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| Year:
2015 |
Month:
July
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Volume:
4 |
Issue:
3 |
Page:
22 - 26 |
A Study of Clinico-Demographic Profile of Dengue Cases in A Teaching Hospital
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Correspondence
Hemant Kumar, Saba Mohammed Mansoor,
Brig (Dr) Hemant Kumar,
Medical Superintendent and Professor, Department of Community Medicine,AJ Institute of Medical Sciences & Research, Mangalore (Karnataka), India.
E-mail: doctorhemantkumar@gmail.com :
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Introduction: Dengue is world’s most rapidly spreading mosquito-borne viral disease accounting for nearly 390 million cases across the globe each year. Unfortunately, India shares the highest burden accounting for nearly 34 per cent of all cases. During 2012, a total of 35,066 cases were reported in India with 216 deaths, while southern states contributed most of the cases. Further, in many studies from various parts of the country, several atypical presentations of dengue fever have been reported. With this in the backdrop, an observational study was undertaken to analyse demographic and clinical profile of dengue cases admitted in AJ Institute of Medical Sciences & Research Centre, Mangalore, Karnataka, India, during a period of three years from, 01 January 2011 to 31 December 2013.
Materials and Methods: A record-based observational study was undertaken to study demographic and clinical profile of all patients admitted to AJ Institute of Medical Sciences & Research Centre, Mangalore, a teaching hospital in Karnataka; during a period from 01 January 2011 to 31 December 2013 and were found positive for dengue.
Results: - A total of 766 patients were included in the study. Majority of the patients were males, (92.03%) and belonged to the age group of 15-44 years (88.6%). Admissions increased steadily from 2011 to 2013. A total of 244 (31.85%) cases presented with platlet count of less than 50,000. The most common presentation was fever 746 (97.38%), followed by headache 427 (55.74%), vomiting 328 (42.81%), myalgia 377 (49.21%), orbital pain 344 (44.90%) and abdominal pain 322 (42.03%). A total 09 (1.17%) patients presented with dengue haemorrhagic fever, while 04 (0.52%) cases reported with dengue shock syndrome. A small percentage of patients, i.e. 27 (3.52%) reported with rashes. The overall outcome of patients care was good, with only four cases (0.13%) resulting in fatality.
Conclusion: The present study provides important information into the epidemiological trends in this part of the country while its rising incidence suggests failure of vector control measures at all levels. The study also highlights its varied manifestations, complications and outcome of the disease.
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