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Profile of pediatric patients with dengue fever/dengue hemorrhagic fever over a five-year period (2000-2004)

Author

Jonathan G. Lim,
Salvacion R. Gatchalian,
Ma Rosario Z. Capeding

Publication Information

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Pediatric Infectious Disease Society of the Philippines
Frequency
Monthly
Publication Date
2010
Volume
10
Issue
1
Page(s)
26-34

Abstract

Objectives: This study was conducted to determine the clinico-demographic profile of pediatric patients who were admitted for dengue infection at the Research Institute for Tropical Medicine (RITM) from 2000 to 2004.

Methods: This is a retrospective, descriptive study. Charts of patients who were less than 19 years of age and were admitted at the RITM due to confirmed dengue (using paired dengue HI titer results) were reviewed.

Results: Two hundred patients qualified for the study. The mean age of the patients was ten years ± four years SD with an equal sex distribution. The most common chief complaint was fever while petechiae were the most common evidence of bleeding. The mean hematocrit among patients was 42 ± 5 vol % and platelet count of 129 ± 53/mm3. Fifty-one percent of the patients had Dengue Hemorrhagic Fever grade II. All subjects were discharged with improved condition. Among the patients, 49% had acute secondary dengue infection, 32% had recent secondary dengue infection, and only 13% had acute primary dengue infection.

Conclusion: The clinico-demographic profile of patients involved in the study was very similar to that of other studies done, both locally and abroad. By using Spearman's correlation of ranks, the study showed that there was no significant relationship between the severity of dengue infection based on the World Health Organization (WHO) Grade and whether it was a primary or secondary infection with r=.018, p-value=.025.

References

1. Liu, JW, , Khor, BS, , Lee JW, , Lee CH, , Chen RF, , Lee IK, , Yang KD, . "Dengue hemorrhagic fever in Taiwan" World Health Organization Dengue Bulletin. 27, 3-24, 2003. Retrieved from: http://www.pidsphil.org/pdf/Journal_01242011/jo36_ja04.pdf
2. Narayanan M, , Aravind MA, , Ambikapathy P, , Prema R, , Jeyapaul MP, . "Dengue fever-clinical and laboratory parameters associated with complications" World Health Organization Dengue Bulletin 27, 108-115, 2003
3. "Dengue fever/dengue hemorrhagic fever in the WHO Western Pacific Region" WPRO Communicable Diseases Bulletin 3, 1-4, December 2000
4. (2003, November 30). 2,332 Dengue fever cases reported in the Philippines this Year. . Retrieved from: http://www.news-medical.net
5. Sriprom M, , Pongsumpun P, , Yoksan S, , Barbazan P, , Gonzalez JP, , Tang IM, . "Dengue hemorrhagic fever in Thailand, 1998-2003: primary or secondary infection" World Health Organization Dengue Bulletin 27, 39-45, 2003
6. "Dengue hemorrhagic fever: diagnosis, treatment, prevention and control" World Health Organization 2nd ed, 1997

Citation

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