Epidemiological and demographic characteristics of dengue at a tertiary care center in Kutch region during the year 2019

Shilpa Chavda, D. Patel, D. Kinariwala, M. Vegad
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Abstract

Dengue is the most rapidly spreading mosquito borne viral disease of mankind, with a 30 fold increase in global incidence over the last five decades. It is a major public health concern throughout the tropical and subtropical regions of the world. The present study was conducted with objective to study epidemiological and demographic characteristics of dengue infection during the year 2019 in Kutch region, Gujarat, India.The study was carried out from January 2019 to December 2019 at Department of Microbiology, Gujarat Adani Institute of Medical Sciences, G.K. General Hospital, Bhuj. The patients having suspected dengue fever was based on standard criteria like presentation of febrile illness of 2-7 days duration were included in this study.A total of 1509 blood samples were collected during study period and serologically tested for dengue NS1 antigen and IgM antibody by capture ELISA testing method. Total 1509 blood samples were tested by ELISA for NS1 antigen and/or IgM antibody as per the protocols and personal, demographic and clinical details of each patient was recorded. Out of 1509 cases 761 tested positive for dengue. Amongst all positive cases 533(47%) were tested positive for NS1 antigen which helped in early diagnosis of dengue. Rise of dengue cases started after the month of October and falls down by the end of December. Analysis of this data revealed that age group 00-10 years had maximum dengue cases. Male cases 418(55%) were more than females 343(45%). Dengue cases were high in urban area.The present study reported that dengue mainly affected children, males and urban population. Perennial occurrence with seasonal increase during monsoon and post monsoon moths was reported. Effective implementation of vector control measures through efforts toward vector breeding source reduction and with the use of personal prophylactic measures against mosquito bites will help in reducing the dengue prevalence in the community.
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2019年库奇地区三级保健中心登革热的流行病学和人口特征
登革热是人类传播最迅速的蚊媒病毒性疾病,过去50年来全球发病率增加了30倍。它是全世界热带和亚热带地区的一个主要公共卫生问题。本研究旨在研究2019年印度古吉拉特邦库奇地区登革热感染的流行病学和人口学特征。该研究于2019年1月至2019年12月在布吉G.K.总医院古吉拉特邦阿达尼医学科学研究所微生物科进行。根据发热症状持续2-7天等标准诊断疑似登革热患者纳入本研究。研究期间共采集1509份血样,采用捕获ELISA法检测登革热NS1抗原和IgM抗体。采用ELISA法对1509份血样进行NS1抗原和/或IgM抗体检测,并记录每位患者的个人、人口统计学和临床资料。在1509例病例中,761例登革热检测呈阳性。在所有阳性病例中,533例(47%)NS1抗原检测呈阳性,这有助于登革热的早期诊断。登革热病例在10月后开始上升,到12月底下降。对这些数据的分析显示,00-10岁年龄组的登革热病例最多。男性418例(55%)多于女性343例(45%)。登革热病例在城市地区较高。本研究报告登革热主要影响儿童、男性和城市人口。据报道,在季风期间和季风后,飞蛾多年生,季节性增加。通过努力减少病媒滋生源和采取个人预防蚊虫叮咬的措施,有效实施病媒控制措施,将有助于减少登革热在社区的流行。
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