Epidemiology study of clinical feathered in dengue hospitalized patients, Bamrasnaradura institute Diseases Institute year 2007

Abstract

          Dengue/Dengue hemorrhagic fever has been one of the most important diseases in public health. This research was evaluated to study about epidemic clinical feathers of DF and DHF hospitalized patients. It is the descriptive analysis and collected the data from DF and DHF patient reported/medical record program of hospital admission in 2008 (1 October 2007 to 30 September 2008). We found that 287 patients were diagnostic to dengue cases upon the guideline of the method in diagnosis and treatment about DF and DHF and it has no fatal case report. The result shown that found 54.7% in male and 45.30% in female dengue cases. These cases have children under 15years old 55.75% and have the highest rate in child 10-14 years old (32.75%). Adults 44.25% have the highest dengue case in 15-24 years old. All of cases, we found that the student in secondary school are the most affect by dengue (34.15%) , high school children have 21.60%. We can conclude that dengue can widespread to many people especially the school children group, so it is important to provide information and health education about dengue prevention methods for them. Clinical features and laboratory results in the first hospitalized of the dengue patients showed that the dengue cases have a symptom before hospitalized approximately 3.99 days and have general symptoms (82.58%) and include haemorrhage
(17.42%) including epistaxis (30.00%), pethechia (20.00%), tooth with blood (12.00%), vomit with blood (8.00%), stool with blood (4.00%), epistaxis and vomit with blood (2.00%), epistaxis and pethechia (2.00%), as well as menstruation in female patients (10.31%). Laboratory result of children patients shown that
leukocytes count average 3,495.5 cells/mm³, haemoglobin concentration average 39.95%, platelets count average 130,356.25 cells/ mm3. Adult patients have leukocytes count average 3,901.57 cells/ mm³, haemoglobin concentration average 42.83%, platelets count average 84094.49 cells/ mm.³

           Children patients have maximum haemoglobin concentration average 40.86% and minimum platelets count average 70,543.75 cells/ mm.³ Adult patients have maximum haemoglobin concentration average 44.00%and minimum platelets count average 52,825.24 cells/ mm.3 Diagnostic conclusion separated from symptom found that it has DHF child patients more than adult equally 1 time, DF adult patients more than children equally 3 times and DSS child patient more than adult 3 times. We can conclude that the child patients have reinfection of dengue and admission in hospital for treatment approximately 4.77 days, for adult aproximatly 4.12 days.