Hospital-Based Prevalence of Malaria and Dengue in Febrile Patients in Bangladesh
- 1 January 2012
- journal article
- Published by American Society of Tropical Medicine and Hygiene in The American Journal of Tropical Medicine and Hygiene
- Vol. 86 (1), 58-64
- https://doi.org/10.4269/ajtmh.2012.11-0190
Abstract
We conducted a nationwide study at six tertiary hospitals from December 2008 through November 2009 to investigate etiologies of febrile illnesses in Bangladesh. Febrile patients meeting a clinical case definition were enrolled from inpatient and outpatient medicine and pediatric units. We assessed 720 febrile patients over 12 months; 69 (9.6%) were positive for IgM antibodies against dengue virus by enzyme-linked immunosorbent assay, and four malaria patients (0.56%) were confirmed with immuno-chromatography and microscopic slide tests. We identified dengue cases throughout the year from rural (49%) and urban areas (51%). We followed-up 55 accessible dengue-infected patients two months after their initial enrollment: 45 (82%) patients had fully recovered, 9 (16%) reported ongoing jaundice, fever and/or joint pain, and one died. Dengue infection is widespread across Bangladesh, but malaria is sufficiently uncommon that it should not be assumed as the cause of fever without laboratory confirmation.Keywords
This publication has 46 references indexed in Scilit:
- Influenza in Outpatient ILI Case-Patients in National Hospital-Based Surveillance, Bangladesh, 2007–2008PLOS ONE, 2009
- A simple method for defining malaria seasonalityMalaria Journal, 2009
- Malaria Prevalence in Endemic Districts of BangladeshPLOS ONE, 2009
- Spatial malaria epidemiology in Bangladeshi highlandsMalaria Journal, 2009
- Análise espacial da dengue e o contexto socioeconômico no município do Rio de Janeiro, RJRevista de Saúde Pública, 2009
- Knowledge on the transmission, prevention and treatment of malaria among two endemic populations of Bangladesh and their health-seeking behaviourMalaria Journal, 2009
- Spatial and Temporal Clustering of Dengue Virus Transmission in Thai VillagesPLoS Medicine, 2008
- Variáveis socioeconômicas e a transmissão de dengueRevista de Saúde Pública, 2007
- Aspectos epidemiológicos do dengue no Município de São Luís, Maranhão, Brasil, 1997-2002Cadernos de Saude Publica, 2004
- Dengue vector prevalence and virus infection in a rural area in south IndiaTropical Medicine & International Health, 2004