A study on acute undifferentiated febrile illness in children (Age 2 Months to 18 Years)

B. Jain, Chirag Mittal, S. Goyal
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Abstract

: Acute Undifferentiated Febrile Illness (AUFI) is a common cause of patients seeking healthcare in India. Appropriate diagnosis is essential for proper management of children, since failure to identify the nature of the causative pathogen results in increased morbidity and mortality due to diseases either being untreated or treated with inappropriate antimicrobials, Also there is waste of medicines and increased resistance to antimicrobials, which has a major public health threat worldwide.: To study clinical profile of children admitted with AUFI and to find out common causes of AUFI in Children (2 months to 18 years of age) and their seasonal trends. : A prospective study was carried out over 200 children of age 2 months to 18 months admitted in Balchikitsalaya MBGH Hospital with Acute Undifferentiated Febrile Illness of less than 7 days duration over a period of 12 months from November 2021 to October 2022. : Majority of the patients were in the age group of 10-15 years (32.5%). Out of 200 AUFI patients, majority had undifferentiated illness (53%) followed by Malaria (16.5%), UTI (12.5%), Dengue(11%), Scrub Typhus(5%) and Enteric Fever(2.5%). Higher incidence of AUFI was seen from August to November. : More than 50% cases of Acute Febrile Illness were due to Undifferentiated Illnesses, hence it can be concluded that provided the cause of undifferentiated illness is found, the irrational use of antibiotics and antimalarial should be prevented.
2个月~ 18岁儿童急性无分化发热性疾病的研究
急性未分化发热性疾病(AUFI)是印度患者寻求医疗保健的常见原因。适当的诊断对于儿童的适当管理至关重要,因为不确定致病病原体的性质会导致由于疾病未经治疗或使用不适当的抗微生物药物治疗而导致发病率和死亡率增加。此外,还会造成药物浪费和对抗微生物药物的耐药性增加,这对全世界的公共卫生构成重大威胁。目的:研究儿童AUFI的临床特点,探讨儿童(2个月~ 18岁)发生AUFI的常见原因及其季节性趋势。在2021年11月至2022年10月的12个月期间,对Balchikitsalaya MBGH医院收治的200多名年龄在2个月至18个月的儿童进行了一项前瞻性研究,这些儿童患有急性未分化发热性疾病,持续时间不到7天。以10 ~ 15岁年龄组居多(32.5%)。在200例AUFI患者中,大多数为未分化疾病(53%),其次是疟疾(16.5%)、UTI(12.5%)、登革热(11%)、恙虫病(5%)和肠热(2.5%)。8月至11月AUFI发生率较高。: 50%以上的急性温病是由未分化疾病引起的,因此可以得出结论,只要找到未分化疾病的原因,就应防止不合理使用抗生素和抗疟药。
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