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Epidemiology and seropositivity of dengue fever cases in a rural tertiary care hospital of western Maharashtra, India
Author(s) -
Santosh Saini,
Anagha G Kinikar,
Sachin Chandrakant Deorukhkar,
Deepika Bhalerao,
Shahriar Roushani
Publication year - 2013
Publication title -
international journal of biomedical and advance research
Language(s) - English
Resource type - Journals
eISSN - 2455-0558
pISSN - 2229-3809
DOI - 10.7439/ijbar.v4i7.406
Subject(s) - dengue fever , epidemiology , tertiary care , medicine , environmental health , pediatrics , demography , family medicine , virology , sociology

 Introduction:  Dengue fever is rapidly emerging in India, even in non endemic areas. Dengue fever is more commonly seen in adults and older children. It was earlier confined to urban areas and now has penetrated into rural setup. Clinical presentation varies from mild to severe fatal form; therefore laboratory diagnosis  is very essential.

Objective: To study the seropositivity of clinically suspected dengue fever cases

Material and method: Blood samples from clinically suspected dengue fever cases were screened for NS1 dengue vius  antigen  and IgM and IgG  dengue specific antibodies by  rapid immunochromatographic test (ICT) Dengue Day 1 kit (Mfd by J. Mitra & Co. Pvt. Ltd).

Result:  Out of total 917 blood samples tested, 281(30.6%) were positive for one or more of three markers. Of 281 blood samples NS1 was positive in 198 cases while NS1 with either IgM or IgG was positive in 16 cases. Only IgG  in 25cases and  only IgM in 28 cases was observed. All the three parameters were positive in 3 cases.

Conclusion: In the past sporadic cases of dengue fever have been reported in our area. But the recent rise in the cases from month of October 2012 which continued till May 2013 is alarming. Study showed the primary infection significantly higher than secondary infection. The involvement of adults followed by older children mostly. This strengthens the view that endemicity of dengue fever is rising in our area. Though viral isolation or molecular method are still regarded as gold standard, but rapid screening method   like immune-chromatography test (ICT) was found to be valuable. Our study results emphasize the need for continuous surveillance for the timely implementation of effective dengue control program me. 

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