Department of Internal Medicine, Manipal College of Medical Sciences, Pokhara, Kaski, Nepal.
Department of Nursing Administration, Pokhara Academy of Health Sciences, Pokhara, Kaski, Nepal.
JNMA J Nepal Med Assoc. 2022 Sep 1;60(253):781-784. doi: 10.31729/jnma.7675.
Dengue is an infectious disease. This disease is prevalent mainly in the terai belts of Nepal. But in the last few years, the cases are in increasing trend in the hilly areas of Nepal. The aim of this study was to find out the prevalence of admitted dengue cases among adult dengue-positive cases in a tertiary care centre.
This was a descriptive cross-sectional study done at a tertiary teaching hospital after obtaining ethical approval from the Institutional Review Committee (Reference number: 063/2077/2078). Convenience sampling was used. The data of serologically confirmed dengue cases, during the period of 1 August 2019 to 1 December 2019, of ages above 15 years, were collected from the hospital records. Point estimate and 95% Confidence Interval were calculated.
Out of 922 adult dengue-positive patients, 347 (37.63%) (36.04-39.22, 95% Confidence Interval) were admitted. Among them, 154 (44.38%) cases were seen during the month of September. A total of 264 (76.08%) were the inhabitants of the Kaski district. A total of one hundred seventy eight (51.29%) cases were males. The most common symptoms seen were fever among 335 (96.54%) patients and headache among 141 (40.63%) patients. Leukopenia was seen in 192 (55.33%) patients and thrombocytopenia was seen in 165 (47.55%) of the admitted cases.
The prevalence of admitted dengue cases was higher as compared to other studies done in similar settings.
登革热是一种传染病。这种疾病主要流行于尼泊尔的特赖地带。但在过去几年中,尼泊尔丘陵地区的病例呈上升趋势。本研究旨在找出在一家三级保健中心成年登革热阳性病例中住院登革热病例的流行率。
这是一项在获得机构审查委员会(参考号:063/2077/2078)伦理批准后,在一家三级教学医院进行的描述性横断面研究。使用方便抽样。从医院记录中收集了 2019 年 8 月 1 日至 2019 年 12 月 1 日期间年龄在 15 岁以上的血清学确诊登革热病例的数据。计算了点估计值和 95%置信区间。
在 922 名成年登革热阳性患者中,有 347 名(37.63%)(36.04-39.22,95%置信区间)住院。其中,154 例(44.38%)于 9 月就诊。共有 264 例(76.08%)是卡斯基区的居民。共有 178 例(51.29%)为男性。最常见的症状是 335 例(96.54%)患者发热和 141 例(40.63%)患者头痛。192 例(55.33%)患者白细胞减少,165 例(47.55%)住院患者血小板减少。
与在类似环境中进行的其他研究相比,住院登革热病例的患病率较高。