CLINICAL PROFILE AND OUTCOME OF DENGUE FEVER AND DENGUE HAEMORRHAGIC FEVER IN PAEDIATRIC AGE GROUP WITH SPECIAL REFERENCE TO WHO GUIDELINES (2012) ON FLUID MANAGEMENT OF DENGUE FEVER

Objective: To study the clinical profile and outcome of dengue fever and dengue hemorrhagic fever in pediatric age group using WHO fluid management guidelines (2012). Settings: Pediatric teaching hospital in Sangli, Maharashtra. Duration: 2.1 years Design: Observational study Participants: 100 admitted patients of serologically confirmed dengue. Methods: After clinical assessment, they were investigated and classified according to WHO classification of dengue. Serial monitoring for clinical and hematological parameters was done. Intravenous fluids were administered according to WHO guidelines along with supportive management. Statistical evaluation of the various clinical parameters was done using p value estimation. Results: Common clinical symptoms and signs were fever, vomiting, abdominal pain, hepatomegaly, bleeding diathesis and hypotension. Along with serological tests, hematocrit, platelet counts, liver enzymes and abdominal ultrasonography were useful in management. Fluid management played a vital role. Conclusions: Dengue fever had a constellation of symptoms and signs and investigations. A high index of suspicionin endemic areas was important.Fluid management played a vital role and helped in recovery.