Open AccessA study of pattern of acute febrile illnesses at COMS-TH, Bharatpur, Nepal
Author(s) -
Shankar Laudari,
Patowary Bhanumati Saikia,
Neeraj Kumar,
Khusraj Dewan,
Kumudini Subedi,
Toyana Ramsundar,
Rajesh Panjiyar,
Karki Dipesh
Publication year - 2014
Publication title -
asian pacific journal of tropical disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.208
H-Index - 33
ISSN - 2222-1808
DOI - 10.1016/s2222-1808(14)60576-4
Subject(s) - medicine , etiology , sepsis , intensive care unit , pediatrics , malaria , scrub typhus , respiratory tract infections , organ dysfunction , respiratory system , immunology , pathology
Objective: To study the pattern of acute febrile illnesses in Central Nepal regarding its\udunderlying etiology and its clinical outcome.\udMethods: This study is a hospital based descriptive cross-sectional study during June to\udNovember, 2011 over a period of 6 months. All the febrile illnesses data were collected from\udmedical outpatient and inpatient registried and then analysed. There were total 2 873 febrile\udpatients, of whom 883 were inpatients whose data have been analysed.\udResults: The majority of febrile patients were distributed in August (788/2 873=27.43%) followed by\udJuly (708/2 873=24.64%). The age distribution ranged from 15 to 84 years with female predisposition\ud(M:F=1:1.5). Majority of the febrile patients were in the 15-30 years age group (292/883=33.07%)\udfollowed by elderly (>60 years, 22.88%). Most of the febrile patients admitted in medical ward were\uddiagnosed as respiratory tract infection followed by urinary tract infection, enteric fever, acute\udgastroenteritis. Of intensive care unit admitted febrile patients (n=187), sepsis with multi-organ\uddysfunction syndrome was the major diagnosis followed by acute meningoencephalitis. A total\udof 21 patients (2.37%) died of sepsis with multi-organ dysfunction syndrome followed by acute\udmeningoencephalitis in 5 (0.56%), complicated malaria with acute respiratory distress syndrome in\ud1 (0.11%) and infective hepatitis with encephalopathy in 1 (0.11%).\udConclusions: Acute febrile illnesses mostly viral in origin involving respiratory tracts are more\udcommon during monsoon months with lots of mortalities and morbidities. They pose a major\udthreat to the public due to their endemicity as many of them remain undiagnosed or if at all, very\udlate. Early and planned activity of the government and non-government local bodies, epidemic\udpreparedness against susceptible outbreaks including efficient public health awareness are the\udkeys to minimize the hazards