Clinico-epidemiological profile and cost incurred in the management of dengue among the patients admitted in tertiary care hospital of Mysuru, Karnataka

Yashaswini G. R., Praveen Kulkarni, M. R. Narayana Murthy


Background: Dengue is the most extensively spread mosquito-borne disease; endemic in more than 100 countries. The overall seroprevalence of dengue infection in India was 48.7% (95% CI 43.5-54.0).  One of the major factors that determine the outcome dengue syndrome is the cost incurred in its management. As there are paucity of studies related to cost involved in the management of dengue in southern India, this study was undertaken in a tertiary care hospital.

Methods: A cross-sectional study was conducted among 100 patients in JSS hospital, Mysuru Karnataka. Convenience sampling was used to select the patients during the visit and a pre-tested semi-structured questionnaire was used to collect socio-demographic details along with symptoms and cost incurred in dengue treatment. Data analysis is done by arithmetic mean, median, standard deviation, inter quartile range and percentages in SPSS and excel.

Results: In this study 98 (98%) of the respondents had fever, 61 (61%) of respondents had muscle pain, 52 (52%) of the respondents had joint pain, 45 (45%) had head ache, 28 (28%) had bleeding, 51 (51%) had abdominal pain, 43 (43%) had chills, 29 (29%) had vomiting, 19 (19%) had pain behind eyes, 15 (15%) swollen glands, 19 (19%) had rashes. Overall direct cost for the management of dengue was Rs. 62505.5/- (46785.50-76958.75) and overall indirect cost was Rs. 17500/- (2250-25500).

Conclusions: This study provides that the overall direct cost for the management of dengue treatment was Rs. 62505.5/- (46785.50-76958.75) and overall indirect cost was Rs. 17500/- (2250-25500) respectively.


Dengue, Direct cost, Indirect cost, Clinic-epidemiological profile

Full Text:



Ganeshkumar P, Murhekar M V, Poornima V, Saravanakumar V, Sukumaran K, Anandaselvasankar A et al. Dengue infection in India: A systematic review and meta-analysis. PLoS Negl Trop Dis. 2018;12(7):e0006618.

Pe D, Sebrango C, Shkedy Z, Stuyft P Van Der. The Relationship between Economic Status, Knowledge on Dengue. Risk Perceptions and Practices. 2013;8(12):6-11.

Hasan SR, Riaz M, Jafri FA. Characteristics and outcome of dengue infection; clinical perspective from a secondary care hospital of Karachi. Pakistan J Med Sci. 2012;29(1):115-8.

Jaramillo Ramírez GI, Álvarez LSB. Knowledge, Attitudes and Practices Regarding Dengue, Chikungunya, and Zika and their Vector Aedes Aegypti in Villavicencio, Colombia. Open Public Health J. 2017;10(1):80-9.

DSS, DFDHF. Long term action plan for prevention and control of Early Case reporting and management: Fever alert surveillance. Virology. 2006;1-13.

Murhekar M V., Kamaraj P, Kumar MS, Khan SA, Allam RR, Barde P, et al. Burden of dengue infection in India, 2017: a cross-sectional population based serosurvey. Lancet Glob Heal. 2019;7(8):e1065-73.

Khetarpal N, Khanna I. Dengue Fever: Causes, Complications, and Vaccine Strategies. J Immunol Res. 2016;2016:6803098.

Shepard DS, Halasa YA, Tyagi BK, Adhish SV, Nandan D, Karthiga KS et al. Economic and disease burden of dengue Illness in India. Am J Trop Med Hyg. 2014;91(6):1235-42.

Zhang JH, Yuan J, Wang T. Direct cost of dengue hospitalization in Zhongshan, China: Associations with demographics, virus types and hospital accreditation. PLoS Negl Trop Dis. 2017;11(8):e0005784.

Kulkarni P, Kumar DS, Hugara S, Manjunath R, Murthy MR. Empowering Village Health Sanitation and Nutrition Committee members on dengue prevention and control: An educational interventional study in rural areas of Mysuru, Karnataka. Indian J Med Sci. 2021;73(2):179-83.

Bhardwaj LM, Borthakur S, Bhattacharyya PC. Clinico-epidemiological study of dengue cases in a tertiary care hospital, Guwahati, Assam. Int J Adv Med. 2017;4:1605-12.

Rawat D, Singh K, Garg P. Clinico-epidemiological study of dengue fever in Ajmer region. Int J Contemp Pediatr 2019;6:2046-52.

Panmei K, Joseph AK, Rose W, Abraham OC, Mathuram AJ, Kumar S et al. Direct cost of illness for dengue in hospitalized children and adults at a referral hospital in India. Int J Infect Dis. 2019;84:S64-7.