Padmaprakash K V, Jha Vijoy Kumar, Bhushan Shashi, Sowmya Karantha C
HOD Medicine, INHS Kalyani, Vizag, Andhra Pradesh.
Physician and Nephrologist, Command Hospital Air Force, Bangalore, Karnataka.
J Assoc Physicians India. 2020 Nov;68(11):24-27.
Dengue fever is the most common viral communicable disease caused by the bite of Aedes aegypti mosquito. Worldwide about 3.9 billion people are at the risk of this infection.
This prospective study was done in patients of dengue fever admitted in a service hospital in the coastal area of southern India from 01 Jan 2018 to 31 Dec 2018.
751 patients of confirmed dengue patients were admitted with 555 (73.9%) males and 196 (26.1%) females. The mean age was 30.6 (SD± 10.48) years, mean day of admission after the onset of illness was 3.4 days (SD±2.76). The most common presentation was fever (99.33%) followed by myalgia (77.62%), headache (67.24%), vomiting (35.41%), nausea (26.76%) and fatigue (9.05%). Bleeding diathesis was evident in 97patients (12.91%). 306 (40.75%) patients presented with warning signs. The mean duration of hospitalization was 5.73 (SD± 2.75) days. Four patients died due to severe dengue (mortality rate-0.53%).
Intense monitoring, early detection, and management of complications can prevent mortality in dengue.
登革热是由埃及伊蚊叮咬引起的最常见的病毒性传染病。全球约有39亿人面临这种感染风险。
这项前瞻性研究于2018年1月1日至2018年12月31日在印度南部沿海地区一家服务医院收治的登革热患者中进行。
751例确诊登革热患者入院，其中男性555例（73.9%），女性196例（26.1%）。平均年龄为30.6（标准差±10.48）岁，发病后平均入院天数为3.4天（标准差±2.76）。最常见的表现是发热（99.33%），其次是肌痛（77.62%）、头痛（67.24%）、呕吐（35.41%）、恶心（26.76%）和疲劳（9.05%）。97例患者（12.91%）有出血倾向。306例（40.75%）患者出现警示征象。平均住院时间为5.73（标准差±2.75）天。4例患者死于重症登革热（死亡率-0.53%）。
加强监测、早期发现和并发症管理可预防登革热死亡。
