To investigate the clinico-demographic profile and risk variables linked with measles patients

Dr. Narinder Singh
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Abstract

Aim: The purpose of this study is to investigate the clinico-demographic profile and risk variables linked with measles patients. Material and Methods: This hospital-based cross-sectional study was conducted among children who presented in the Paediatric OPD over the course of a year. Children who satisfied the criteria for clinical measles as per WHO criteria i.e Fever with rash lasting at least 3 days and cough/coryza (running nose), or conjunctivitis (red eyes) were included in the study. The research comprised 240 children who presented in OPD throughout the study period. 82 of the 240 children’ were admitted in the pediatric ward had one or more complications of the measles. Results: It was found that 82 cases of clinical measles, with a frequency of 34.17%, were admitted out of a total of 240 cases. The attack rate (Table 1) was highest (71.95%) in the age range of 0 – 5 years, as is also evident from the table. Male child (43.90%) and female child (56.10%) were shown to have a little advantage. The majority of children who contracted measles were between the ages of 1 - 5 (57.32%) and 5 - 10 (21.95%), respectively. Children who live in rural slums are more likely to be attacked (79.27%). The majority of measles cases (50%) are associated with lower socioeconomic level. Only 24.39% of children with measles attacks were exclusively breastfed for initial six months according to research. In 29 instances (35.36%) the immunization status was "complete," whereas 50% of the youngsters (14.63%) were only partly immunized. With the exception of 8 measles cases, all were malnourished with category II and above. Conclusion: The vast majority of the cases had been found in children who had not been vaccinated, which indicates that vaccination coverage should be increased. In addition to this, there were cases found in children who had been vaccinated, which indicates that there is a possibility of a vaccine failing in older children and the necessity of including a second dose of vaccination as quickly as possible in the immunisation programme.
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调查与麻疹患者相关的临床人口学概况和风险变量
目的:本研究的目的是调查与麻疹患者相关的临床人口学概况和风险变量。材料和方法:这项以医院为基础的横断面研究是在儿科门诊就诊的儿童中进行的。符合世卫组织标准的临床麻疹标准的儿童,即发烧并皮疹持续至少3天,咳嗽/鼻塞(流鼻涕)或结膜炎(红眼)被纳入研究。该研究包括240名在整个研究期间出现在门诊的儿童。240名儿童中有82名患有一种或多种麻疹并发症。结果:在240例临床麻疹病例中,共收治82例,发病率为34.17%。发病率(表1)在0 - 5岁年龄段最高(71.95%),从表中也可以明显看出。男童(43.90%)和女童(56.10%)有轻微优势。麻疹发病儿童以1 ~ 5岁(57.32%)和5 ~ 10岁(21.95%)为主。生活在农村贫民窟的儿童更容易受到攻击(79.27%)。大多数麻疹病例(50%)与较低的社会经济水平有关。根据研究,只有24.39%的麻疹发作儿童在最初6个月内得到纯母乳喂养。在29例(35.36%)中,免疫状态是“完全的”,而50%的青少年(14.63%)仅部分免疫。除8例麻疹病例外,所有病例均为二类及以上营养不良。结论:绝大多数病例发生在未接种疫苗的儿童中,应提高疫苗接种覆盖率。除此之外,在接种过疫苗的儿童中发现了一些病例,这表明疫苗有可能在年龄较大的儿童中失效,有必要在免疫方案中尽快包括第二剂疫苗接种。
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