A study of complication and outcome of dengue managed at tertiary care institute
Journal Title: Medpulse International Journal of Medicine - Year 2017, Vol 1, Issue 2
Abstract
Background: Dengue virus infection is a major, growing public health problem with an estimated 2.5 billion people at risk of infection. Dengue viruses can cause a wide variety of clinical illnesses ranging from mildly symptomatic dengue fever (DF) to more dangerous clinical conditions with capillary leakage syndrome such as dengue shock syndrome (DSS) and dengue hemorrhagic fever (DHF). Aims and Objectives: To study the complication and outcome among dengue patients admitted in tertiary care institute. Materials and method: In the present longitudinal study all the cases of dengue diagnosed in the year 2014 were enrolled in the present study. All the patients suspected to be suffering from dengue were tested for rapid immune-chromatography (ICT) test. Thus total 92 cases of dengue were enrolled in the present study. Demographic details of all the enrolled patients were recorded on a prestructured proforma. Detailed history along with findings of thorough general and systemic examinations was also recorded. Necessary laboratory investigations were also carried out. All patients who suffered from fever were treated with paracetamol and bed rest. Those patients, who went for complications like DHF, were treated cordoning to the WHO protocol. All the patients were followed up daily till they were discharged from the hospital. The collected data was analyzed and presented with appropriate tables and graphs. Results: It was observed that 51.09% patients were having platelet count more than one lakh/cmm whereas 31.52% were having count between 50000 to 1lakh. Majority of the patients (48.91%) were having total leukocyte count less than 4000cmm. Hematocrit was raised in 35.87%. Ascites as complication of dengue was observed in 3.26% cases whereas pleural effusion was observed in 4.35%. Serious complications like encephalopathy and renal failure was observed in none of the patients. Transfusion was required in 6.52% patients. Majority of the patients (79.35%) required 6 to 10 days to recover from the disease. It was seen that 93.48% patients recovered from the disease whereas 3.26% patients improved and were discharged. 3.26% patients took discharge from hospital against medical advice. No mortality due dengue was observe din the present study. Conclusion: Thus we conclude that ascites and pleural effusion were the complication observed in the present study. Almost all patients recovered completely from the dengue without any associated co-morbid conditions.
Authors and Affiliations
Dinesh Eknath Nehete, Khemchandra Dhanraj Borole
Keywords
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