Epidemiology of Children with Severe Dengue Infection in Dr. Soetomo General Hospital

  • Aulia Nur Fadilla Faculty of Medicine Universitas Airlangga
  • Dominicus Husada Pediatrics Department, Dr. Soetomo General Hospital, Surabaya, Indonesia
  • Budi Utomo Preventive Public Health Medicine Department, Airlangga University, Surabaya, Indonesia
Keywords: Severe dengue infection, Dengue Hemorrhagic Fever (DHF), Dengue Shock Syndrome (DSS), Children

Abstract

Introduction: Dengue infection is endemic to Indonesia and remains a public health problem. Severe dengue infection can cause rapid death, especially in children.

Aim: To determine the epidemiology of children with severe dengue infection in Dr. Soetomo Hospital.

A cross-sectional study was conducted at the pediatric ward of Dr. Soetomo Hospital. Data were derived from medical records of children aged ≤18 years which hospitalized with severe dengue from March to April 2019. Of 135 children admitted with DHF, obtained 48 samples with characteristics >5–12 years old (72.9%), male (58.3%), residence Surabaya (89.6%), elementary school (60.3%), referral (81.3%), hospitalized ≤5 days (66.7%), day of illness ≥4 days (89.6%), moderate malnutrition (35.4%), had severe plasma leakage consisting of DHF grade III (73%) and IV (27%). Two patients died (4.2%). No patient with congenital disease and malignancy. This study is not in line with the tendency of shifted dengue incidence to older age groups (>15 years old) in Indonesia. All patients had severe plasma leakage. No severe dengue patient with severe hemorrhage and organ impairment. Most patients were male, had moderate malnutrition, from referral, day of illness ≥4 days, hospitalized ≤5 days.

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Published
2020-05-19
How to Cite
Fadilla, A. N., Dominicus Husada, & Budi Utomo. (2020). Epidemiology of Children with Severe Dengue Infection in Dr. Soetomo General Hospital . Journal Of The Indonesian Medical Association, 70(4), 41-47. https://doi.org/10.47830/jinma-vol.70.4-2020-220