haridharshan, Vijay K. Kulkarni, Gautam Kabbin
Keywords
Related Articles
- EP ID EP335763
- DOI 10.21304/2017.0402.00174
- Views 93
- Downloads 0
Point of care ultrasound for bedside diagnosis of venous thrombosis in PICU
.
Comparative Study Between Nasal Continuous Positive Airway Pressure (Ncpap) And Heated And Humidified High Flow Nasal Canula (HHHNFC) As Respiratory Support In Post Extubated Infants With Acute Bronchiolitis in PICU of A Tertiary Care Hospital
Background : Background - Acute bronchiolitis is the most common lower-airway viral infection in infants. Mechanical ventilation may be needed by 5(15%) of the hospitalized patients because of fatigue, apnea, or hypoxemi...
A Rare Cause of Pericardial Tamponade- Idiopathic Systemic Capillary Leak Syndrome
.
Quantitative Capillary Beta-Hydroxybutyrate Versus Quantitative Serum BetaHydroxybutyrate Measurement In The Diagnosis And Management Of Pediatric Diabetic Ketoacidosis: A Prospective Observational Analytical Study
Monitoring blood beta-hydroxybutyrate is essential in the diagnosis and management of pediatric diabetic-ketoacidosis. Point-of-care capillary beta-hydroxybutyrate testing requires further evaluation in monitoring ketone...
Minimal lactate clearance proclaims Pediatric Intensive Care Unit mortality
Background: Lactate clearance among the survived patients is higher and is inversely related to the PRISM III Score. Objectives : We aimed to correlate lactate clearance with pediatric Intensive Care Unit (PICU) mortalit...