| Abstrakt: |
Background: Dengue is a virus infection caused by four dengue virus serotypes (DENV1-DENV4). Children diagnosed with dengue virus have symptoms ranging from mild fever to dengue haemorrhagic shock. The present research is a retrospective analysis designed to determine the prevalence rate of dengue viral infection in pediatric cases with primarily gastrointestinal symptoms. Study Design: It is a retrospective study. Method: The study was conducted in the Department of Paediatrics at the Tertiary care Hospital, Visakhapatnam from June 2018 to October 2018. A maximum of 85 OPD/IPD cases have been registered in the study for a period of five months. The research examined clinical, laboratory, treatment and outcome data for 85 children (6 months to 14 years of age) admitted to hospital with fever and suspected dengue diagnosis. Full medical history of all dengue cases including signs and symptoms, method of diagnosis, management, length of stay and clinical outcomes are collected from patient information. Pan Bio ELISA was performed as a confirmatory test. Results: Among the 85 suspected cases of dengue reported to OPD/IPD 65(76%) were confirmed as dengue positive and 20(24%) were found to be non-dengue cases with ELISA. Gender wise distribution of dengue positive cases, more cases were noticed in males 35(53%). Prevalence was more in the age group 5-11 years 24(37%). Among the 65 positive cases of dengue, more number of cases were supported with fever 65 (100%) followed by GI symptoms like vomiting 31(47%), nausea 26(40%) and diarrhoea with abdominal pain 29(44%). Conclusion: This study will provide a clear insight into the prevalence of dengue in children, the symptoms of the disease and the outcome. The understanding of dengue in children, including its clinical manifestations, pathogenesis, diagnostic tests, management and prevention, is very important in reducing the mortality rate. [ABSTRACT FROM AUTHOR] |
