Clinical and epidemiological profile of patients admitted with dengue fever in a tertiary care hospital, Thrissur, Kerala, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20203939Keywords:
Clinical profile, Dengue fever, Symptoms, Epidemiological profileAbstract
Background: Dengue is a fast emerging mosquito borne pandemic prone viral disease affecting many parts of the world. The elucidation of the exact clinical profile is important for patient management and thus crucial for saving life. Dengue is widespread throughout the tropics, with risk factors influenced by local spatial variations of rainfall, temperature, relative humidity, degree of urbanization and quality of vector control.
Methods: A descriptive study was undertaken and data was collected by reviewing the records of patients admitted with dengue fever over a period from January 2019 to August 2019. Total 100 records of confirmed cases of dengue were included in the study. The information regarding demographic details, clinical symptoms and complications, and epidemiological details were collected from the records using a questionnaire.
Results: Out of 100 patients admitted with dengue, 61% were males and 54% of the total were admitted during June and July month. Most common symptoms reported were fever (99%), headache (91%), muscle & joint pain (71%). The bleeding manifestation was reported in 11% and the most common site of bleeding was gastrointestinal tract.
Conclusions: The present study concludes that dengue confirmed cases are seen more among males, and the incidence of disease is more in age groups of less than 30 years. Most of them were residing in the Northern part of Thrissur (56%) and the most common clinical symptoms were fever and headache.
References
Gubler DJ. Dengue. In: Epidemiology of arthropod bore viral disease. Monath TPM, Boca Raton. 5th ed. Finland: CRC Press: 1988:223-60.
WHO fact sheet on dengue and severe dengue. Available at: https://www.who.int/en/news-room/fact-sheets/detail/dengue-and-severe-dengue. Accessed on 25 May 2020.
Carey DE, Myers RM, Reuben R, Rodrigues FM. Studies on dengue in Vellore, South India. Am J Trop Med Hyg. 1966;15:580-7.
Balaya S, Paul SD, D’Lima LV, Pavri KM. Investigations on an outbreak of dengue in Delhi in 1967. Indian J Med Res. 1969;57:767-74.
Myers RM, Carey DE, Banerjee K, Reuben R, Ramamurti DV. Recovery of dengue type 3 virus from human serum and Aedes aegypti in South India. Indian J Med Res. 1968;56(6):781-7.
Santosh Kumar PS, Arjun MC, Gupta SK, Nongkynrih B. Malaria, dengue and chikungunya in India – an update. Indian J Med Spec. 2018;9:25-9.
Chakravarti A, Arora R, Luxemburger C. Fifty years of dengue in India. Trans R Soc Trop Med Hyg. 2012; 106:273-82.
Mutheneni SR, Morse AP, Caminade C, Upadhyayula SM. Dengue burden in India: recent trends and importance of climatic parameters. Emerg Microbes Infect. 2017;6(8):e70.
Innis BL. Dengue and dengue hemorrhagic fever. In: Porterfield JS, eds. Exotic viral infection. 7th ed. Chapman & Hall, London, United Kingdom; 1995.
Daniel R, Philip AZ . A study of clinical profile of dengue fever in Kollam, Kerala, India. Dengue bulletin. 2005;40:25.
Sharma S, Sharma SK, Mohan A, Wadhwa J, Dar L, Thulkar S, et al. Clinical Profile of Dengue Haemorrhagic Fever in Adults during 1996 – Outbreak in Delhi, India. Dengue Bulletin. 1998;22:20.
Khormi HM and Kumar L. Examples of using spatial information technologies for mapping and modelling mosquito-borne diseases based on environmental, climatic and socio-economic factors and different spatial statistics, temporal risk indices and spatial analysis: A review. J Food Agric Environ. 2011;9(2):41-9.
Polwiang S. The seasonal reproduction number of dengue fever: impacts of climate on transmission. PeerJ. 2015;3:e1069.
Turbadkar D, Ramchandran A, Mathur M, Gaikwad S. Laboratory and clinical profile of dengue: A study from Mumbai. Ann Trop Med Public Health. 2012;5:20-3.