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
Related Articles
- EP ID EP260362
- DOI -
- Views 169
- Downloads 0
Age of onset of thelarche in urban school girls of Kalaburagi, Karnataka: A cross sectional study
Background: Timing of normal pubertal maturation has received increased attention over the past several years. More recently, age of onset of pubertal maturation appears to have decreased, especially in girls. Aim: To ev...
Hospital based cross sectional study of assessment of anemia in children in urban Karnataka
Background: According to the 2001 World health Organization (WHO) data, 30% of the children aged between 0 and 4 years and 48% of the children aged between 5 and 14 years are anemic in developing countries1. In our count...
Study of sociodemographic characteristics associated with patients of scrub typhus
Background: Rickettsial diseases are some of the most covert re-emerging infection of the present times Aims and Objectives: To Study sociodemographic characteristics associated with patients of scrub typhus. Methodology...
A study of Serum lipids among children suffering from nephrotic syndrome
Background:Hyperlipidemia is a common findings in nephrotic syndrome. Thereis increased total Cholesterol, LDL Cholesterol, VLDL cholesterol and lower normal HDL Cholesterol. There is paucity of studies on derangement of...
Clinical profile and etiology of thyroid disorders in children at a tertiary care hospital
Background: Congenital hypothyroidism is the most common preventable cause in India and worldwide. Thyroid hormones deficiency in infancy leads to irreversible impairment of neuro-cognitive function and physical and ment...