FEASIBILITY AND USEFULNESS OF NEW DENGUE CLASSIFICATION VS OLD CLASSIFICATION

DR ASHUTOSH WALAWALKAR; DR. MRS. ANJALI VASANT KALE; DR ABHAY JAIN

Volume : VIII, Issue : VII, July - 2019

FEASIBILITY AND USEFULNESS OF NEW DENGUE CLASSIFICATION VS OLD CLASSIFICATION

Dr Ashutosh Walawalkar, Dr. Mrs. Anjali Vasant Kale, Dr Abhay Jain

Abstract :

Introduction: Dengue cases, traditionally classified as dengue fever (DF) or dengue heamorrhagic fever (DHF) by the World Health Organization (WHO) in the year 1997 , now are categorized into without warning signs, with warning signs (e.g., abdominal pain/vomiting/fluid accumulation/mucosal bleeding/lethargy/liver enlargement>2cm/increasing haematocrit with decreasing platelets) by the WHO 2009 version. Aim: To evaluate the feasibility and usefulness of new dengue classification over the old ones in treatment of patients. OBJECTIVES:  To evaluate the clinical feature and complications of dengue fever.  Risk factors to assess severity of dengue.  Usefulness of various classifications in treatment and prognosis of dengue fever Methodology: Our study will include 60 patients presenting with dengue fever at Mahatma Gandhi Mission�s (MGM) Hospital Aurangabad for a duration of 6 months. All confirmed cases of dengue fever either NS1 or IGM positive will be included in the study. Results: Abdominal pain was present in 75% of cases, 22% patients had bleeding manifestations, 62% cases had hepatomegaly, 72% cases had right hypochondrial tenderness. Haemotocrit improved in <5days in 28.1% of total cases. Out of total cases 50.1% required fluids at rate between 2-3cc/kg/hr,15.5% cases required fluids at rate between 3-4cc/kg/hr and >4cc/kg/hr in 34.4% cases. Diuretic phase started in <5 days of fever in 40.7% of total cases , 87.4% cases regression occurred in >7days. Platelets had increased in 78.1% cases in >5days of fever. Out of all cases 59.4% had warning signs while 40.6% were without warning signs. Out of all cases with warning signs 32% cases took >5 days for regression, increase in platelets, start of diuretic phase while 27% of cases without warning signs > 5 days for the same. Conclusion: Those with warning signs required more time for regression compared to those without warning signs but there was no change in the treatment aspects of these cases and the newer classification was useful for early identification and prognostication of severe dengue.