Clinico-epidemiological profile of dengue fever cases admitte at tertiary care hospital, Rajkot, Gujarat, India

Authors

  • Jasmin R. Oza Department of Community Medicine, P. D. U. Govt. Medical College, Rajkot, Gujarat, India
  • Umed V. Patel Department of Community Medicine, P. D. U. Govt. Medical College, Rajkot, Gujarat, India
  • Kshama D. Gajera Department of Community Medicine, P. D. U. Govt. Medical College, Rajkot, Gujarat, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20163093

Keywords:

Classical dengue fever, Dengue haemorrhagic fever, Tertiary care, Complications

Abstract

Background: Dengue fever (DF) and its severe forms - Dengue haemorrhagic fever (DHF) and Dengue shock syndrome (DSS) have emerged as a notable public health problem in recent decades in terms of the mortality and morbidity associated with it.

Methods: A cross-sectional prospective study was conducted at PDU Government Medical College, Rajkot during 1st January to 31st December, 2014. All confirmed Dengue cases were admitted in this institute during 2014 included in the study. The data entry was done in Microsoft Office Excel 2007 and analysis was done using the same software and appropriate tests were applied.

Results: This study included 145 patients who were admitted to the institute during the calendar year 2014. 62% were males. 69% were in the age group 15-44 yrs. 59% cases were from rural origin. During September to December, 2014, 80% cases were admitted. 74% cases were consulted by doctor before admission at PDU Government Medical College, Rajkot. Fever was present in all the cases i.e. (100%), followed by myalgia (99%), headache (96%), vomiting (78%) and epistaxis (63%). Majority of the cases presented with Classical Dengue fever i.e. (90%) followed by DHF (10%). Most common complication was bleeding from nose and mouth i.e. (66%). No any death due to Dengue was reported during study period. 93% cases were discharged and 7 % cases were DAMA from PDU Government Medical College, Rajkot.

Conclusions: The most common age group for Dengue fever was 15-44 yrs. Most of the patients were male and also from rural origin. Most of the cases occurred during the period of September to December, 2014. Fever was present in all the cases and bleeding from nose and mouth was the commonest complication of Dengue. No any death due to Dengue was reported during study period.

References

Thongchroen P. Monography on Dengue/Dengue haemorrhagic fever, regional publication, WHO, SEARO no.22. 1993.

Gupta N, Srivastava S, Jain A. Dengue in India, Indian J Med Res. 2012; 136:373-90.

Directorate General of Health Services. Guidelines for Clinical Management of Dengue Fever, Dengue Haemorrhagic and Dengue shock syndrome, Ministry of Health and Family Welfare, New Delhi. 2008:1-8.

World Health Organization. Dengue hemorrhagic fever: Diagnosis, Treatment, Prevention and Control. 2 ed. Geneva. 1997:12-3.

The Hindu. India leads the world in Dengue burden (cited September 12, 2013). Available at http://www.thehindu.com/scitech/health/policy-and-issues/india-leads-the-world-in-Dengueburden-nature/article4592098.ece. Accessed 08April 2013.

Monath TP. Dengue: The risk to developed and developing countries. Proc Natl Acad Sci USA. 1994;91:2395-400.

Rigau-Pérez JG, Clark GG, Gubler DJ, Reiter P, Sanders EJ, Vorndam AV. Dengue and Dengue hemorrhagic fever. Lancet. 1998;352:971-6.

Directorate General of Health Services, National Health Profile, Ministry of Health and Family Welfare, New Delhi, Govt. of India, 2014.

Disease alerts/outbreaks Report (2012-13) of India, IDSP, NCDC, New Delhi. Available at http://www.idsp.nic.in/idsp/IDSP/DOB2014/.pdf. Accessed on September 15, 2015.

Kumar A, Rao CR, Pandit V, Sheety S, Bammigatti

C, Samarasinghe CM. Clinical Manifestations and Trend of Dengue Cases Admitted in a Tertiary Care Hospital, Udupi District, Karnataka. Indian J Community Med. 2010;35(3):386-90.

Saini S, Kinikar AG. Epidemiology and sero positivity of dengue fever cases in a rural tertiary care hospital of western Maharashtra, India. International Journal of Biomedical and Advance Research. 2013;04(07):743-9.

Ahmed NH, Broor S. Dengue Fever outbreak in Delhi, North India: A Clinico-Epidemiological study, Indian J Community Med. 2015;40:135-8.

Karoli R, Fatima J, Siddiqi Z. Clinical profile of dengue infection at a teaching hospital in North India. J Infect Dev Ctries. 2012;6(7):551-4.

Kale AV, Haseeb M, Reddy S, Khan S, GolwalkarA, Badaam KM. Clinical Profile and Outcome of Dengue Fever from a Tertiary Care Centre at Aurangabad Maharashtra India, Journal of Dental and Medical Sciences. 2014:14-9.

Kashinkunti MD, Shiddappa, Dhananjaya M. A Study of Clinical Profile of Dengue Fever in a Tertiary Care Teaching Hospital, Sch. J. App. Med. Sci. 2013;1(4):280-2.

Daniel R, Rajamohanan, Zachariah AP. A Study of Clinical Profile of Dengue Fever in Kollam, Kerala, India. Dengue Bulletin. 2005;29:197-205.

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Published

2016-12-24

How to Cite

Oza, J. R., Patel, U. V., & Gajera, K. D. (2016). Clinico-epidemiological profile of dengue fever cases admitte at tertiary care hospital, Rajkot, Gujarat, India. International Journal Of Community Medicine And Public Health, 3(9), 2667–2671. https://doi.org/10.18203/2394-6040.ijcmph20163093

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Original Research Articles