Cross Sectional Descriptive Study of Fatal Cases of Category C RTPCR Proven H1N1 at Tertiary Care Centre from January 2015 to December 2015
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: After 2010, pdm H1N1 reappeared in several northern and western states of the country during the winter month of 2012-2013. The presently ongoing resurgence since December 2014 however appears to be worse than previous one. Research aimed to study the clinical profile, premorbid conditions and radiological features of fatal cases of category C RTPCR proven H1N1. Material and Methods: We have retrospectively selected fatal cases of category C RTPCR proven H1N1 admitted from January 2015 to December 2015. Total 33 fatal cases were taken from our Tertiary Care Centre hospital records. They were categorized as per recent guidelines. Clinical examination, premorbid conditions and radiological features were studied in detail. Statistical analysis was done by ‘R’ software test SPSS 20 for equality of proportion. Results: 33 fatal (death) cases were studied. 17 males (15.7%) and 16 females (14.8%) were affected. Mean age was 50 years and 40 years for males and females respectively. Common symptoms were fever 30 (90.9%), cough 29 (87.8%), breathlessness 32 (96.9%). Signs were Tachypnoea 33 (100%), crepts 33 (100%), rhonchi 32 (96.9%). Radiologically Reticulonodular shadows 15 (45.4%), multizonal 7 (21.2%), interstitial pattern 5 (15.15%) were seen. 9 (27.3%) cases had two risk factors, 15 (45%) had one risk factor. Conclusion: In our current study young to middle age group was commonly affected. They had premorbid conditions and had multizonal and reticulonodular shadows on chest X-rays. The cause of fatality was late referral and start of tami flu was late in these cases. As our sample size is limited so it is very difficult to conclude anything strong on such a small data.
Authors and Affiliations
Anita Arun Paritekar, Anushka K Waikar, M. V. Bansode, R. T. Borse
Keywords
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