CLINICO-EPIDEMIOLOGICAL PROFILE OF ACUTE ENCEPHALITIS SYNDROME WITH SPECIAL REFERENCE TO JAPANESE ENCEPHALITIS IN CHILDREN BELOW 12 YEARS OF AGE ADMITTED IN A TERTIARY CARE HOSPITAL OF TRIPURA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 93
Abstract
BACKGROUND Acute Encephalitis Syndrome (AES) is a major public health problem in India. Japanese Encephalitis Virus (JEV) is one of the important causative agents of AES prevailing in this part of the country. It is one of the most important vaccines preventing viral encephalitis in human beings. The objective of this study is to study aetiology and epidemiology of Acute Encephalitis Syndrome with special reference to Japanese Encephalitis. MATERIALS AND METHODS This was a retrospective descriptive study carried out in the Department of Paediatrics, Agartala Govt. Medical College and GB Pant Hospital, Agartala, Tripura, from 1st December 2015 to 30th November 2016. Hospital records of children admitted with the diagnosis of AES up to 12 years of age were enrolled in the study and were analysed both manually and using SPSS version 15.0 statistical software. RESULTS Out of 104 acute encephalitis cases, 62 (59.6%) were male and 42 (40.38%) were female. The maximum number of AES cases were in the age group of < 5 years, which was 67.3%. Out of 104 cases of acute encephalitis cases, 20 (19.23%) were Japanese encephalitis and 2.88% (3) each of Chikungunya and Dengue. Japanese Encephalitis is most commonly seen in the age group of 6 to 10 years of age (45%). Majority (65%) of JE cases presented during the monsoon months of June to August. Most commonly seen in people living in rural area, which was 75%. Case fatality rate for JE was 15% and sequelae was in 40% cases as compared with non-JE which was 65% and 10.71% respectively. CONCLUSION It has been found that JE remains the most common cause of AES in children in this part of the country with incidence as high as 19.23% and mortality 15%. It mainly occurs during monsoon season.
Authors and Affiliations
Tapash Ghosh, Nazrul Islam Barbhuiya, Anita Riang Simon, Sormistha Chowdhury
Keywords
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- EP ID EP279399
- DOI 10.14260/jemds/2017/1458
- Views 81
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