Volume 5, Issue 4, December 2019, Page: 219-223
Clinical Profile of Dengue and Predictors of Its Severity Among Children
Sharmin Afroze, Department of Neonatology, Dr. M. R Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh
Salim Shakur, Department of Paediatrics, United Hospital Limited, Dhaka, Bangladesh
Abrar Wahab, Department of Public Health, North South University, Dhaka, Bangladesh
Salomee Shakur, Department of Medicine, Uttara Adhunic Medical College, Dhaka, Bangladesh
Received: Sep. 26, 2019;       Accepted: Oct. 14, 2019;       Published: Oct. 23, 2019
DOI: 10.11648/j.ajp.20190504.19      View  64      Downloads  31
Abstract
Dengue fever is a self-limiting, systemic viral illness that has a wide range of clinical manifestations. Last year dengue was severe in children with much mortality. This study was aimed to see the clinical profile of dengue and to find out the risk factors for developing severity. This cross sectional study was conducted over four months (June-September, 2018) in Department of Pediatrics of United Hospital Limited. All admitted dengue cases were analyzed. The predictors of developing severity were assessed by comparing variables between classical and severe dengue fever groups. A total of 106 children with Dengue fever were admitted. Mean age was 5.8±3 years with male predominance (60%). Common presentations include fever (100%), flushed appearance (72%), rash (43%), vomiting (39%), abdominal pain (36%), shock (28%) and respiratory distress (23%). In risk factor analysis, overweight (OR: 8.275, CI: 1.378-49.706) and massive serositis (OR: 17.86, CI: 4.733-67.399) were found statistically significant predictors of severe dengue. The overall mortality was 3%. So, overweight children and those patients who develop massive serositis are at increased risk of having severe dengue. Early identification of these features can help physicians to manage these cases judiciously.
Keywords
Dengue in Children, Dengue Severity, Risk Factors of Dengue
To cite this article
Sharmin Afroze, Salim Shakur, Abrar Wahab, Salomee Shakur, Clinical Profile of Dengue and Predictors of Its Severity Among Children, American Journal of Pediatrics. Vol. 5, No. 4, 2019, pp. 219-223. doi: 10.11648/j.ajp.20190504.19
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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