Seasonal Trend of Fever Cases Seeking Health Care Services at a Tertiary Care Centre- An Audit of Retrospective Data From Sub-Himalayan Region

Sharma, Piyush; Singh, Mitasha; Gandhi, Manoj Kumar; Raina, Sujeet; Raina, Sunil Kumar; Parashar, Anupam

doi:10.14260/jemds/2018/420

Cited by 2 publications

(4 citation statements)

References 12 publications

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“…The prevalence of coinfections among patients with AUF was 1.39% in this study. Similar results have been observed in other studies [2,23]. Scrub typhus was diagnosed as the common infection in all the 14 cases in this study.…”

Section: Discussionsupporting

confidence: 93%

“…Malaria, dengue, and chikungunya are the most common coinfections reported from India [17]. Scrub typhus, malaria, dengue fever, and leptospirosis coinfections have been reported from Himachal Pradesh, Uttarakhand, central India, Puducherry, and also from other parts of India [2,[18][19][20][21][22]. The prevalence of coinfections among patients with AUF was 1.39% in this study.…”

Section: Discussionmentioning

confidence: 52%

“…The extrinsic incubation period of microorganisms and parasites is reduced, thereby increasing the proportion of infective vectors [1]. Thus, high prevalence of infective vectors, increased human vector contact, temperature, humidity, prolonged rains, stagnant water, floods, abundant growth of vegetation, sleeping habits of humans, density, and biting patterns of vectors turn the milieu favorable for disease transmission [2]. Seasonal trend analysis of fever cases seeking health-care services have revealed an increasing trend of acute undifferentiated fever (AUF) illness during and after the monsoon period in the sub-Himalayan state of Himachal Pradesh [3].…”

Section: Introductionmentioning

confidence: 99%

“…With common vectors for tropical fevers and favorable dynamics of infectious disease transmissions existing during the monsoon and post-monsoon time, the coinfections are expected to be more common and are possibly underdiagnosed. Coinfections as an etiology of AUF in patients of this region have been reported scarcely in the literature [2]. The primary objective of this study was to assess the prevalence of the concurrent coinfections among patients with acute febrile illness admitted in a tertiary-care hospital in the rural setting of Himachal Pradesh, India.…”

Section: Introductionmentioning

confidence: 99%

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Concurrent Coinfections in Tropics: A Hospital-Based Observational Study from Himachal Pradesh, India

Malakar¹,

Negi²,

Dutt³

et al. 2019

Recent Advances in Biology and Medicine

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India is the epicenter of tropical fever diseases. Large numbers of cases are diagnosed with scrub typhus, leptospirosis, malaria, dengue, chikungunya, and enteric fever. Coinfections as an etiology of acute undifferentiated fever (AUF) have been recently recognized. The objective of this study was to assess the prevalence of coinfections in patients admitted with AUF in a tertiary-care hospital in the rural setting of Himachal Pradesh, India. Patients with coinfections as an etiology of AUF were the subjects of the study. The clinical records of patients diagnosed with confections between July 2018 and October 2018 were analyzed retrospectively in this hospital-based cross-sectional study. Standard protocol and guidelines were followed for the case definitions. Among total patients of 1005 with AUF, 14 (1.39%) patients were found to have coinfections. The most common coinfection was scrub typhus with leptospirosis and was diagnosed in seven (50%) patients. Other coinfections were scrub typhus with dengue in four (29%) and one patient each with scrub typhus and tubercular meningitis, scrub and influenza A (H1N1/2009) infection, and scrub and malaria (P. falciparum). Scrub typhus was the most common etiological diagnosis for the AUF and was observed in 159 (15.8%) patients. All the patients with coinfections had scrub typhus as the common infection. The prevalence of coinfections among scrub typhus patients constituted 8%. In tropical regions, coinfections are not very rare. High clinical suspicion for coinfections is required. Syndromic approach in the management is justified.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Concurrent Coinfections in Tropics: A Hospital-Based Observational Study from Himachal Pradesh, India

Malakar¹,

Negi²,

Dutt³

et al. 2019

Recent Advances in Biology and Medicine

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Analysis of Trends of Fever in the Field Practice Area of a Tertiary Care Hospital, Bengaluru: A Retrospective Data Review

Shyam¹,

Thyagaraj²,

Patle³

et al. 2020

The Journal of Medical Sciences

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Background Fever is the most common presentation of vector-borne diseases. Fever of undetermined origin is also most often caused by an unusual manifestation of a common disease and is a huge public health problem affecting most people in the developing world. Primary objective of this study was to study the seasonal variations and trend analysis of patients with fever in a rural health training center of a tertiary care hospital in South Bengaluru, Karnataka. Materials and methods A retrospective descriptive record-based analysis of patients with fever was conducted in a rural health training center of a tertiary care hospital, Bengaluru, from January 2019 to September 2019. The trends of fever were analyzed in each village respectively by the method of least squares, linear equation after entering into MS Excel sheet. Results Study included 5,114 patients with fever, out of which 34% were of 18–30 years. In few villages, there was downward trend of patients with fever and in some villages, an upward trend of patients with fever was observed. Majority of patients with fever (2,795) were observed in August 2019 (12.29%) and September 2019 (12.33%). Conclusion The number of patients with fever showed a downward and upward trend swings during the study period. Implementation of health education regarding the prevention of the vector-borne diseases is warranted. It emphasizes the importance of visiting a healthcare center in case of a fever. The study will give a better insight into the epidemiology of febrile illnesses. This will further help the health planners to allocate the resources in the most appropriate way. How to cite this article Thyagaraj KT, Patle BS, AC Shyam, et al. Analysis of Trends of Fever in the Field Practice Area of a Tertiary Care Hospital, Bengaluru: A Retrospective Data Review. J Med Sci 2020;6(1):8–13.

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Seasonal Trend of Fever Cases Seeking Health Care Services at a Tertiary Care Centre- An Audit of Retrospective Data From Sub-Himalayan Region

Cited by 2 publications

References 12 publications

Concurrent Coinfections in Tropics: A Hospital-Based Observational Study from Himachal Pradesh, India

Concurrent Coinfections in Tropics: A Hospital-Based Observational Study from Himachal Pradesh, India

Analysis of Trends of Fever in the Field Practice Area of a Tertiary Care Hospital, Bengaluru: A Retrospective Data Review

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