“Clinical profile in Children with Enteric Fever: A study in Dhaka shishu( children) hospital, Dhaka, Bangladesh”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
We conducted a cross-sectional comparative study in the Department of Paediatric Medicine of Dhaka Shishu (children) Hospital during the period from 10th October 2013 to 9th April 2014 with the aim was to document clinical profile in Children with Enteric Fever. Our study subjects were divided into three groups: 1) Children suspected of enteric fever; 2) Febrile children (other than enteric fever) and 3) Non-febrile children. Total sample size for this study was 150. Around half of the participants were in the ‘≤ 5 years’ age group. Mean ± SD was (5.874±2.943) for group-I, (5.598±3.000) for group-II and (5.740 ± 2.741) for group-III. More than half of the participants in all groups were males. Male: Female ratio was about 1.2:1 in group-I, 1.5:1 in group-II and 1.4:1 in group-III. There was no statistical deference in age distribution between the groups (p=0.972) and male-female distribution (p=0.563). There was no significant statistical difference in Parent's educational qualification (p=0.801) and job (p=0.079). For both enteric group and non-enteric group, fever was present in all (100.0%) participants. Blood culture was done in all 150 participants. Among all 123 individual were culture negative and the remaining 27 (18.0 %%) were culture positive. All culture positive participants were in Group-I. The agglutinin levels against TO and TH antigen of the three groups; for group-I children were either widal positive or culture positive and/or both, for group-II widal positive cases were confirmed by negative blood culture findings. TO was found 1:160 or more in 52.0% in enteric fever patients and 12.0% of non-enteric febrile patient. TH showed ≤1:160 count in 48.0% group-I and 16.0% of group-II children. When double widal test result was considered, it was positive in 94.0% of enteric fever cases; the remaining 6.0% of cases and most (89.0%) of the non-enteric children were found to be Widal negative. In the conclusion, we can say laboratory findings can help to detect enteric fever patients more accurately and can treat adequately.
Authors and Affiliations
Dr. Muhammad Amjad Hossain, Dr. Amal Kanti Banik, Dr. ATM Nurul Kabir, Dr. Abu Tayab, Dr. M. Jahangir Alam
Keywords
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- EP ID EP464309
- DOI 10.9790/0853-1802016771.
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