A STUDY OF CLINICAL PROFILE OF SWINE FLU PATIENTS IN THE OUTBREAK OF 2015 IN TERTIARY CARE CENTRE AT JABALPUR

Ishan Verma; Prabhat S. Baghel; Roshan Mandloi; Deepak Kumar Warkade; Ravi Kumar Dohre

Volume : VII, Issue : V, May - 2018

A STUDY OF CLINICAL PROFILE OF SWINE FLU PATIENTS IN THE OUTBREAK OF 2015 IN TERTIARY CARE CENTRE AT JABALPUR

Ishan Verma, Prabhat S. Baghel, Roshan Mandloi, Deepak Kumar Warkade, Ravi Kumar Dohre

Abstract :

AIM:To study the clinical profile of H1N1 positive patients admitted in Swine flu ward in NSCB Medical College, Jabalpur in outeak of 2015.

MATERIALS & METHODS: All H1N1 positive patients admitted in NSCB MCH, Jabalpur were analysed retrospectively with respect to morbidity and mortality and possible clinical conclusions were derived.

RESULTS:Of 64 H1N1 positive patients, 23 died. Cough, fever & dyspnoea were main symptoms in all patients including those under mortality group. Those with a duration of stay in hospital >10 days had least mortality. Highest mortality seen in patients with duration of stay between 1–10 days. 40 (62.5%) of 64 patients had some co–existing illness of which Anemia & DM were most common. 16 (69.5%) out of 23 patients who died had some co–existing illness of which DM was associated with 9 patients, Anaemia with 8 & Hypertension with 7 patients. 25 (39%) of 64 patients developed some complications of which ARDS & encephalopathy had higher mortality as compared to Renal failure & MODS. Of 23 patients who died, 18 (78%) developed some complication.

CONCLUSION:Knowing the potential of Influenza virus for genetic mutations, it is difficult to find a stereotype pattern of illness as also documented by studies done in past. Good clinical skills always carry high value in suspecting & defining H1N1 infection & its complications. Co–existing illness must be taken special care of during an outeak of Swine flu. Community education, timely immunization of those at high risk & early referral can save many lives.