印度北部的登革热感染:2012年至2017年一家三级医疗中心的经验。

Ci ji yi xue za zhi = Tzu-chi medical journal Pub Date : 2019-04-02 eCollection Date: 2020-01-01 DOI:10.4103/tcmj.tcmj_161_18
Anju Dinkar, Jitendra Singh
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摘要

目的:最近,印度的登革热发病率急剧上升,这仍然是一个重大的公共卫生问题。本研究旨在全面概述登革热的流行病学、性别、年龄、地区分布、症状学和季节性变化:回顾性分析了北印度一家三甲医院 2012 年至 2017 年期间的 900 例各年龄段男女登革热疑似病例,结果显示 461 例(51.22%)病例登革热血清反应呈阳性:20-30岁年龄组是登革热的高发人群,男性居多。城市人口发病率较高,占 75.05%,10 月份发病率最高,其次是 11 月份。常见的实验室指标异常为血小板减少(99.1%)、肝功能异常(59%)和白细胞减少(26.68%)。两个不常见的结果是全血细胞减少和胰腺功能障碍,分别有 7 例和 3 例报告:结论:登革热感染在印度发展迅速,定期爆发,流行病学不断变化,该疾病正迅速从城市蔓延到农村地区,非典型表现也越来越多。
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Dengue infection in North India: An experience of a tertiary care center from 2012 to 2017.

Objective: Recently, an alarming rise of dengue has been seen in India which remains a major public health concern. This study has been designed for a comprehensive overview of the epidemiology, gender, age, area distribution, symptomology, and seasonal variability.

Materials and methods: Retrospective analysis of 900 suspected dengue cases of all age groups of either sex from 2012 to 2017 at a North Indian tertiary care hospital revealed 461 (51.22%) cases seropositive for dengue.

Results: The age group of 20-30 years was the most affected group with male predominance. The urban population was more affected as 75.05%, and maximum cases were detected in October month followed by November. Common abnormal laboratory parameters were thrombocytopenia (99.1%), hepatic dysfunction (59%), and leukopenia (26.68%). Two uncommon findings, pancytopenia and pancreatic dysfunction were reported in 7 and 3 cases respectively.

Conclusion: Dengue infection in India has evolved rapidly, and regular outbreaks have been observed with a changing epidemiology, as the disease is rapidly spreading from urban to rural areas with increasing atypical manifestations.

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