Clinical profile and outcome of dengue among hospitalized children - a single centre prospective study
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: Dengue is the most rapidly spreading mosquito-borne viral disease in the world.In India, there is increased proportion of Dengue cases with severe disease. Early recognition and prompt initiation of appropriate treatment are vital to reduce disease related morbidity and mortality. Objective: To study the clinical profile and outcome of hospitalized dengue fever cases in children during outbreaks. Methods: This is an observational prospective study conducted at tertiary care hospital. All children who presented with clinical features of dengue & dengue serology positive children were included in the study. Results: A total of 185 children diagnosed to have dengue fever were admitted in the hospital during the study period. The cases were classified according to WHO protocol as Dengue without warning sign (48.1%), Dengue with warning signs (27%) and severe dengue (24.8%). All the children had fever as the presenting complaint. The other predominant symptoms observed were vomiting (61.6%), abdominal pain (50.2%), rashes (30.2%), myalgia (24.3%), and bleeding manifestation (16.2%). The other significant findings noted were Hepatomegaly (52.4%), Ascites (47.01%), and pleural effusion (41%). Gallbladder wall thickness (80.4%) was the most common radiological abnormality. Mortality in this study was 1.08%. Conclusion: Children in the age group of 5-15 years were most commonly affected. Fever, Persistent vomiting, abdominal pain, Hepatomegaly, pleural effusion, were predominant presenting symptoms and signs. Early recognition, precise assessment and appropriate treatment with the help of WHO revised classification and management guidelines have reduced the mortality.
Authors and Affiliations
Srinivasa K, Ajay J, Manjunath G. A
Keywords
Related Articles
- EP ID EP276975
- DOI 10.17511/ijpr.2017.02.10
- Views 130
- Downloads 0
Therapeutic Hypothermia in Perinatal Asphyxia
Therapeutic hypothermia for infants with perinatal asphyxia has been studied in several randomised controlled trials. There is convincing evidence that moderate therapeutic hypothermia (33-34°C for 72 h), when initiated...
Early predictors of significant hyper bilirubinemia in ABO incompatible newborns
ABO incompatibility have been singularly reported to be strong risk factors in the development of significant hyper bilirubinemia in newborns but usually a combination of these are seen to co-exist in the clinical scenar...
Case report-ovarian torsion in a child: a painful twist in the tale
Ovarian torsion in children is a rare cause of acute abdominal pain and is a true surgical emergency. The clinical presentation closely resembles other pathologies such as urinary tract infections, gastroenteritis and mo...
A clinical study of nutritional status under 5 years of age in correlation with iron deficiency Anemia
Introduction: Malnutrition is by far the biggest contributor to child mortality, present in half of all the cases globally. Malnutrition is more common in India than in Sub-Saharan Africa. One in every three malnourished...
A prospective seroepidemiologic study on dengue in children in Southeastern Rajasthan, India
Background: In India, dengue epidemics are becoming more frequent (WHO, 2008). The majority of dengue viral infections are self-limiting, but complications may cause high morbidity and mortality. Objectives: To assess th...