Retrospective Cross-sectional Study of Dengue Cases in IPD with Reference to Treatment- Monitoring & Outcome in KEM Hospital, Mumbai

Abstract

<b> </b> Dengue is the most important vector-borne viral disease of humans and likely more important than malaria globally in terms of morbidity and economic impact [8].<SUP><b> </b></SUP>Transmission of dengue is now present in every region of the world and more than 125 countries are known to be dengue endemic. Maharashtra has the highest dengue mortality rate (3.4%) in India, as per data obtained from National Vector Borne Diseases Control Program (NVBDCP-2013). The case fatality rate is significantly high as compared that with other infectious diseases. This observational study was done to obtain the information on treatment given & its outcome in clinical profile & also to assess treatment gap & outcome of Dengue patients admitted in KEM Hospital. The data was collected from the case records of dengue diagnosed patients from Medical record department and it was filled in case record form. The statistical-analysis & the conclusion were drawn with the help of observations. The study revealed that maximum number (121) of dengue cases were in the age group of 21-30 yrs. There was an association between platelet count and treatment outcome. Severity in sign & symptoms lead to complication (n=23) and death (n= 21) in dengue cases. There were 22 deaths occurred in year 2013 because of dengue. Out of which maximum 12 cases reported in months of September (n=6) & October (n=6). There was no treatment gap found in cases of Deaths in study but 36% of died patients received antimalarial treatment even after diagnosed with Dengue. Remaining 64% of died patients received appropriate, rational and life saving treatment for dengue.