Biological, Physical, Social, and Environmental Factors Associated with Dengue Hemorrhagic Fever in Nganjuk, East Java

Background Shock in dengue hemorrhagic fever (DHF) still con-stitutes an important problem in children. Predicting DHF patientswho will develop shock is difficult.Objective The aim of this study was to find out factors associatedwith shock in DHF.Methods This was a prospective observational study. Subjectswere children hospitalized from April to July 2000 who met theWHO criteria for DHF and had positive serological confirmation.Association between independent variables (age, gender, dura-tion of fever, abdominal pain, vomiting, hepatomegaly, plateletcount, hematocrit level, and nutritional status) and the dependentvariable (shock) was analyzed by logistic regression model..Results There were 85 children who met the eligibility criteriaconsisting of 50 (59%) boys and 35 (41%) girls with an averageage of 7.1 years (SD 2.88). Shock occurred in 42 (49%) children.Of the 42 children with shock, the age group of 5-9 years madeup the biggest group (57%) consisting of 23 (55%) boys and 19(45%) girls. Hepatomegaly was found in 32 (76%) children, ab-dominal pain and vomiting in 30 (71%) and 36 (86%) children,respectively, and good nutrition in 22 (52%) children. Shock oc-curred mainly on the fourth and fifth days (76%). Almost half ofthe patients (45% and 52%) had hematocrit level of 46-50% andplatelet count of 20,000-50,000/ml, respectively. By logistic re-gression analysis, it was found that duration of fever, abdominalpain, hematocrit level, and platelet count constituted indepen-dent factors correlating with shock in DHF.Conclusion Abdominal pain, fever lasting four to five days, hema-tocrit level of >46%, and platelet count of <50,000/μl were associ-ated with shock in DHF

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Pengaruh Kesehatan Lingkungan terhadap Perubahan Epidemiologi Demam Berdarah di Indonesia

e-CliniC ◽

10.35790/ecl.5.2.2017.16879 ◽

2017 ◽

Vol 5 (2) ◽

Author(s):

Ribka Wowor

Keyword(s):

High Risk ◽

Environmental Factors ◽

Dengue Hemorrhagic Fever ◽

Health Problem ◽

Human Population ◽

Dengue Infection ◽

Clinical Manifestations ◽

Hemorrhagic Fever ◽

Effective Control ◽

High Risk Population

Abstract: In Indonesia, dengue hemorrhagic fever (DHF) is a serious health problem. Infection of dengue has occurred in Indonesia for the last two decades. It is a self limiting disease, however, its clinical manifestations has become worsened since several years ago. Epidemiologic pattern of dengue infection changes every year, and there is a peak of new cases every 10 years. Nowadays, adolescence and adult individuals belong to the high risk population of this infection. This epidemiologic changing of DHF is influenced by several environmental factors, inter alia: 1) increasing of human population; 2) uncontrolled urbanization; 3) no effective control of mosquitoes in endemic areas; and 4) modernized public transportation.Keywords: environmental sanitation, epidemiology, dengue hemorrhagic fever Abstrak: Di Indonesia, demam berdarah dengue (DBD) masih merupakan masalah kesehatan masyarakat yang penting. Infeksi dengue terjadi secara endemis di Indonesia selama dua abad terakhir. Penyakit ini bersifat self limiting namun dalam beberapa tahun terakhir memperlihatkan manifestasi klinis yang semakin berat sebagai DBD dan frekuensi kejadian luar biasanya semakin meningkat. Pola epidemiologi infeksi dengue mengalami perubahan dari tahun ke tahun, jumlah kasus memuncak setiap siklus 10 tahunan. Kelompok usia yang terserang dengue berubah menjadi kelompok remaja dan dewasa. Perubahan epidemiologi DBD ini turut dipengaruhi oleh faktor kesehatan lingkungan. Faktor-faktor yang memengaruhi peningkatan dan penyebaran kasus DBD sangat kompleks yaitu, antara lain: 1) pertumbuhan penduduk yang tinggi dan cepat; 2) urbanisasi yang tidak terencana dan tidak terkendali; 3) tidak adanya kontrol vektor nyamuk yang efektif di daerah endemis; serta 4) peningkatan sarana transportasi.Kata kunci: kesehatan lingkungan, epidemiologi, demam berdarah dengue

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Factors Associated with Housewife Participation in Prevention of Dengue Hemorrhagic Fever Mosquito Breeding Place in Lhokseumawe, Aceh

Reaching the Unreached: Improving Population Health in the Rural and Remote Areas ◽

10.26911/theicph.2018.01.31 ◽

2018 ◽

Author(s):

Wahyu Ajisah ◽

◽

Irnawati Marsaulina ◽

Kintoko Rochadi ◽

◽

...

Keyword(s):

Dengue Hemorrhagic Fever ◽

Hemorrhagic Fever ◽

Factors Associated ◽

Mosquito Breeding ◽

Breeding Place

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The incidence and clinical profile of dengue hemorrhagic fever among patients diagnosed with dengue fever in a tertiary care centre in south India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211349 ◽

2021 ◽

Vol 9 (4) ◽

pp. 1050

Author(s):

Kiren George Koshy ◽

Moothezhathu Kesavadas Suresh ◽

Meenu Maheswari Suresh ◽

Deepak Iype Koshy

Keyword(s):

Dengue Fever ◽

Dengue Hemorrhagic Fever ◽

South India ◽

Tertiary Care ◽

Hemorrhagic Fever ◽

Alanine Transaminase ◽

Care Centre ◽

Tertiary Care Centre ◽

Factors Associated ◽

Age Range

Background: An understanding of factors predictive of severe forms of dengue fever would be helpful in risk stratification. The objective of the study was to determine incidence of and the factors associated with the development of dengue hemorrhagic fever (DHF) among patients admitted with dengue fever.Methods: Consenting patients were consecutively enrolled in the study and were followed forward in time to establish if they had DHF rather than milder dengue. Several factors were studied to ascertain their relation to conversion to DHF.Results: Cases included were 160 (103 males), with a mean age of 39.4 years (age range: 13-78). Fifty one (32%) developed DHF. On multivariate analysis; hepatomegaly, high alanine transaminase, low serum albumin and systolic blood pressure ≤100 mm Hg were independent predictors for the development of DHF.Conclusions: Nearly a third of patients with dengue fever develop DHF. The predictors identified, should alert the physician to this impending complication.

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