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Pattern of diseases associated with fever among infants aged 1-6 months
1Department of Child Health Medical School, Sam Ratulangi University, Manado-Indonesia.
Insights
Fever in infants aged 1-6 months is often linked to gastroenteritis and pneumonia. Elevated body temperature in infants shows a significant relationship with fever duration and white cell count.
Area of Science:
- Pediatrics
- Infectious Diseases
- Clinical Epidemiology
Background:
- Fever is a common symptom in infants, necessitating understanding of its underlying causes.
- Infants aged 1-6 months are particularly vulnerable to various infections and febrile illnesses.
- Retrospective studies are crucial for identifying disease patterns in specific pediatric populations.
Purpose of the Study:
- To retrospectively evaluate the spectrum of diseases causing fever in infants aged 1-6 months.
- To identify the most prevalent febrile illnesses in this age group at a specific hospital.
- To analyze the relationship between fever severity, duration, and certain laboratory markers.
Main Methods:
- Retrospective analysis of medical records of 189 infants aged 1-6 months.
- Data collection on patient demographics, clinical diagnoses, fever characteristics, and laboratory results.
- Statistical analysis to determine correlations between fever and clinical/laboratory findings.
Main Results:
- Gastroenteritis (39.15%) and pneumonia (28.05%) were the leading causes of fever.
- Respiratory tract infections and meningitis were also significant contributors to febrile illnesses.
- Elevated body temperature correlated significantly with fever duration and total white cell count.
Conclusions:
- Gastroenteritis and pneumonia are the primary drivers of fever in infants aged 1-6 months.
- Fever duration and white blood cell count are important indicators in managing febrile infants.
- Understanding these patterns aids in timely diagnosis and appropriate treatment of febrile illnesses in infants.
Abstract:
This study was carried out retrospectively to evaluate the pattern of diseases associated with fever among infants aged 1-6 months at Gunung Wenang General Hospital Manado. During the period of January 1988-December 1989, 189 infants with age ranging 1-6 months, were evaluated. Diseases associated with fever predominantly occurred in infants of 3 months old (73.0%). The final clinical diagnosis of diseases associated with fever were gastroenteritis (39.15%), pneumonia (28.05%), meningitis (9%), respiratory tract infection (15.4%), post vaccination (4.20%) and septicemia (4.3%). The fever ranged from 37.8-38.3 degrees C (38%), 38.4-39.5 degrees C (49%), 39.6-41 degrees C (10%) and more than 41 degrees C (3%). The elevated body temperature was significantly related to the duration of fever (p 0.01). Increased erythrocyte sedimentation rate and thrombocytopenia were not correlated significantly (p greater than 0.05) with elevated body temperature while the total white cell count had a significant relationship (p less than 0.05).
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