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Karakteristik Dengue Berat yang Dirawat di Pediatric Intensive Care Unit Characteristic of Severe Dengue Hospitalized in Pediatric Intensive Care Unit (Characteristic of Severe Dengue Hospitalized in Pediatric Intensive Care Unit)
Dengue viral infections affect all age groups and produce a spectrum of clinical illness that ranges from asymptomatic to severe and occasionally fatal disease. Severe dengue characterized by plasma leakage, hemoconcentration, and hemostatic disorder. The aim of this study was to know the characteristic of severe dengue patients admitted to Pediatric Intensive Care Unit (PICU) Dr. Hasan Sadikin Hospital Bandung during January 2009 to December 2010. This was a retrospective descriptive study based on the data collected from the medical records. Twenty-one severe dengue cases in two years were admitted 15/21 girls and 6/21 boys, and 5/21 of them died during hospitalization because of dengue shock syndrome (DSS) and disseminated intravascular coagulation (DIC). Most of them were 1−5 years old with good nutritional status. Hepatomegaly was found in all cases with mean hematocrit was 38%. In this research, the most manifestation of severe dengue were DSS (15/21), DIC (11/21), encephalopathy (6/21), pleural effusion (5/21), myocarditis (3/21), and acute respiratory distress syndrome (3/21). In conclusions, severe dengue are more common in girls, 1–5 years old, and well-nourished children. The most common clinical manifestation of severe dengue are shock, disseminated intravascular coagulation, and encephalopathy.
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