THE INCIDENCE AND CLINICAL STATUS OF DENGUE INFECTION IN FEBRILE PATIENTS IN TERTIARY CARE HOSPITAL

Dr. D. M. Shajjad Hossain*, Dr. Saifuddin Alamgir, Dr. Md. Abdus Sabur Talukder, Dr. Mst. Shamim Ara Begom, Dr. Monika Mehjabin and Dr. Fahima Afroz

ABSTRACT

Objective: In this study our main goal is to evaluate the incidence and clinical status of dengue infection in febrile patients in tertiary care hospital. Method: This cross-sectional study was carried out at Tertiary medical college and hospital from June 2017 to June 2020. A total of 200 patient who came to either the inpatient or outpatient department and to either the medicine or pediatric unit at the participating hospital with fever > 38°C, or who reported a history of fever with onset within the preceding 10 days were included in the study. Results: During the study, among all febrile patients, 40% female patients had febrile illness and 35% of them were dengue positive. Where among 60% male febrile patients 65% patients were dengue positive. According to physical and laboratory status where in febrile patients mean systolic and diastolic blood pressure was 107 mm Hg and 67 mm Hg. Also, mean neutrophil and platelet count was 65% and 245,519/μL. Where as in dengue cases similar results were found. In dengue group mean systolic and diastolic blood pressure was 108 mm Hg and 68 mm Hg. Also, mean neutrophil and platelet count was 66% and 257,667 /μL. In dengue group, where among all cases fever (100%), headache (65%), myalgia (40%), gastro intestinal symptoms (32%) were common. Followed by 6% had loose motion, 5% had rash, 5% had low back pain, 21% had retro orbital pain, 25% arthralgia. Conclusion: Dengue in the urban and rural parts of Bangladesh is a year-round danger. A community dengue vaccination camp might be conducted and assessed as a feasible preventative approach as vaccine trials progress. Physician and health workers should be taught to handle dengue patients efficiently, using anti-biotics in a sufficient manner and with enough rehydration.

Keywords: dengue infection, febrile patients, fever.