Clinical Profile of Dengue and Predictors of Its Severity Among Children

Sharmin Afroze; Salim Shakur; Abrar Wahab; Salomee Shakur

doi:doi:10.11648/j.ajp.20190504.19

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Clinical Profile of Dengue and Predictors of Its Severity Among Children

Sharmin Afroze, Salim Shakur, Abrar Wahab, Salomee Shakur

Published in American Journal of Pediatrics (Volume 5, Issue 4)

Received: 26 September 2019 Accepted: 14 October 2019 Published: 23 October 2019

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Abstract

Dengue fever is a self-limiting, systemic viral illness that has a wide range of clinical manifestations. Last year dengue was severe in children with much mortality. This study was aimed to see the clinical profile of dengue and to find out the risk factors for developing severity. This cross sectional study was conducted over four months (June-September, 2018) in Department of Pediatrics of United Hospital Limited. All admitted dengue cases were analyzed. The predictors of developing severity were assessed by comparing variables between classical and severe dengue fever groups. A total of 106 children with Dengue fever were admitted. Mean age was 5.8±3 years with male predominance (60%). Common presentations include fever (100%), flushed appearance (72%), rash (43%), vomiting (39%), abdominal pain (36%), shock (28%) and respiratory distress (23%). In risk factor analysis, overweight (OR: 8.275, CI: 1.378-49.706) and massive serositis (OR: 17.86, CI: 4.733-67.399) were found statistically significant predictors of severe dengue. The overall mortality was 3%. So, overweight children and those patients who develop massive serositis are at increased risk of having severe dengue. Early identification of these features can help physicians to manage these cases judiciously.

Published in	American Journal of Pediatrics (Volume 5, Issue 4)
DOI	10.11648/j.ajp.20190504.19
Page(s)	219-223
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Dengue in Children, Dengue Severity, Risk Factors of Dengue

References

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APA Style

Sharmin Afroze, Salim Shakur, Abrar Wahab, Salomee Shakur. (2019). Clinical Profile of Dengue and Predictors of Its Severity Among Children. American Journal of Pediatrics, 5(4), 219-223. https://doi.org/10.11648/j.ajp.20190504.19

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ACS Style

Sharmin Afroze; Salim Shakur; Abrar Wahab; Salomee Shakur. Clinical Profile of Dengue and Predictors of Its Severity Among Children. Am. J. Pediatr. 2019, 5(4), 219-223. doi: 10.11648/j.ajp.20190504.19

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AMA Style

Sharmin Afroze, Salim Shakur, Abrar Wahab, Salomee Shakur. Clinical Profile of Dengue and Predictors of Its Severity Among Children. Am J Pediatr. 2019;5(4):219-223. doi: 10.11648/j.ajp.20190504.19

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@article{10.11648/j.ajp.20190504.19,
  author = {Sharmin Afroze and Salim Shakur and Abrar Wahab and Salomee Shakur},
  title = {Clinical Profile of Dengue and Predictors of Its Severity Among Children},
  journal = {American Journal of Pediatrics},
  volume = {5},
  number = {4},
  pages = {219-223},
  doi = {10.11648/j.ajp.20190504.19},
  url = {https://doi.org/10.11648/j.ajp.20190504.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20190504.19},
  abstract = {Dengue fever is a self-limiting, systemic viral illness that has a wide range of clinical manifestations. Last year dengue was severe in children with much mortality. This study was aimed to see the clinical profile of dengue and to find out the risk factors for developing severity. This cross sectional study was conducted over four months (June-September, 2018) in Department of Pediatrics of United Hospital Limited. All admitted dengue cases were analyzed. The predictors of developing severity were assessed by comparing variables between classical and severe dengue fever groups. A total of 106 children with Dengue fever were admitted. Mean age was 5.8±3 years with male predominance (60%). Common presentations include fever (100%), flushed appearance (72%), rash (43%), vomiting (39%), abdominal pain (36%), shock (28%) and respiratory distress (23%). In risk factor analysis, overweight (OR: 8.275, CI: 1.378-49.706) and massive serositis (OR: 17.86, CI: 4.733-67.399) were found statistically significant predictors of severe dengue. The overall mortality was 3%. So, overweight children and those patients who develop massive serositis are at increased risk of having severe dengue. Early identification of these features can help physicians to manage these cases judiciously.},
 year = {2019}
}

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TY - JOUR
T1 - Clinical Profile of Dengue and Predictors of Its Severity Among Children
AU - Sharmin Afroze
AU - Salim Shakur
AU - Abrar Wahab
AU - Salomee Shakur
Y1 - 2019/10/23
PY - 2019
N1 - https://doi.org/10.11648/j.ajp.20190504.19
DO - 10.11648/j.ajp.20190504.19
T2 - American Journal of Pediatrics
JF - American Journal of Pediatrics
JO - American Journal of Pediatrics
SP - 219
EP - 223
PB - Science Publishing Group
SN - 2472-0909
UR - https://doi.org/10.11648/j.ajp.20190504.19
AB - Dengue fever is a self-limiting, systemic viral illness that has a wide range of clinical manifestations. Last year dengue was severe in children with much mortality. This study was aimed to see the clinical profile of dengue and to find out the risk factors for developing severity. This cross sectional study was conducted over four months (June-September, 2018) in Department of Pediatrics of United Hospital Limited. All admitted dengue cases were analyzed. The predictors of developing severity were assessed by comparing variables between classical and severe dengue fever groups. A total of 106 children with Dengue fever were admitted. Mean age was 5.8±3 years with male predominance (60%). Common presentations include fever (100%), flushed appearance (72%), rash (43%), vomiting (39%), abdominal pain (36%), shock (28%) and respiratory distress (23%). In risk factor analysis, overweight (OR: 8.275, CI: 1.378-49.706) and massive serositis (OR: 17.86, CI: 4.733-67.399) were found statistically significant predictors of severe dengue. The overall mortality was 3%. So, overweight children and those patients who develop massive serositis are at increased risk of having severe dengue. Early identification of these features can help physicians to manage these cases judiciously.
VL - 5
IS - 4
ER -

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Author Information

Sharmin Afroze

Department of Neonatology, Dr. M. R Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh
Salim Shakur

Department of Paediatrics, United Hospital Limited, Dhaka, Bangladesh
Abrar Wahab

Department of Public Health, North South University, Dhaka, Bangladesh
Salomee Shakur

Department of Medicine, Uttara Adhunic Medical College, Dhaka, Bangladesh

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APA Style

Sharmin Afroze, Salim Shakur, Abrar Wahab, Salomee Shakur. (2019). Clinical Profile of Dengue and Predictors of Its Severity Among Children. American Journal of Pediatrics, 5(4), 219-223. https://doi.org/10.11648/j.ajp.20190504.19

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ACS Style

Sharmin Afroze; Salim Shakur; Abrar Wahab; Salomee Shakur. Clinical Profile of Dengue and Predictors of Its Severity Among Children. Am. J. Pediatr. 2019, 5(4), 219-223. doi: 10.11648/j.ajp.20190504.19

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AMA Style

Sharmin Afroze, Salim Shakur, Abrar Wahab, Salomee Shakur. Clinical Profile of Dengue and Predictors of Its Severity Among Children. Am J Pediatr. 2019;5(4):219-223. doi: 10.11648/j.ajp.20190504.19

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@article{10.11648/j.ajp.20190504.19,
  author = {Sharmin Afroze and Salim Shakur and Abrar Wahab and Salomee Shakur},
  title = {Clinical Profile of Dengue and Predictors of Its Severity Among Children},
  journal = {American Journal of Pediatrics},
  volume = {5},
  number = {4},
  pages = {219-223},
  doi = {10.11648/j.ajp.20190504.19},
  url = {https://doi.org/10.11648/j.ajp.20190504.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20190504.19},
  abstract = {Dengue fever is a self-limiting, systemic viral illness that has a wide range of clinical manifestations. Last year dengue was severe in children with much mortality. This study was aimed to see the clinical profile of dengue and to find out the risk factors for developing severity. This cross sectional study was conducted over four months (June-September, 2018) in Department of Pediatrics of United Hospital Limited. All admitted dengue cases were analyzed. The predictors of developing severity were assessed by comparing variables between classical and severe dengue fever groups. A total of 106 children with Dengue fever were admitted. Mean age was 5.8±3 years with male predominance (60%). Common presentations include fever (100%), flushed appearance (72%), rash (43%), vomiting (39%), abdominal pain (36%), shock (28%) and respiratory distress (23%). In risk factor analysis, overweight (OR: 8.275, CI: 1.378-49.706) and massive serositis (OR: 17.86, CI: 4.733-67.399) were found statistically significant predictors of severe dengue. The overall mortality was 3%. So, overweight children and those patients who develop massive serositis are at increased risk of having severe dengue. Early identification of these features can help physicians to manage these cases judiciously.},
 year = {2019}
}

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