A 4-Year Retrospective Study Of Dengue And Chikungunya In Tertiary-Care Hospital Of East Delhi

  • Manoj Kumar Meena Department of Microbiology UCMS & GTB Hospital, Delhi-110095
  • Subhashree Mohapatra Department of Microbiology UCMS & GTB Hospital, Delhi-110095
  • Shukla Das Department of Microbiology UCMS & GTB Hospital, Delhi-110095
  • N P Singh Department of Microbiology UCMS & GTB Hospital, Delhi-110095
Keywords: Dengue, Chikungunya, NS1 antigen, IgM antibodies, ELISA

Abstract

Backgound Dengue is a vector-borne disease caused by the dengue virus (DENV, 1–4 serotypes), an arbovirus from flaviviridae family and chikungunya virus is an alphavirus. Material and Methods A 4 year retrospective study was conducted from January 2017 to December 2020 to determine the prevalence of the disease among in-patients and OPD patients. NS1 ELISA for invitro diagnostic kit was used to detect anti-dengue immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies from 2017-2018. Bio-Rad Dengue NS1 Ag ELISA kit was employed for 2019-2020. Results There were 5110 samples were received of which 1269 (24.8%) were laboratory-confirmed as DEN infections. The most common affected age group was 21-40 years old. In terms of gender distribution females were more affected with both dengue and chikungunya as compared to males. Results showed that 28.74% of patients were seropositive in 2017. The maximum seropositivity was observed in 2018 with 36.97% and minimum seropositivity observed in 2020 with 3.43%. Conclusion Further epidemiological studies are required to determine the true burden of these infections.

References

Halstead SB. Dengue. Lancet. 2007 Nov 10;370(9599):1644-52.

Shepard DS, Undurraga EA, Halasa YA, Stanaway JD. The global economic burden of dengue: a systematic analysis. Lancet Infect Dis. 2016 Aug;16(8):935-41. doi: 10.1016/S1473-3099(16)00146-8. Epub 2016 Apr 16. PMID: 27091092.

Gubler DJ. Dengue and dengue hemorrhagic fever. Clin Microbiol Rev 1998; 11: 480–496.

Arunachalam N, Murty US, Kabilan L et al. Studies on dengue in rural areas of Kurnool District, Andhra Pradesh, India. J Am Mosq Control Assoc 2004; 20: 87–90.

Chakravarti A, Arora R, Luxemburger C. Fifty years of dengue in India. Trans R Soc Trop Med Hyg 2012; 106: 273–282.

Mutheneni SR, Morse AP, Caminade C, Upadhyayula SM. Dengue burden in India: recent trends and importance of climatic parameters. Emerg Microbes Infect. 2017;6(8):e70.

National Vector Borne Disease Control Programme (NVBDCP) Dengue/DHF situation in India. Dengue cases and deaths in the country. Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India (2018).

Martina BE, Koraka P, Osterhaus AD. Dengue virus pathogenesis: an integrated view. Clin Microbiol Rev. 2009 Oct;22(4):564-81. doi: 10.1128/CMR.00035-09. PMID: 19822889; PMCID: PMC2772360.

Srikiatkhachorn A. Plasma leakage in dengue haemorrhagic fever. Thromb Haemost. 2009 Dec;102(6):1042-9. doi: 10.1160/TH09-03-0208. PMID: 19967133; PMCID: PMC5527705.

Deeba, F., Afreen, N., Islam, A., Naqvi, I. H., Broor, S., Ahmed, A., & Parveen, S. (2016). Co-infection with dengue and chikungunya viruses. Current Topics in Chikungunya.

Shanmugan, P., Soundararajan, N., Ravi, V., & Venkatesan, P. (2016). A study on the prevalence of dengue fever in Kelambakkam in comparison to an earlier study. Indian J Microbiol Res, 3(2), 102-6.

Sathish, J. V., Wadekar, M. D., Jayashree, S., & Pooja, C. (2021). Burden of Dengue and Chikungunya--A Retrospective Study. Journal of Pure and Applied Microbiology, 15(2), 772-777.

Mathew N, Rajahamsan J, Sahira H, Rani B, Bai RJT. Study on Prevalence of Dengue Fever in a Tertiary Care Hospital, South Kerala. Journal of Medical Science and Clinical Research. 2017;5(1): 15435-15440.

Nepal HP, Ansari S, Gyawali N. Detection of IgM against Dengue Virus in Clinically Suspected Patients Presenting at a Tertiary Care Centre, Narayani Zone, Nepal. J Trop Dis. 2014; 2(3).

Dinkar, A., & Singh, J. (2020). Dengue infection in North India: An experience of a tertiary care center from 2012 to 2017. Tzu-Chi Medical Journal, 32(1), 36.

Biradar, A., Kauser, Y., Itagi, I., & Jamadar, N. A. (2016). Dengue infection: its prevalence with seasonal variations. Indian J Microbiol Res, 3(2), 89-92.

Siqueira-Junior JB, Maciel IJ, Barcellos C, Souza WV, Carvalho MS, Nascimento NE, et al. Spatial point analysis based on dengue surveys at household level in Central Brazil. BMC Public Health. 2008;8:361.

Piedrahita LD, Salas IYA, Marin K, Trujillo AI, Osorio JE, Arboleda-Sanchez SO, et al. Risk factors associated with dengue transmission and spatial distribution of high Seroprevalence in schoolchildren from the urban area of Medellin, Colombia. Can J Infect Dis Med Microbiol. 2018;2018:1–11.

Jain A, Chaturvedi UC. Dengue in infants: an overview. FEMS Immunol Med Microbiol. 2010;59:119–130.

Mukhtar F, Salim M, Farooq A. Outbreak of dengue fever in Lahore: study of risk factors. J Ayub Med Coll Abbottabad. 2012;24:99–101.

Published
27-08-2023
Section
Original Article