Analysis of essential hematological parameters and nutrient levels of dengue patients aiming for quick recovery and sustainable immunity

Swapan Banerjee, Urvashi Sharma, Virender Pal Kaur
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Abstract

Purpose: Dengue is one of the common public health issues globally where laboratory diagnostic test values of patients are primarily focused on hematological parameters. Micronutrients equally take a role in quick recovery, and active cum passive immunity is not mainly considered during and post-recovery of patients. Materials and Methods: A cross-sectional study with a purposive sampling method was applied using pre-tested close-ended questionnaires and laboratory data (soft copies/hard copies) of participants admitted to hospitals or nursing homes within the North -24 Paraganas district from November 2021 to October 2022. 110 male and female patients of 40-60 years reported dengue fever (non-hospitalized cases), and dengue hemorrhagic fever (hospitalized cases) was considered based on 15 variables. STATA version 18.0 software analyzed data using multivariate regression and range plots. The Cronbach’s alpha value was 0.72, and the consolidated probability value shows 0.01 (p<0.05), which denotes that the multivariate model was statistically significant and was rightly decided to include the relevant independent variables. Calcium, vitamin D, and total protein were statistically significant as P values were 0.01, the same for each. Similarly, p=0.05 was the same for Total Leukocyte count (TLC) and Alkaline phosphatase (ALP).The study concludes that micronutrients like calcium, protein, vitamin D, etc., are often considered secondary recommendations in dengue treatment. A balanced, nutrient-rich diet for dengue patients is needed to maintain sustained immunity by extensively monitoring calcium, vitamin D, and total protein intake during and after recovery.
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分析登革热病人的基本血液学参数和营养水平,以实现快速康复和持续免疫
目的:登革热是全球常见的公共卫生问题之一,患者的实验室诊断测试值主要集中在血液学参数上。微量营养素在快速康复中同样发挥着作用,而主动免疫和被动免疫在患者康复期间和康复后并未得到主要考虑。材料和方法:使用预先测试的封闭式调查问卷和实验室数据(软拷贝/硬拷贝),对 2021 年 11 月至 2022 年 10 月期间在北帕拉加纳斯区(North -24 Paraganas)的医院或疗养院住院的参与者进行有目的抽样的横断面研究。110 名 40-60 岁的男女患者报告了登革热(非住院病例),并根据 15 个变量考虑了登革出血热(住院病例)。STATA 18.0 版软件使用多元回归和范围图分析数据。Cronbach'sα值为0.72,综合概率值显示为0.01(P<0.05),这表明多变量模型具有统计学意义,并正确地决定将相关自变量纳入其中。钙、维生素 D 和总蛋白质的 P 值均为 0.01,具有统计学意义。同样,总白细胞计数(TLC)和碱性磷酸酶(ALP)的 P 值均为 0.05。研究得出结论,钙、蛋白质、维生素 D 等微量营养素通常被视为登革热治疗的次要建议。登革热患者需要均衡、营养丰富的饮食,以维持持续的免疫力,在康复期间和康复后广泛监测钙、维生素 D 和总蛋白的摄入量。
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