DOI: https://doi.org/10.14710/jekk.v8i2.16463

Factors of Severity Dengue Hemorrhagic Fever during the Covid-19 Pandemic; A Case Control Study in Buleleng, Bali

*I Gede Peri Arista orcid  -  Universitas Udayana, Indonesia
Anak Agung Sagung Sawitri  -  Universitas Udayana, Indonesia
I Made Suganda Yatra  -  Women Empowerment and Child Protection, Buleleng District, Indonesia
Received: 16 Nov 2022; Published: 31 Aug 2023.

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Abstract

Background: The incidence of severe Dengue Hemorrhagic Fever (DHF) in Buleleng District during the COVID-19 pandemic was very high. Our study aimed to analyze the relationship between age, sex, area of residence, type of hospital, season of occurrence and time period with the incidence of severe DHF.

Methods: We conducted a case-control study. Our study sample was 135 with a ratio of cases to controls of 1:2. We collected secondary data obtained from the DHF register data of the Buleleng District Health Office in 2019 to 2020. We performed data processing and analysis using the SPSS version 22. Descriptive analysis using a cross-table distribution and inferential analysis using Chi-Square or Fisher-Exact tests with p values <0.05 or Confident Interval (CI) is 95%.

Result: We found more severe cases of DHF in the group aged 1-12 years, male, living in rural areas, undergoing hospitalization in private hospitals, during the rainy season and during the COVID-19 pandemic period. Age group 1-12 years (OR: 4.3 95%CI: 1.9-9.4, p value=0,000) and rainy season (OR: 2.4 95%CI: 1.1-5.2, p value=0,025) were significantly associated with the severity of DHF.

Conclusion: The age group of 1-12 years and the rainy season are risk factors for the severity of DHF during the COVID-19 pandemic. It is necessary to disseminate early awareness of DHF at the elementary school level and empower parents in maintaining the health condition of their children.

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Cover Letter Factors Of Severity Dengue Hemorrhagic Fever during the Covid-19 Pandemic in Buleleng, Bali
Subject age, season, dengue hemorrhagic fever, COVID-19 pandemic
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Keywords: age, season, dengue hemorrhagic fever, COVID-19 pandemic

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  7. Yatra IMS, Putra IWGAE, Pinatih GNI. Disease History and Delayed Diagnosis of Dengue Infection as Risk Factors for Dengue Shock Syndrome in Wangaya Hospital Denpasar. Public Health and Preventive Medicine Archive (PHPMA). 2015;3(2):150-154. doi: 10.15562/phpma.v3i2.108
  8. Pangaribuan A, Prawirohartono EP, Laksanawati IS. Faktor Prognosis Kematian Sindrom Syok Dengue. Sari Pediatri. 2014;15(5):332-340
  9. Dinas Kesehatan Kabupaten Buleleng. Laporan Rutin Surveilans DBD Kabupaten Buleleng.; 2021
  10. Kemenkes RI. Data Kasus Terbaru DBD di Indonesia. Published 2021. Accessed August 17, 2021. https://sehatnegeriku.kemkes.go.id/baca/umum/20201203/2335899?data-kasus-terbaru-dbd-indonesia/
  11. Januraga PP. Pendekatan Multi-Disiplin; Dari Sebuah Diskursus Ke Arah Profesionalisme Riset Dan Pendidikan Kesehatan Masyarakat. In: Pidato Pengukuhan Jabatan Guru Besar Tetap Dalam Bidang Ilmu Kesehatan Masyarakat Pada Fakultas Kedokteran Universitas Udayana. Universitas Udayana; 2021:1-51
  12. Arauz MJ, Ridde V, Hernández LM, Charris Y, Carabali M, Villar LA. Developing a Social Autopsy Tool for Dengue Mortality : A Pilot Study. PLOS ONE. 2015;6(February):1-17. doi: 10.1371/journal.pone.0117455
  13. Ulrich H, Pillat MM, Tárnok A. Dengue Fever, COVID-19 (SARS-CoV-2), and Antibody-Dependent Enhancement (ADE): A Perspective. Journal of Quantitative Cell Science. 2020;19(2):1-6. doi: 10.1002/cyto.a.24047
  14. WHO. Comprehensive Guidlines for Prevention and Control of Dengue and Dengue Haemorrhagic Fever. Expanded E. (Kalra NL, Joshi AB, Dash AP, et al., eds.). World Health Organization; 2011
  15. Pradipta Y, Laksanawati IS, Pramono D. Social determinants of dengue shock syndrome in Semarang. BKM Journal of Community Medicine and Public Health. 2016;32(5):151-156
  16. Thanachartwet V, Oer-areemitr N, Chamnanchanunt S, et al. Identification of clinical factors associated with severe dengue among Thai adults: a prospective study. BMC Infectious Diseases. 2015;15(420):1-11. doi: 10.1186/s12879-015-1150-2
  17. Mallhi TH, Khan AH, Adnan AS, Sarriff A, Khan YH, Jummaat F. Clinico-Laboratory Spectrum of Dengue Viral Infection and Risk Factors Associated with Dengue Hemorrhagic Fever: a Retrospective Study. BMC Infectious Diseases. 2015;15(399):1-12. doi: 10.1186/s12879-015-1141-3
  18. Pang J, Hsu JP, Yeo TW, Leo YS, Lye DC. Diabetes, cardiac disorders and asthma as risk factors for severe organ involvement among adult dengue patients: A matched case-control study. Nature Scientific Reports. 2017;7(39872):1-10. doi: 10.1038/srep39872
  19. Moraes GH, Duarte E de F, Duarte EC. Determinants of Mortality from Severe Dengue in Brazil : A Population-Based Case-Control Study. American Jornal Tropical Medicine Hygiene. 2013;88(4):670-676. doi: 10.4269/ajtmh.11-0774
  20. Karunakaran A, Ilyas WM, Sheen SF, Jose NK, Nujum ZT. Risk factors of mortality among dengue patients admitted to a tertiary care setting in Kerala, India. Journal of Infection and Public Health. 2014;7(2):114-120. doi: 10.1016/j.jiph.2013.09.006
  21. Saraswati LPC, Mulyantari NK. Prevelensi Demam Berdarah Dengue (DBD) Primer Dan Sekunder Berdasarkan Hasil Pemeriksaan Serologis Di Rumah Sakit Balimed Denpasar. E-Jurnal Medika. 2017;6(8):1-6. http://ojs.unud.ac.id/index.php/eum
  22. Lestari KD, Sukmawati MDD, Gayatri AAY, Utama MS, Somia KA, Merati KTP. Faktor risiko kejadian dengue shock syndrome pada pasien demam berdarah dengue di RSUP Sanglah Denpasar tahun 2015. Medicina. 2018;49(3):320-324. doi: 10.15562/Medicina.v49i3.383
  23. Sahly AA, Arishi H, Alkhayat IAM, et al. Epidemiological Study On Dengue Fever And Risk Factors In Gazan, KSA 2016, 2017 And 2018. International Journal of Recent Advances in Multidisciplinary Research. 2020;7(9):6276-6279. www.ijramr.com
  24. Huy NT, Giang T Van, Thuy DHD, et al. Factors Associated with Dengue Shock Syndrome: A Systematic Review and Meta-Analysis. PLOS Neglected Tropical Disease. 2013;7(9):1-15. doi: 10.1371/journal.pntd.0002412
  25. Podung GCD, Tatura SNN, Mantik MFJ. Faktor Risiko Terjadinya Sindroma Syok Dengue pada Demam Berdarah Dengue. Jurnal Biomedik. 2021;13(2):161-166. doi: 10.35790/jbm.13.2.2021.31816
  26. Pang J, Salim A, Lee VJ, et al. Diabetes with Hypertension as Risk Factors for Adult Dengue Hemorrhagic Fever in a Predominantly Dengue Serotype 2 Epidemic: A Case Control Study. PLOS Neglected Tropical Disease. 2012;6(5):1-8. doi: 10.1371/journal.pntd.0001641
  27. Yuliawati S, Kharisma DF, Martini M, Saraswati LD, Hestiningsih R, Purwantisari S. Populasi Vektor Demam Berdarah Dengue Di Daerah Rural Kota Semarang: Crossectional Survey Bionomik Aedes Sp. Visikes Jurnal Kesehatan Masyarakat. 2020;19(2):459-465
  28. Gama A, Betty F. Analisis Faktor Risiko Kejadian Demam Berdarah Dengue di Desa Mojosongo Kabupaten Boyolali. Eksplanasi. 2010;5(2):1-9
  29. Kesetyaningsih TW, Alislam HM, Eka F. Kepadatan Larva Aedes Aegypti di Daerah Endemis Demam Berdarah Desa dan Kota, Hubungannya dengan Pengetahuan dan Perilaku Masyarakat. Mutiara Medika. 2012;12(1):56-62
  30. Kemenkes RI. Profil Kesehatan Indonesia Tahun 2020. (Hardhana B, Sibuea F, Widiantini W, eds.). Kementerian Kesehatan Republik Indonesia; 2021
  31. Sulasmi S. Dengue hemorrhagic fever incidence in District Banjar based on monthly rainfall data. Jurnal Epidemiologi dan Penyakit Bersumber Binatang. 2013;4(4):171-174
  32. Risma. Pengaruh musim (hujan dan kemarau) terhadap kepadatan populasi larva Aedes aegypti sebagai vektor utama demam berdarah dengue di kelrahan Kedung Cowek (wilayah binaan UHT), Surabaya. In: Seminar-Workshop Dan Kongres Nasional IAFI. Ikatan Ahli Ilmu Faal Indonesia; 2005
  33. Cavany SM, España G, Vazquez-Prokopec GM, Scott TW, Perkins TA. Pandemic-associated mobility restrictions could cause increases in dengue virus transmission. PLOS Neglected Tropical Disease. 2021;9:1-19. doi: 10.1371/journal.pntd.0009603

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