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KURNOOL
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INTRODUCTION
Dengue fever is a major public health problem in tropical and subtropical countries The reasons for the emergence of this disease are complex Effective mosquito control is virtually nonexistent in most dengue-endemic countries Major global demographic changes have occurred Uncontrolled urbanization Concurrent population growth Substandard housing, inadequate water, sewer, and waste management systems
Dengue virus
VECTORS
Aedes aegypti
Aedes albopictus
Dengue is one disease entity with different clinical presentations and often with unpredictable clinical evolution and outcome
CASE DEFINITION
/GGH Kurnool Study design :Cross-sectional study Study subjects:70 Sampling method: All suspected cases of Dengue admitted in pediatric ward Study period: Schedule 1.06.2011 to19.09.2011 Data collected was analyzed in MS excel
OBSERVATIONS
Mean age: 4 years Mode for age:3 Median for age:7 years Range:7 months to 14 years
DISTRIBUTION OF DENGUE
CALCULATION
Total Platelets Severe Dengue (+ve) Severe Dengue (-ve)
20,000
10
16 54 70
> 20,000
Total
14
24
40
46
Chi square value > 7.29 P value < 0.01 (highly significant) df=1
DISCUSSION
In my study 43 were +Ve for dengue among them 24 were diagnosed as sever Dengue out of 70 cases of Dengue In K. Oishi and all in,Nagasaki university,Japan. 38 were +Ve for sever dengue among 78 cases of secondary dengue
CONCLUSIONS
The prevalence rate of Dengue is (43/70 100) Age wise distribution of Dengue cases Gender distribution of dengue Distribution of cases according to WHO classification of Dengue Relation among platelet counts and different forms of Dengue Case fatality rate (3/70 100) The strength of association between severity of Dengue and severity of thrombocytopenia was found to be statistically significant with a P value <0.01.(Chi square value of 7.29 with 1 df)
ACKNOWLEDGEMENTS
Special thanks to my beloved Professors: Dr. P.Sudhakar Rao MD Gen Med Dr. A.Sreedevi Prof & HOD of SPM Assistant professor: Dr.S.Cynthia Subhaprada My colleagues: Bala Kumar.D Divya.B Bhupathi Naidu.K
REFERENCES
WHO Library Cataloguing-in-Publication Data Dengue: guidelines for diagnosis, treatment, prevention and control -- New edition. 1.Dengue - diagnosis. 2.Dengue - therapy. 3.Dengue - prevention and control. 4.Endemic Diseases prevention and control. 5.Fluid therapy. 6.Diagnosis, differential. 7.Disease outbreaks - prevention and control. 8.Mosquito control. 9.Guidelines. I.World Health Organization. ISBN 978 92 4 1
Mayo clinic, (2010). Dengue fever symptoms. Retrieved April 19, 2010 from http://www.mayoclinic.com/health/dengue_fever/DS01028/DSECTION=symptoms
54787 1 (NLM classification: WC 528) World Health Organization, (2009). Dengue and Dengue haemorrhagic fever. Retrieved April 19, 2010 from http://www.who.int/mediacentre/factsheets/fs117/en
Dengue Fever , disease information: http://www.cdc.gov/ncidod/Diseases/submen us/sub_dengue.htm CDC-Dengue: http://www.cdc.gov/ncidod/dvbid/dengue/ WHO/Dengue/dengue haemorrhagic fever: http://www.who.int/csr/disease/dengue/en/
Thank you