ETIOLOGICAL PROFILE OF CHILDREN ADMITTED WITH FEVER WITHOUT FOCUS FOR LESS THAN 7 DAYS DURATION AT TERTIARY CARE CENTER

RAJENDRA PRASAD NAGAR; TEENA NAGAR; MADHURIMA VERMA; RAKESH SHARMA

doi:10.22159/ajpcr.2022.v15i1.43553

Authors

RAJENDRA PRASAD NAGAR Department of Pediatrics, Jhalawar Medical College, Jhalawar, Rajasthan, India.
TEENA NAGAR Department of Obstetrics and Gynecology, Jhalawar Medical College, Jhalawar, Rajasthan, India.
MADHURIMA VERMA Department of Obstetrics and Gynecology, Jhalawar Medical College, Jhalawar, Rajasthan, India.
RAKESH SHARMA Department of Pediatrics, Jhalawar Medical College, Jhalawar, Rajasthan, India.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i1.43553

Keywords:

Fever with short duration, Children, Acute undifferentiated fever, Without focus

Abstract

Objective: The objective of the study was to know about the etiology of acute undifferentiated febrile illness (AUFI) or fever without focus in children admitted at tertiary care hospital.

Methods: A study was conducted at medical college, Jhalawar, for a period of 3 months. Pediatric patients presenting with fever for less than or equal to 7 days duration without focus, who required hospitalization were included in this study.

Results: A total of 200 children enrolled in study. Male-to-female ratio was 1.9:1. Mean age of children was 7.21±4.2 years. About 142 (71%) patients presented after 3 days of fever. Average duration of fever before admission was 4.62±1.78 days. The most common cause of fever of short duration (less than 7 days) was dengue fever 74 (37%) followed by malaria 58 (29%) and typhoid fever 36 (18%). About 26 (13%) patients had mixed infection. Out of 200 patients, 70 (35%) patients had splenomegaly, 66 (33%) had hepatomegaly, and 26 (13%) patients had both hepatosplenomegaly.

Conclusion: The common etiology of AUFI with short duration in children was dengue, malaria, and typhoid. Vector control measures, drinking water supply, and sanitation should be improved to prevent vector-borne and water-borne diseases.

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