scholarly journals A study of clinical profile of patients with Dengue fever at a tertiary care hospital

2018 ◽  
Vol 5 (1) ◽  
pp. 202 ◽  
Author(s):  
Sreenivasulu T. ◽  
Jahnavi K.

Background: Dengue is the most common fever. Among all flavi-viruses, it is the most common. It can cause around 50-100 million infections. Every year 2-5 lakh cases of Dengue hemorrhagic fever occur. The objective of the research was to study clinical profile of patients with Dengue fever at a tertiary care hospital.Methods: Present study was cross sectional study. The patients were interviewed and examined at one point of time and later they were never followed which is similar to the cross-sectional study design. Present study was carried out in the hospital. This was done in the department of General Medicine of a tertiary care hospital. Present study was carried out over a period of one year.Results: In the present study, there were 78 males and 22 females. The sex ratio was 3.5:1. Maximum number of males (29.5%) was in the age group of 15-25. Among females, the maximum (40.9%) were in the age group of 26-35 years and 46-55 years (9%). The most common presenting symptom was fever in all cases followed by headache in 90%. Among bleeding manifestations, epistaxis, gum bleeding and hematuria (15%) were the common symptoms. Most patients presented with generalized lymphadenopathy in 52%. 56 patients showed only hepatomegaly and 46 splenomegaly, and 30 patients showed hepato splenomegaly. 99 showed leucopenia and 10 were anemic and 25 showed platelet count less than 1,50,000cells/cumm.Conclusions: Males were commonly affected. Younger age group of 15-25 was most commonly affected and fever and headache were the most common presenting symptoms. These findings help physicians in early diagnosis of dengue by suspecting these features as of dengue and can prevent morbidity and mortality associated with dengue.

2021 ◽  
Vol 8 (7) ◽  
pp. 1183
Author(s):  
Varun Ganjigunta ◽  
Varsha Suresh Ahirrao ◽  
Premalatha R. ◽  
Ravichander B.

Background: Iron deficiency anemia in 3-6 months-old infants is often neglected. Its presence in healthy infant of less than 6 months of age is largely debated. Neglecting IDA in this critical phase of growth can lead to serious consequences. The aim and objective of the study was to estimate the frequency of IDA in 3-6 months old infants, admitted in rural tertiary care hospital and to study its risk factors.Methods: The cross-sectional study was conducted in the pediatric department of rural tertiary care hospital. 100 infants in the age group 3-6 months were included in the study. Relevant maternal and infant factors were noted. CBC with blood indices, peripheral blood smear and reticulocyte count were studied. Anemia in them was defined as hemoglobin <9.5 g/dl. IDA was diagnosed based in history, examination, indices, and peripheral smear.Results: 22% of infants of 3-6 months had IDA. 40.9% of infants with IDA were low birth weight compared to 11.5% without IDA (p value<0.05). All pre-terms included in the study had IDA. 16% of term, normal birth weight, exclusively breast-fed infants had IDA. Underweight and stunting were seen in 31.8 % and 30.8% of IDA infants compared to 9% and 5.4% of infants without IDA.Conclusions: IDA was quite common in infants less than 6 months and also seen in healthy, term and exclusively breast-fed babies, so universal iron supplementation before 6 months need to be considered in National Iron plus Initiative in India. Preterm, LBW babies and babies with NICU stay are at higher risk of IDA. 


Author(s):  
Sankareswari R. ◽  
Ghurunaath T. R. ◽  
Ramya Sreevarshni Shunmugha Sundharam

Background: Iatrogenic bladder injuries (IBI) are more common during obstetric and gynaecological procedures averaging 2.6 IBIs per 1000 surgeries. The objective of the study was to estimate the incidence of IBIs during OBG procedures in a tertiary care hospital at Puducherry. To study the proportion and clinical profile of the IBIs where the management of an urologist was indicated intra-operatively.Methods: This cross-sectional study was conducted in a tertiary care hospital in Puducherry by analysis of records of OBG surgeries conducted during the 5 years’ period from 2011 to 2015. The occurrence of IBIs during obstetric and gynaecological surgeries was estimated and the records of those with injuries were analysed retrospectively.Results: The overall incidence of Iatrogenic Bladder Injuries (IBI) among the OBG surgeries was 1.33% (n=19). Iatrogenic Bladder Injuries (IBI) frequently happened during Gynaecological procedures (73.7%, n=14) than during Obstetric procedures (26.3%, n=5). The incidence of bladder injuries intra-operatively was more frequent during dissection of bladder (57.9%, n=11) and opening the abdomen (36.8%, n=7). The requirement of urologist was more felt during posterior bladder wall injuries (26.3%, n=5).Conclusions: The occurrence of IBIs was more common during Gynaecological procedures than during obstetric procedures. Most of the gynaecological procedures especially hysterectomies require the expertise presence of an urologist.


2021 ◽  
pp. 20-22
Author(s):  
Mukesh Babu Yadav ◽  
Pramod Kumar Singh Yadav

Introduction- The global prevalence of overweight and obesity in children and adolescents has increased substantially over the past several decades. Accumulating evidence suggests that Hs-CRP, which is also found within macrophages of atheromatous plaques. However, there is no much data available that guarantee its utility as a marker of cardiovascular risk in obese children and adolescents. Hence, the present study was taken up to assess the metabolic abnormalities and its association with hsCRP in obese children and adolescents. Methodology-Present cross sectional study was conducted on 100participants attending the tertiary care hospital of District Kanpur and 5ml fasting sample had been collected after overnight fasting and data was entered in Microsoft excel and analysed in SPSS 15.0 using ANOVAand unpaired student t test.Result- among cases group there were 4 participants among the age group of 4-8yrs,10 in the age group of 9-13yrs,23 in the age group of >13yrs while in control group there were 3 participants ampong 4-8yrs of age and 28 in 9-13 yrs ,32 participants among the age of >13yrs. On applying independent sample T-test, we could not established correlation between age and Hs-CRP (p value >0.05).Conclusion- obese children and adolescents have signicantly increased hsCRP compared with a normal weight group. Early intervention and prevention of obesity in children and adolescents decreases cardiovascular disease in later life


Author(s):  
Pankaj Jain ◽  
Om Prakash Meena ◽  
Shivcharan Jelia

Background: Dengue, an endemic disease in most subtropical and tropical regions of the world and it causes severe epidemics in India. Dengue is one of the most common acute viral illness associated with considerable morbidity and mortality. The objective of this study was to study laboratory findings and clinical profile of patients with dengue fever at a tertiary care hospital of coaching city Kota.Methods: This study was cross sectional study. The patients were examined at one point of time and later they were never followed which is similar to the cross-sectional study design. A total of 100 patients of dengue fever who were NS1 Antigen or IgM dengue positive, admitted to department of medicine of government medical college, Kota included in the study. Through clinical examination and relevant laboratory investigations performed in all patients.Results: In the present study, there were 74 males and 26 females. The sex ratio was 2.8:1. Maximum number of males (50%) was in the age group of 15-25 Years. Among females the maximum (42.3%) were in the age group of 15-25 years. The most common presenting symptom was fever in all cases followed by headache in 96%. Among bleeding manifestation, Epistaxis, gum bleeding and melena (24%) were the common symptom. 47% patients showed hepatomegaly and 38% showed splenomegaly. 12% patients were anemic and 51% showed leucopenia while 93% showed thrombocytopenia.Conclusions: Males were commonly affected. Young age group of 15-25 was more commonly affected. Fever and headache were the most common presenting symptom. As dengue causes increased morbidity and mortality and requires prompt diagnosis and treatment for the proper management of these cases, this study helps physicians in early diagnosis of dengue by suspecting the features as of dengue and can prevent morbidity and mortality associated with dengue.


2014 ◽  
Vol 38 (1) ◽  
pp. 15-18
Author(s):  
Mujibul Hoque ◽  
Md Muazzem Hussain ◽  
AT Reza Ahmad ◽  
Md Shahab Uddin

Objective: This study was carried out to find out the prevalence of CHD and their type among Children attended in the inpatient and out patient department of district tertiary care hospital of Sylhet. Methodology: This prospective cross sectional study was carried out in the department of Paediatrics of 4 medical college hospitals of Sylhet over a period of 1 year from January 2012 to December 2012. All children with the confirmed diagnosis of CHD with the age ranging from 1st day of life to 12 years were analyzed considering the pattern of CHD. Results: A total of 234 cases of CHD were admitted. Maximum cases of CHD were admitted between 29 days to 1year age group and 148 (63.25%) were male and the rest 86 (36.75%) were female. The male-female ration was 1.72:1. Most of the CHD (65.38%) were acyanotic and 34.42% cases were cyanotic. The commonest CHD was found VSD (33.33%) which was followed by ASD (16.24%), TOF (11.54%), Complex CHD (11.54%) and PDA (10.68%). Conclusion: It was concluded from this study that the male children are mostly sufferer from CHD and acyanotic heart disease was commonest type of CHD. DOI: http://dx.doi.org/10.3329/bjch.v38i1.20022 Bangladesh J Child Health 2014; VOL 38 (1) : 15-18


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