Seroprevalence of dengue virus infection among the patients admitted with acute febrile illness in a tertiary care hospital in Central India

Authors

  • Pooja P. S. Department of Microbiology, Government Medical College, Nagpur, Maharashtra, India
  • Sandeep B. Kokate Department of Microbiology, Government Medical College, Nagpur, Maharashtra, India
  • Sunanda Shrikhande Department of Microbiology, Government Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20251711

Keywords:

Seroprevalence, Dengue, NS1 antigen, IgM dengue antibody, IgG dengue antibody

Abstract

Background: Dengue is the most rapidly spreading mosquito-borne viral disease in tropical and subtropical regions, posing a major public health challenge. Seroprevalence studies are vital for understanding its burden and guiding control strategies.

Methods: This cross-sectional study was conducted in the Department of Microbiology at Government Medical College, Nagpur, from July 2022 to June 2024. A total of 7814 patients admitted with acute febrile illness (AFI) were screened, and 429 clinically suspected dengue cases were selected. Serum samples were tested for Dengue NS1 antigen, IgM, and IgG antibodies using enzyme-linked immunosorbent assay (ELISA).

Results: Out of 429 suspected cases, 109 were confirmed positive for dengue, yielding a seroprevalence of 25.41%. The highest incidence was observed in the 21–30 years age group (23.86%), with females (54.13%) being more affected than males. A majority of cases (74.31%) were from urban areas. Peak incidence occurred during the monsoon months, particularly in September.

Conclusions: The study highlights a significant seroprevalence of dengue in Central India, emphasizing the need for vigilant surveillance, timely diagnosis, and effective vector control measures, especially during the monsoon season.

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References

Singh B. Dengue outbreak in 2006. Indian J Community Med. 2007;32:99-100. DOI: https://doi.org/10.4103/0970-0218.35643

Wichmann O, Hongsiriwon S, Bowonwatanuwong C, Chotivanich K, Sukthana Y, Pukrittayakamee S. Risk factors and clinical features associated with severe dengue infection in adults and children during the 2001 epidemic in Chonburi, Thailand. Trop Med Int Health. 2004;9(9):1022-9. DOI: https://doi.org/10.1111/j.1365-3156.2004.01295.x

World Health Organization. Dengue: Guidelines for diagnosis, treatment, prevention and control. New edition. 2009. Available at: https://www.who.int/ publications/i/item/9789241547871. Accessed on 06 April 2025.

World Health Organization. Comprehensive guideline for prevention and control of dengue and dengue haemorrhagic fever. 2011. Available at: https://iris.who.int/handle/10665/204894. Accessed on 06 April 2025.

Kalita JM, Aggarwal A, Yedale K, Gadepalli R, Nag VL. A 5‐year study of dengue seropositivity among suspected cases attending a teaching hospital of North‐Western region of India. J Med Virol. 2021;93(6):3338-43. DOI: https://doi.org/10.1002/jmv.26592

Ankush R, Qazi MS, Neha S, Zodpey SS. Seroprevalence of dengue in rural areas of Central India. Int J Sci Res. 2023;12:1.

Raut S, Patil A. Dengue in and around Nagpur-Central India. J Evol Med Dent Sci. 2012;1(5):853-6. DOI: https://doi.org/10.14260/jemds/137

Kigozi BK, Kharod GA, Bukenya H, Shadomy SV, Haberling DL, Stoddard RA, et al. Investigating the etiology of acute febrile illness: a prospective clinic-based study in Uganda. BMC Infect Dis. 2023;23(1):411. DOI: https://doi.org/10.1186/s12879-023-08335-4

Prasad N, Murdoch DR, Reyburn H, Crump JA. Etiology of severe febrile illness in low-and middle-income countries: a systematic review. PloS One. 2015;10(6):e0127962. DOI: https://doi.org/10.1371/journal.pone.0127962

Shelke YP, Deotale VS, Maraskolhe DL. Spectrum of infections in acute febrile illness in central India. Indian J Med Microbiol. 2017;35(4):480-4. DOI: https://doi.org/10.4103/ijmm.IJMM_17_33

Raji TK, Sudhakaran M. A study on seroprevalence of dengue fever in a tertiary care hospital, north Kerala. Int J Acad Med Pharm. 2023;5(2):1468-73.

Ukey PM, Bondade SA, Paunipagar PV, Powar RM, Akulwar SL. Study of seroprevalence of dengue fever in central India. Indian J Community Med. 2010;35(4):517-9. DOI: https://doi.org/10.4103/0970-0218.74366

Thai KT, Binh TQ, Giao PT, Phuong HL, Hung LQ, Nam NV, et al. Seroprevalence of dengue antibodies, annual incidence and risk factors among children in southern Vietnam. Trop Med Int Health. 2005;10(4):379-8. DOI: https://doi.org/10.1111/j.1365-3156.2005.01388.x

Prakash O, Singh DD, Mishra G, Prakash S, Singh A, Gupta S, et al. Observation on dengue cases from a virus diagnostic laboratory of a tertiary care hospital in North India. Indian J Med Res. 2015;142(1):S7-11. DOI: https://doi.org/10.4103/0971-5916.176596

Saini S, Kinikar AG, Sachin Deorukhkar SD, Deepika Bhalerao DB, Roushani SB. Epidemiology and seropositivity of dengue fever cases in a rural tertiary care hospital of western Maharashtra, India. Int J Biomed Advance Res. 2013;04(07):473-7. DOI: https://doi.org/10.7439/ijbar.v4i7.406

Bhattacharya N, Mukherjee H, Naskar R, Talukdar S, Das G, Pramanik N, et al. Serological diagnosis of dengue in laboratory practice in Kolkata. Indian J Med Microbiol. 2014;32(3):277-80. DOI: https://doi.org/10.4103/0255-0857.136563

Nepal HP, Ansari S, Gyawali N, Gautam R, Paudel R. Detection of IgM against Dengue Virus in Clinically Suspected Patients Presenting at a Tertiary Care Centre, Narayani Zone, Nepal. J Trop Dis. 2014;2:139. DOI: https://doi.org/10.4172/2329-891X.1000139

Patankar M, Patel B, Gandhi V, Shah P, Vegad M. Seroprevalence of Dengue in Gujarat, Western India: A study at a tertiary care hospital. Int J Med Sci Public Health. 2014;3(1):1. DOI: https://doi.org/10.5455/ijmsph.2013.140920131

Khan SA, Dutta P, Topno R, Soni M, Mahanta J. Dengue outbreak in a hilly state of Arunachal Pradesh in Northeast India. Sci World J. 2014;2014:584093. DOI: https://doi.org/10.1155/2014/584093

Sarkar A, Taraphdar D, Chatterjee S. Molecular typing of dengue virus circulating in Kolkata, India in 2010. J Trop Med. 2012;2012:960329. DOI: https://doi.org/10.1155/2012/960329

Chakravarti A, Roy P, Malik S, Siddiqui O, Thakur P. A study on gender-related differences in laboratory characteristics of dengue fever. Indian J Med Microbiol. 2016;34(1):82-4. DOI: https://doi.org/10.4103/0255-0857.174106

Mistry M, Chudasama RK, Goswami Y, Dalwadi C, Mitra A, Mehta G. Epidemiological characteristics of dengue disease in Saurashtra region, India, during year 2015. J Fam Med Prim Care. 2017;6(2):249-53. DOI: https://doi.org/10.4103/2249-4863.220003

Dinkar A, Singh J. Dengue infection in North India: An experience of a tertiary care centre from 2012 to 2017. Tzu-Chi Med J. 2020;32(1):36. DOI: https://doi.org/10.4103/tcmj.tcmj_161_18

Sami CA, Tasnim R, Hassan SS, Khan AH, Yasmin R, Monir-uz-Zaman M, et al. Clinical profile and early severity predictors of dengue fever: Current trends for the deadliest dengue infection in Bangladesh in 2022. IJID Regions. 2023;9:42-8. DOI: https://doi.org/10.1016/j.ijregi.2023.09.001

Chew CH, Woon YL, Amin F, Adnan TH, Abdul Wahab AH, Ahmad ZE, et al. Rural-urban comparisons of dengue seroprevalence in Malaysia. BMC Public Health. 2016;16:1-9. DOI: https://doi.org/10.1186/s12889-016-3496-9

Victor TJ, Malathi M, Asokan R, Padmanaban P. Laboratory-based dengue fever surveillance in Tamil Nadu, India. Indian J Med Res. 2007;126(2):112-5.

Pol SS, Rajderkar SS, Dhabekar PD, Gokhe SS. Effect of climatic factors like rainfall, humidity and temperature on the dengue cases in the metropolitan city of Maharashtra. Int J Community Med Public Health. 2021;8(2):672. DOI: https://doi.org/10.18203/2394-6040.ijcmph20210220

Patil PS, Chandi DH, Damke S, Mahajan S, Ashok R, Basak S. A retrospective study of clinical and laboratory profile of dengue fever in tertiary care Hospital, Wardha, Maharashtra, India. J Pure Appl Microbiol. 2020;14(3):1935-9. DOI: https://doi.org/10.22207/JPAM.14.3.32

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Published

2025-05-31

How to Cite

P. S., P., Kokate, S. B., & Shrikhande, S. (2025). Seroprevalence of dengue virus infection among the patients admitted with acute febrile illness in a tertiary care hospital in Central India. International Journal Of Community Medicine And Public Health, 12(6), 2674–2679. https://doi.org/10.18203/2394-6040.ijcmph20251711

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Original Research Articles