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Indian Journal of Emergency Medicine

Volume  5, Issue 1, Jan-Mar 2019, Pages 13-18
 

Original Article

Mortality Audit of Febrile Cases Admitted in a Tertiary Care Hospital in Eastern India

Subhrojyoti Bhowmick, Santa Mukherjee, Devarati Dutta, Bhaskar Narayan Chowdhury, Sujit Kar Purkayastha

1Clinical Director for Academics, Quality and Research Department, 2Assistant Nursing Superintendent, Infection Control, 3Ex-Senior Executive, Academics and Research, 4Consultant Microbiologist and Head, Infection Control, 5Consultant Gastroenterologist and Managing Director, Peerless Hospital and BK Roy Research Centre, Kolkata, West Bengal 700094, India.

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.5119.3

Abstract

 Background: Frequent outbreaks of dengue, malaria, typhoid, and influenza are very common in India, especially during the monsoon season. This study aimed at analyzing the cause and outcome of such febrile cases admitted in a tertiary care private hospital of Kolkata, India. Methods: An audit of patients (N=840) admitted to the hospital with fever was carried out from June to November, 2017 and were studied for diagnosis and clinical outcome. Data were collected, analyzed and documented using Microsoft Office Excel 2007 version. Results: Dengue was the most common infection accounting for 78.3% of all cases, followed by Influenza (8.2%) and Scrub typhus (6.5%). A total of 14 deaths occurred during the outbreak; mortality was higher among females (57.1%) and in patients with scrub typhus (8.3%). Discussion: This study confirms the need of including scrub typhus screening test in the fever panel. Studies assessing the prevalence and outcomes of scrub typhus must be done in Indian hospitals to understand the morbidity and mortality patterns better.


Keywords : Febrile; mortality; India; scrub typhus; Fever Panel; audit.
Corresponding Author : Subhrojyoti Bhowmick