DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20190638

A study on epidemiological and clinical characteristics of measles patients admitted to Sir Ronald Ross institute of tropical and communicable diseases, Hyderabad, India

Asma ., Anupama Pulla, Vimala Thomas

Abstract


Background: Measles is an acute infectious exanthematous disease of childhood caused by paramyxovirus. With increase in immunization coverage levels, the intensity of measles outbreak has decreased in the country. In some parts of India, measles is still a major cause of morbidity and childhood mortality. Objective of the study was to determine the epidemiological and clinical characteristics of patients with macular/maculo-papular rash.

Methods: A cross sectional record based retrospective study was carried out at Sir Ronald Ross institute of tropical and communicable diseases, Hyderabad. All the cases admitted in year 2016 with history of fever and macular/maculo-papular rash were included in the study. The study was carried out for 2 months.

Results: A total of 639 cases were admitted to infectious disease hospital during the year 2016 with history of fever and rash. The mean age of study population was 6.08±4.9 years. Around 43.7% of cases were in the age group of 1–5 years. The disease was slightly higher among boys (52.3%) as compared to girls (47.7%). Amongst the clinical features, fever and rash were seen in 100%, coryza in 80%, and conjunctivitis in 63.3% of study population.

Conclusions: Majority of the children suffering from measles was not vaccinated and the most common reason for failure to immunize children was lack of awareness. There is a need to increase awareness about importance of measles immunization to reduce under five mortality.


Keywords


Measles, Maculopapular rash, Clinical and epidemiological characteristics

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References


Park K. Park’s textbook of Preventive and Social Medicine. 24th edition. Jabalpur: Banarsi Das Bhanot; 2017: 156-9.

World Health Organization. WHO News. Measles Factsheets, 2018 Available at: http://www.who.int/ news-room/factsheets/detail/ measles. Accessed on 30 December 2018.

Suryakantha AH. Community Medicine with recent advances. 3rd edition. Jaypee publishers; 2014: 317-24.

World Health Organization – South East Asia Region. WHO News and factsheets on Measles. Available at: http://www.who.int/en/news-room/fact-sheets/detail/immunization-coverage. Accessed on 30 December 2018.

Global Measles and Rubella strategic plan 2012-2020. World Health Organization, 2012. Available at: http://apps.who.int/iris/bitstream/handle/ 10665/44855/9789241503396_eng.pdf;jsessionid=DDDB22A36C928C63FE9D0A42F93D7588?sequence=1. Accessed on 30 December 2018.

WHO-recommended surveillance standard of measles. Available at: http://www.who.int/ immunization/monitoring_surveillance/burden/vpd/surveillance_type/active/measles_standards/en/. Accessed on 30 December 2018.

Deepa KS. Clinical Profile of Measles in Children Admitted to a Rural Tertiary Care Hospital. J Evolution Med Dental Sci. 2015;4(46):7995-9.

Rahima J, Humera PJ, Denis Z. Epidemiological and Clinical characteristics of children with measles hospitalized at the department for infectious diseases in Tuzla during the 2014-2015 measles epidemic. Central Eur J Paed. 2017;13(1):62-8.

Sultana A, Sabir SA, Awan A. Characteristics of patients with measles admitted to allied hospital Rawalpindi. J Ayub Med Coll Abbottabad. 2015;27(2):318–22.

Singh K, Garg R. Outbreaks of measles in Rajasthan in 2014: a cross sectional epidemiological investigation. Int J Community Med Public Health. 2017;4:1751-7.

Babita, Suman S, Prakash S. Epidemiological Study of Measles in Bihar. J Evolution Med Dental Sci. 2013;2(26):4695-700.

Sume GE, ArsèneBitaFouda A, Kobela M, Nguelé S, IrèneEmah, Atem P, et al. Epidemiology and clinical characteristics of the Measles outbreak in the Nylon Health District, Douala Cameroon: a retrospective descriptive cross sectional study. Pan African Med J. 2012;13:66.