Academic Journal

Dengue in Pune city, India (2017–2019): a comprehensive analysis

التفاصيل البيبلوغرافية
العنوان: Dengue in Pune city, India (2017–2019): a comprehensive analysis
المؤلفون: Vidya Arankalle, Shubham Shrivastava, Ruta Kulkarni, Rahul Patil, Divya Tiraki, Sanjay Mankar, Rohini Mahesh Taru, Raj Lavange, Arundhati Diwan, Sanjay Lalwani, AkhileshChandra Mishra
المصدر: Frontiers in Public Health, Vol 12 (2024)
بيانات النشر: Frontiers Media S.A., 2024.
سنة النشر: 2024
المجموعة: LCC:Public aspects of medicine
مصطلحات موضوعية: dengue, symptoms, disease category, primary dengue, secondary dengue, India, Public aspects of medicine, RA1-1270
الوصف: ObjectivesTo understand the dynamics of dengue disease with special reference to (1) age (2) primary/secondary infections (3) serostatus and (4) serotypes examined during three consecutive years.MethodsDuring 3 dengue seasons (2017–19), NS1/IgM ELISAs were used for dengue diagnosis in one of the 15 administrative wards of Pune City, India. Predefined symptoms were recorded at the time of diagnosis/hospitalization. IgG-capture ELISA (Panbio) was used to differentiate primary/secondary infections. DENV serotypes were determined for 260 viral RNA-positive patients.ResultsDuring the 3 years, 3,014/6,786 (44.4%, 41.4–49.9%) suspected cases were diagnosed as dengue. Use of either NS1 or IgM would have missed 25.5% or 43% of the confirmed dengue cases, respectively. Notably, a higher proportion of secondary dengue cases remained mild while a substantial proportion of primary infections developed warning signs. The symptoms among Dengue/non-dengue patients and primary/secondary infections varied and influenced by age and serostatus. The number and proportion of dengue serotypes varied yearly. A remarkable decline in dengue cases was observed during the COVID-19 pandemic years.ConclusionA substantial proportion of primary and secondary dengue patients progress to warning signs/severity or mild infection respectively, underscoring the possible role of non-ADE mechanisms in causing severe dengue that requires hospitalization. Both NS1 and IgM should be used for efficient diagnosis.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2296-2565
Relation: https://www.frontiersin.org/articles/10.3389/fpubh.2024.1354510/full; https://doaj.org/toc/2296-2565
DOI: 10.3389/fpubh.2024.1354510
URL الوصول: https://doaj.org/article/46c23246f947403dbf64ee31b446d70b
رقم الانضمام: edsdoj.46c23246f947403dbf64ee31b446d70b
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22962565
DOI:10.3389/fpubh.2024.1354510