Clinical Profiles and Outcome of Children Admitted with Measles in District Level Hospital, Nilphamari, Bangladesh

Abstract

Introduction: Measles is a highly contagious acute viral infection. It is a common cause of morbidity and mortality constituting half of vaccine preventable diseases. Aim of the study: The study was designed to describe the demographic, vaccination status, clinical profiles, and outcome of children admitted with measles during study time. Method: This was a retrospective observational study conducted in the department of Pediatrics at Adhunik Sadar Hospital, Nilphamari, Bangladesh. The diagnosis of measles based on clinical features. Demographic characteristics of patients and occurrence of measles from the time of vaccination was recorded. Patients below the age of 2 years who were clinically diagnosed as cases of measles were treated and followed. Data were analyzed by using SPSS version 22. Results: The most frequent age group of children admitted with measles during the study time 10-14 months was which constitute 35(54.69%) of cases. The youngest age group was 4-9 months constitute 24(37.50%) and the oldest was 15-18 months constitute 5(7.81%).This study showed that 36(56.25%) patients were males and 28(43.75%) were females with a male/female ratio of 1.14:1.21(32.81%) cases where from urban areas and 43(67.19%) were from rural area.39 (60.94%) cases were malnourished in 10-14 months age group, in 4-9months age group 20(30.25%) and in 15-18months age group was 5(7.81%).39(60.94%) children had history of contact with a case of measles in the preceding 3 weeks.20(31.25%) children had no history of contact and 5(7.81%) children had unknown history of contact. The total death ratio of the participants was 4(6.25%) where vaccinated patients was 1(1.56%), not vaccinated was 2(3.13%) which was significant and unknown cases was 1(1.56%). Conclusion: One third of measles infections occurred before the age of 9 months. Half of measles cases were not vaccinated. The majority of the complicated cases had occurred in the unvaccinated children. Pneumonia was found to .....