Caracterização clínica e epidemiológica de casos de Dengue internados em Hospital Público de Campo Grande - MS

Abstract

In Campo Grande - MS, the first outbreak of dengue was established in 1987, when it was isolated DEN-1, but only in 1990 was the first dengue epidemic. In 1996 came the introduction of DEN-2, coursing with new epidemic, in 2003, confirmed the introduction of DEN-3 virus, from this there were further outbreaks and epidemics, which culminated in 2007. This is a cross-sectional study of series of cases where we present the epidemiological, clinical and laboratory findings. Secondary data were obtained from a total universe of 247 medical records of patients admitted during the dengue epidemic in the period August 2006 to September 2007, at Hospital Regional de Mato Grosso do Sul was observed that 90% (n = 224) cases, attended with the most severe forms of the disease, especially among the rank of DCC, 63.2% (n = 156), the average length of stay remained at 14 days, with the final outcome for only 0.04% o death, a number considered low. The most affected age group was people of working age (16-60 years), with higher prevalence among females. The main general manifestations were fever, myalgia and headache, and how bleeding most frequent positive tourniquet test, petechiae and gingival bleeding, among women was observed metrorrhagia. The alarm signal with the largest representation was intense abdominal pain. Regarding laboratory in hemoconcentration were very small percentage of the universe studied, especially among those who had more severe disease. The albumin was performed in most cases, which helped in the classification and reporting of the closure, remaining below the threshold between the patients who were examined, regardless of classification. Liver enzymes showed an increase in values over ten times the normal, and there was a predominance of AST elevation of ALT, the IgM serology was collected and analyzed in half the cases, presenting a positive, but because it is patients admitted with potential for severe would have been achieved in 100% of the population. Comorbidities of the cardiovascular system was most representative. There were few cases of complications during hospitalization.