A 5 years retrospective study of dengue and dengue hemorrhagic fever at Department of Pediatric Yasothon Hospital.

Abstract

Background: Dengue fever and dengue hemorrhagic fever is one of the most common diseases and continues to be a serious problem of the Pediatrics Department, Yasothon Hospital. This study aim to study the symptoms, signss, results of preliminary laboratory tests and clinical manifestation of dengue and dengue hemorrhagic fever pediatric patients.

Materials and methods: It is a descriptive and analytical study. Which was studied from the medical records consisted of personal profile information clinical manifestations and laboratory results of patients diagnosed with dengue fever, dengue hemorrhagic fever and dengue shock syndrome of patients one month of age – 15 years treated in a pediatric ward Yasothon Hospital. Between October 1, 2016 - September 30, 2020, a total of 462 cases were included and analyzed using descriptive statistics, frequency and percentage.

Result: The study found that 218 cases of dengue fever (DF), 229 cases of dengue hemorrhagic fever (DHF), and 15 cases of dengue shock syndrome were found. Best in July Male and female proportions are similar. The most common age group was 10-15 years, with 50.65% of all cases having high fever. The duration of fever was 3 to 9 days, with a mean of 5.14 days in dengue hemorrhagic (DF) patients and 5.17 days in dengue hemorrhagic fever (DHF) patients. of fever 4 - 9 days average 6.07 days headache, body aches, abdominal pain, nausea, vomiting, tenderness in the epigastrium or under the right ribcage and enlarged liver during the downward phase, a rash appears with itching on the skin. Convalescent rash was found in dengue hemorrhagic fever (DSS) patients with dengue shock (DSS), followed by dengue hemorrhagic fever (DHF) and dengue fever (DF). Laboratory results CBC results 1 day ago. Reducing fever: 97.8% and 86.7% of all dengue hemorrhagic fever (DHF) and dengue hemorrhagic shock (DSS) patients had an increase in hemoconcentration Hct and a WBC ≤ 5,000 cell/mm3, respectively. and all dengue hemorrhagic patients with shock syndrome (DSS) had Platelet < 50,000 cell/mm3.

Conclusion: Dengue fever tends to increase in number. More common during the age of 10-15 years, more common in July until October. But the patient can be found all year round, the treating physician must always think about this disease. In patients with high fever, no other cause has been found.