ANALYTICAL STUDY OF VIRAL FEVER CASES ADMITTED IN A TERTIARY CARE HOSPITAL, NELLORE, A.P
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 67
Abstract
BACKGROUND Viral fevers are the cause for admission in the hospital during certain seasons of the year. Commonly, the hospitalisations often increase in the monsoon period during the months of July to November in most of the regions across the world due to seasonal changes. The vector-borne diseases especially Malaria, Dengue increase with changes in the humidity, temperature, rainfall and pooling of water in the households. In this present study, an attempt is made to find out the probable cause of fever among admitted cases of viral fever. MATERIAL AND METHODS This study was a retrospective study carried out in the Paediatric Department at a newly commissioned Medical College Hospital at Nellore, Andhra Pradesh, during August 2015 to November 2015 as obtained from the medical records and admission registers. RESULTS Of the total 596 cases, 201 children were with a diagnosis of viral fever. There was a male preponderance which was however not statistically significant. The viral fever cases accounted for 6% and 43.8% of the total admitted cases in the months of August and October 2015 respectively. Laboratory investigations revealed thrombocytopenia in 57.5% of the children and leucopenia in only 5.5% of them. NS1 antigen testing in 17 cases showed 88.8% positivity. IgM antibody against Dengue in 109 cases showed positivity in 37.6% of cases. Thrombocytopenia was more frequently seen among children admitted in PICU. There was a correlation of thrombocytopenia and positivity of either NS1 antigen or Dengue IgM antibody. CONCLUSION In view of these findings, it can be concluded that the surge in viral fever cases may be probably due to Dengue fever.
Authors and Affiliations
Cherukuri , Moturi Manjula, Chinta Prasanna, Gottumukkala Prabhu
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