Acute Febrile Illness In Pediatric Population: The Disease Spectrum And Outcome- Data From A Northern Rural Centre.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 2
Abstract
Background: Acute febrile illness is most commonly seen disease that requires medical attention worldwide. Majority of children with febrile illness are being admitted to hospitals universally associated with mortality and morbidity. This study was thus planned to find out clinical profile and to identify common etiologies of febrile illnesses. Aims & Objectives: To study the clinical profile of febrile illnesses requiring hospitalization caused by various etiologies. To study the pattern of clinical profile of febrile illnesses requiring hospitalization and to determine the common etiologies. Materials & Methods: This study was conducted on 150 patients admitted in our hospital from 1 month to 18 years of age. The study was done in the Pediatric Intensive Care Unit of a Tertiary care hospital in a rural setting of North Haryana. Detailed history, physical examination, lab parameters, serological tests and necessary radiological investigations were carried out and recorded in a structural pro-forma. The pattern of clinical profile of febrile illnesses requiring hospitalization and the common etiologies responsible in this area were thoroughly studied. Results: A total of 151 children were enrolled in this study between the age group of 1 month and 18 years. Majority of our cases belonged to the age group of 1 month to 4 years mainly having lower respiratory tract infections. There was male predominance seen in our study with a ratio of 1.69:1. In geographical distribution, maximum number of cases from Saharanpur (UP) belt, as our hospital is the nearest Tertiary Care Rural Medical Facility. All the patients admitted had raised Total Leucocyte Count on basic investigations (69.3%). Peripheral Blood film was not a reliable test in our study in cases of Malaria and other etiologies with Sepsis and final diagnosis was made on the bases of antigen based serological tests (88.8% positivity). Conclusion: Admissions were maximum in the summer season (Mar-June). Malaria and LRTI were the two most prevalent diseases in our study. Total leukocyte count and serological tests are good indicators for diagnosis of fever. Common presenting symtoms of chills and cough along with fever favoured the common etiological agent of febrile patients in our study.
Authors and Affiliations
Anuradha Behl
Keywords
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