Dengue Hemorrhagic Fever at Pathumthani Hospital: 2001 - โรคไข้เลือดออกเดงกีที่โรงพยาบาลปทุมธานี พ.ศ. ๒๕๔๔

Abstract

          The objective of this retrospective study at Paediatric Department of Pathumthani Hospital, from January 1 to December 31, 2001, was to determine the incidence, clinical signs and symptoms, disease progression and dengue viral serotypes of Dengue Hemorrhagic Fever (DHF). The total numbers of patients were 312, which were clinically diagnosed based on WHO criteria and confirmed by serology and viral studies. The incidence in male and female were nearly equal. Most of the patients were 10-14 years old (51.6%), and there was no patient under 1 year old in this study, Most of the patients were from Amphoe Mueang (44.60%). Significant symptoms were persistently high fever 2-7 days (96.1%), anorexia (94,6%), vomiting (84.6%), epitaxis (5.4%), hematemesis (3.8%), melena (2.2%) and thrombocytopenia. Ten treatments were symptomatic and supportive volume replacement with colloid and/or crystalloid solutions. Ten patients (3.2%) received fresh whole blood. Twenty point five percent of the patients were diagnosed with Dengue Shock Syndrome (DSS) without any mortality. Viral studies revealed that serotype DEN-2 was the most common (47.9%), followed by DEN-1 (38.0%), DEN-3 (9.9%) and DEN 4 (3.3%),