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Dengue – A clinico-epidemiological study in a tertiary care hospital of north Karnataka, India

Author: 
Murari Pradeep Kumar, Sughosh Kulkarni, Rohit A. and Anoosha P Bhandarkar
Subject Area: 
Health Sciences
Abstract: 

Objectives: To study the clinical and epidemiological profile of dengue cases admitted at a tertiary care hospital. Methods: A cross-sectional study was conducted at SDM College of Medical Sciences and Hospital on all serologically diagnosed dengue cases admitted from 1st October 2012 to 31st December 2012. The serological diagnosis was done using Rapid Immunochromatographic Card Test (RICT) in the clinical microbiology laboratory of the hospital. Detection of at least one component (NS1, IgM or IgG) was considered to be positive for sero-diagnosis. A pre-designed, pre-tested proforma was used to collect information from the patients. Data was analyzed by SPSS version 17.0 software and descriptive statistics was used. Results: Majority of cases 66.2% (149) were of Dengue fever (DF) according to WHO classification and highest number of dengue cases was in the age group of < 14 years. Male (58.2%) preponderance was noted among the cases. Fever was the presenting symptom in all cases followed by vomiting (47.1%) and headache (45.3%). Hepatomegaly was noted in 27.1% and splenomegaly in 9% of the cases. The mean platelet count was lower than normal values in all the cases. Conclusion: Detection of large number of cases in a short duration signifies high incidence rate. Dengue should be suspected in all cases presenting with symptoms like fever, vomiting and headache. Dengue fever (DF) is more common clinical syndrome than the most serious dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS).Dengue shock syndrome occurs more frequently in younger age group and diagnosing in children is very important. The use of Dengue RICT helps in the prompt and early diagnosis and management of the case and prevent complications of the dengue.

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