Miah M T, Islam M R, Ayaz K M, Patwary M A, Begum A, Shanchay M S, Imon R A, Adnan M A
Professor Md Titu Miah, Professor of Medicine, Dhaka Medical College (DMC), Dhaka, Bangladesh; E-mail:
Mymensingh Med J. 2020 Apr;29(2):431-437.
A large outbreak of Chikungunya occurred in Bangladesh in 2017. It caused a serious impact on sufferers of the disease. Study aimed to assess the real scenario unfolding as case reporting to Directorate General of Health is less in Bangladesh by physicians. For this observational study a Chikungunya Clinic was set at Dhaka Medical College, Dhaka, Bangladesh and physicians were attached to the clinic who got training on Chikungunya by directorate General of Health from 9th July 2017 to 10th September 2017. A pre-tested questionnaire was supplied to all the physicians working at the clinic. Appropriate training was provided before data collection. Total 301 patients were enrolled. Most striking features were fever (99.3%), arthralgia (99.3%), rash 70.4%, Itching 64.8%, oral ulcer 23.9%, loose motion 18.6% and bleeding 8%.%. Most affected joints were MCP 76.9%, knee 74.9%, wrist 69.2%, Inter phalangeal joints of hand were 67.2%. Chikungunya was not very familiar with the physicians of Bangladesh. This was first time large scale experience by physicians of Bangladesh. Severity and chronicity of arthritis, rash, bleeding caused serious morbidity.
2017年，孟加拉国发生了基孔肯雅热大爆发。这对该病患者造成了严重影响。研究旨在评估实际情况，因为在孟加拉国，医生向卫生总局报告的病例较少。在这项观察性研究中，孟加拉国达卡医学院设立了一个基孔肯雅热诊所，并安排了一些医生在该诊所工作，这些医生于2017年7月9日至2017年9月10日期间接受了卫生总局提供的基孔肯雅热培训。向在该诊所工作的所有医生提供了一份经过预测试的问卷。在数据收集前提供了适当的培训。共招募了301名患者。最显著的特征是发热（99.3%）、关节痛（99.3%）、皮疹（70.4%）、瘙痒（64.8%）、口腔溃疡（23.9%）、腹泻（18.6%）和出血（8%）。受影响最严重的关节是掌指关节（76.9%）、膝关节（74.9%）、腕关节（69.2%）、手部指间关节（67.2%）。基孔肯雅热在孟加拉国医生中并不十分为人所知。这是孟加拉国医生首次获得大规模的经验。关节炎、皮疹、出血的严重程度和慢性导致了严重的发病率。
