Demographic Profile of Patients with Dengue Fever Presented in a Tertiary Care Hospital of Bangladesh

Farzana Yasmin, Md Ashraf Uddin Ahmed
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Abstract

Background: Dengue is an important tropical infection caused by an arbovirus having four serotypes (DENV-1, DENV-2, DENV-3, DENV-4) transmitted through the bite of infected female Aedes mosquito. Dengue is a challenging disease with multisystemic, varied, atypical, and sometimes life-threatening presentations. It presents as varied clinical spectrum of dengue fever (DF), dengue hemorrhagic fever (DHF), dengue shock syndrome (DSS) and expanded dengue syndrome (EDS) with atypical presentations, thus posing a diagnostic dilemma. Each year, thousands of dengue infections are reported and there are several outbreaks of dengue in several countries including Bangladesh and this imply the global importance of this infection. The objectives of this study was to determine the sociodemographic variables of patient suffering from DF during an epidemic outbreak. Methods: This hospital review analyzed the hospital records of DF cases of BIRDEM General Hospital, Dhaka from June 2019 to December 2019. Patients with suspected dengue fever attending at the outdoor/emergency or admitted indoor were taken as study subjects. Data were collected from hospital records. Study protocol was approved by the Institutional Review Board. All the relevant data regarding history and examination findings of the patients, the laboratory reports were collected. Statistical package for social science (SPSS) version 22, was used for data entry and statistical analysis. Results: Total 292 dengue patients were enrolled in this study. Mean age of all patient was 35.63±15.22 years (11-85 year) with male predominance (54.8%). Maximum patients were from urban residence (83.9%), non-smoker (73.6%), had active lifestyle (63.4%) and normal body mass index (68.5%). Overall, 65.1% patients had no comorbidity and 89.4% had no concurrent acute illness. Conclusion: Although the results of this study cannot be generalized to other cities of Bangladesh, our findings will allow public health agencies in Bangladesh to concentrate their efforts to battle against dengue. J Bangladesh Coll Phys Surg 2023; 41: 63-68
孟加拉国一家三级医院登革热患者的人口统计学特征
背景:登革热是一种重要的热带传染病,由四种血清型(DENV-1、DENV-2、DENV-3、DENV-4)的虫媒病毒引起,通过受感染的雌性伊蚊叮咬传播。登革热是一种具有挑战性的疾病,表现为多系统、多样、不典型,有时甚至危及生命。它的临床表现多种多样,包括登革热(DF)、登革出血热(DHF)、登革休克综合征(DSS)和非典型表现的登革热扩展综合征(EDS),因此给诊断带来了难题。每年都有数以千计的登革热感染报告,包括孟加拉国在内的一些国家也爆发了数次登革热疫情,这意味着登革热感染在全球的重要性。本研究旨在确定登革热疫情爆发期间登革热患者的社会人口学变量。研究方法本医院回顾分析了达卡 BIRDEM 综合医院 2019 年 6 月至 2019 年 12 月期间登革热病例的医院记录。在室外/急诊就诊或在室内住院的疑似登革热患者被作为研究对象。数据从医院记录中收集。研究方案已获得机构审查委员会批准。收集了患者病史、检查结果、实验室报告等所有相关数据。使用社会科学统计软件包(SPSS)第 22 版进行数据录入和统计分析。结果共有 292 名登革热患者参与了这项研究。所有患者的平均年龄为(35.63±15.22)岁(11-85 岁),男性占多数(54.8%)。大多数患者来自城市(83.9%),不吸烟(73.6%),生活方式活跃(63.4%),体重指数正常(68.5%)。总体而言,65.1%的患者没有合并症,89.4%的患者没有并发急性疾病。结论虽然这项研究的结果不能推广到孟加拉国的其他城市,但我们的发现将使孟加拉国的公共卫生机构能够集中力量与登革热作斗争。J Bangladesh Coll Phys Surg 2023; 41: 63-68
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