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Indian Journal of Communicable Diseases

Volume  5, Issue 1, January-June 2019, Pages 5-10
 

Original Article

Dengue Trends in South India: A Five Years Study at a Tertiary Care Hospital

Hemant Kumar1, Pradeep Senapathi2, Sajjan Madappady3

1Professor & Head, 2Associate Professor, 3Assistant Professor, Department of Community Medicine, A.J. Institute of Medical Sciences & Research Centre, Mangalore, Karnataka 575004, India.

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DOI: DOI: http://dx.doi.org/10.21088/ijcd.2395.6631.5119.1

Abstract

 Introduction: Dengue is a fast emerging pandemicprone viral disease in many parts of the world, accounting for nearly 390 million cases across the globe each year while India shares the largest burden of these cases. In India, the spike in cases of dengue was the highest during the last one decade i.e. from less than 60,000 cases in 2009, to 188,401 in 2017, which is nearly a 300 per cent increase. Methodology: A hospital record-based study was undertaken to determine demographic and clinical profile of all confirmed dengue cases admitted to the teaching hospital of A.J. Institute of Medical Sciences & Research Centre, Mangaluru, during a period from 01 January 2014 to 31 December 2018. Results: The study included 655 cases. Majority of them were males, (86.8%) and belonged to the age group of 15-44 years (79.3%). Admissions increased steadily from 2014 to 2016 and thereafter declined during 2017 and 2018. A total of 90 (13.7%) cases presented with platelet count <50,000/Cumm. Almost all cases, i.e. 631 (96.3%), presented with fever while headache 592 (90.3%), Myalgia 497 (75.9%) and retro-orbital pain 357 (54.5%) were other common symptoms. A total of 41 (6.2%) patients reported with neurological manifestations. There were 05 (0.7%) cases of DHF, 06 (0.9%) cases of DSS and 03 (0.4%) cases of ARDS. The management of cases was found to be satisfactory, as there was no fatalities. Conclusion: The study brings out epidemiological trends and clinical presentation of dengue fever in this part of the country.

Keywords: Platelet count; Complication; Dengue fever; Disease; Incidence.


Corresponding Author : Hemanth Kumar