An account of acute febrile viral infections among children below 12 years in Khartoum State

الموضوعات

طب

الملخص

Worldwide viral infection is a common cause of morbidity . Inthe developing countries, it had been overlooked due to lackof facilities . The objectives of the study were to : a)improve the clinical diagnosis by investigating the existing infectiousviruses in children aged up to 12 years, b) evaluatethe clinical diagnosis of viral fever in relation to serological resultsand c) study the clinical presentation of acute viral diseases.A case – controlled hospital based study was conducted on afour-day week basis during the period from 24th of march2001 and 13th of august 2002. Febrile children aged less than12 years who had negative blood film for malaria were selectedas cases. A matched afebrile admissions were selected ascontrols. 108 (27%) out of 400 cases & 38 (19%) out of 200control were studied.Viral infection was detected in 64.4% of malaria negative patients(P <0.05 ).The incidence of rubella , Influenza A virus , CMV was18.5%, 15.8% & 13% respectively while that of measles ,adenoviruses and Influenza B virus was 8.3%, 11.1% & 11.1%respectively. The incidence of parainfluenza virus , EBV, RSV was6.5% ,4.6% & 1.9% respectively. Serological titers of casescompared to controls were insignificant except for Influenza A viruswhich occurred more in afebrile patients ( P < 0.05 ) and it was themost frequent virus encountered in association with other viruses.Mixed viral infections occurred in 21 (19.4%) patients. Viralinfection was implicated in 30.5% & 15.1% of respiratory tractinfections & gastroenteritis respectively.xAbout 10% & 13.3% of infants less than three months werefound to have significant IgM titers of Rubella & CMVrespectively. This raises the possibility of congenital infection. Thestudy revealed that no difference in the incidence of viral infectionbetween febrile and afebrile children ( P= 0.3423 ). Also the studyshowed that the clinical presentation of certain viral infections e.g.rubella, influenza etc… is not different from that reported in theliterature. Mostly presenting with symptomatology of respiratoryinfections. The latter was the predominant clinical diagnosis in themajority of cases. It is therefore recommended availing rapidviral tests is more appropriate and cost-effective as it lowers theadmission rate and the unnecessary use of antibiotics andantimalarials.

روابط وملفات

التعريف والنوع

رقم الوثيقة

0d283e83-6051-42cb-97ce-c2de45cf8c69

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf image

أسماء الملفات

0d283e83-6051-42cb-97ce-c2de45cf8c69_1.pdf

بيانات النشر

ألقاب المؤلفين

[{"name_ar":" MAHA ELBUKHARI IBRAHIM MOHD ","title_ar":"اعداد","title_en":"Preparation"},{"name_ar":"SALAH AHMED IBRAHIM","title_ar":"اشراف","title_en":"Supervision"}]

اللغة

English

المصدر والدورية

اسم المصدر

An account of acute febrile viral infections among children below 12 years in Khartoum State

المحتوى والصفحات

عدد الصفحات

0

إشراف وإعداد

الإشراف

SALAH AHMED IBRAHIM

الإعداد

MAHA ELBUKHARI IBRAHIM MOHD

الاقتباسات الببليوغرافية