Study of seasonal prevalence of dengue fever and it’s management according to the WHO guidelines (2012)
Journal Title: Medpulse International Journal of Pediatrics - Year 2017, Vol 3, Issue 2
Abstract
Background: Dengue is most rapidly spreading mosquito borne viral disease of mankind, with increase in global incidence over last five decades. According to WHO 2012 criteria it is classified as Dengue fever, Dengue with Warning signs and Severe Dengue. Dengue can be managed with this classification and death rate can be reduced with initial fluid resuscitation. Material and Methods: It was prospective hospital based observational study of serologically positive dengue cases admitted in BVDUMCH, Sangli. All cases admitted in Bharati Hospital of age group of 3yrs. to 18yrs, were included in this study. Cases of viral haemorrhagic fever other than dengue and cases of malaria, leptospirosis, rickettsial infection and septicemia were excluded. Results: 110 children were diagnosed with dengue fever out of which 67 boys and 43 girls were admitted. Boys to girl’s ratio was 3:2. Dengue fever (without warning signs) 32 cases were reported, Dengue fever with warning signs 52 cases were reported and Severe dengue 26 cases were reported. Seasonal incidence of dengue is also noted. 84 cases were reported from June to November and only 26 cases were reported from January to May. Platelet count was reduced less than 1.5 lakhs/cumm in 85 cases; however haematocrit was raised in 56 cases. Fever was noted in all cases, however headache, body ache, abdominal pain, vomiting was presenting complaint in more than 50% cases. History of bleeding was noted in 22 (20%) cases. All patients received isotonic normal saline (0.9%NS). None of the patients required dextran 40. I.V. fluid normal saline bolus was required in 73 (66.36%) cases. Dopamine drip was required in 11 (10%) cases and platelet and plasma transfusion was required in 24 (21.81%) cases. All patients recovered completely and discharged. Conclusion: In this study male to female ratio was 3:2, Dengue is common during monsoon and post monsoon period in this study out of 110 cases, 84 (76.36%) cases are observed during this period of June to November of year. In this study Dengue fever without warning signs 32 (29.10%) cases, Dengue fever with warning sings 52 (47.27%) cases and Severe Dengue 26 (23.63%) cases were observed. All the cases are managed with use of 0.9% NS, All the cases are recovered completely and discharged from hospitals.
Authors and Affiliations
Suresh Nana Waydande, C S Rajput
Keywords
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