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Query: UMLS:C0085593 (chills)
 4,268 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A hospital-based retrospective case study of admitted patients was undertaken in four major hospitals of Delhi during 1991, with a view to assessing (i) recording and reporting system of malaria cases, (ii) diagnostic criteria being followed, (iii) management of complicated and severe malaria cases, and (iv) availability of life-saving antimalarials. The study showed that none of the hospitals either followed the international coding system for recording or adopted the National Malaria Eradication Programme guidelines for diagnostic criteria malaria, i.e. by blood smear examination. Diagnosis of malaria in three out of four hospitals was not preceded by blood examination in all cases. Only 55% of the 283 clinically suspected malaria cases were screened for malaria parasite with overall positivity of 20.14 per cent and of 38.25 per cent in examined cases. Age and sex break-up indicated that males suffered more and 65 per cent of the patients belonged to 16-40 years' age groups as compared to 38.4 per cent population falling in this age group according to 1981 census. Out of 263 recovered study cases, 13 per cent came from adjoining states while this percentage went up to 35 per cent (7 out of 20 cases) in the case of malaria deaths. Over 80 per cent of the clinically suspected cases presented with signs and symptoms of fever or fever with rigour, chills or vomiting. In 38 per cent of the cases there was a definite time lag in reporting of the cases to hospitals but most of the cases (91 per cent) were administered antimalarials within 24 h of admission.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Management of admitted malaria cases in four major hospitals of Delhi: a case study. 145 11

An outbreak of Influenza A, subtype H3N2 occurred in Delhi during July-August, 1993. Both urban and rural areas were affected. Attack rates in children and adults were found to be similar; the mean age of patients from whom the virus was isolated was found to be 21 years. The disease was of acute onset, mild in nature and about one week in duration. Main symptoms included fever, chills, cough, sore throat, bodyaches, backache and headache. Complications were absent. About 82 per cent of the affected house-holds had only a single case. Influenza A subtype H3N2 virus was isolated from 12 of 15 throat swabs collected from PUO cases.
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PMID:An outbreak of influenza A (H3N2) in Delhi, 1993. 796 77

Malaria is a major public health problem in India. IEC activities have been an important activity of National Anti Malaria Programme. The present study was undertaken with the objective to assess awareness and practices regarding malaria among patients attending malaria clinic. Literacy status was low among the respondents. About 57% of respondents were aware of the cause of malaria as parasite or mosquito and awareness increased with the literacy status (49.4% in illiterate to 85.4% in high school and above literate). More than half (51.0%) of the respondents attributed high fever with chills and rigor as the most important symptom of malaria, but some of the respondents also mentioned only high fever (18.9%) or high fever with diarrhea (21.2%) as main symptom of malaria. Majority of the respondents knew that mosquito bred in water (62.9%) and mosquito breeding could be prevented (56.6%), knowledge significantly better among literate than illiterates. The present study showed that the awareness and practices about the cause and prevention of malaria were just fair among the patients attending the Malaria Clinic of a Primary Health Centre of Delhi and were dependent upon the literacy status of the study population. Poor response towards practising preventive measures against mosquito bites as approx. one third were not practising any method could be due to poor awareness about malaria preventive measures.
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PMID:Awareness and practices regarding malaria of catchment population of a primary health centre in Delhi. 1271 46

It has been repeatedly reported that lack of effective community participation in malaria control strategies has been partly responsible for high incidence of malaria in India. Active involvement of community in malaria control is a function of the awareness of that community. The present study was conceived with the objective to study the awareness and practices regarding malaria among fever cases clinically suspected of malaria and to assess the slide positivity rate among the same. Awareness and practices of 101 consecutive clinically suspected malaria cases (presenting with fever) attending medical OPD in Satyawadi Raja Harishchandra Hospital, Narela in North West district of Delhi regarding malaria were assessed using a 37 item pre-tested, semi-structured, semi-open ended, and Investigator administered questionnaire. Thin blood films were made for these patients and stained by Romanowski's method using Leishman's stain and reported by haematologist in the Department of Pathology, UCMS & GTB Hospital, Delhi. 37.5% patients had fever ranging from 1-3 days & 60% patients knew of chills and rigors as a symptom of malaria. While 80.2% patients correctly reported that malaria is caused by mosquito, only 52% patients stated that water should not be allowed to stagnate in order to prevent mosquito breeding. 61% patients did not get their houses sprayed with insecticides in last one year. 85.4% patients used one or more methods for personal protection against malaria. On laboratory examination 21% peripheral smears were found to be positive for Plasmodium vivax. Respondents were found to have modest knowledge regarding malaria. Relatively high malaria positivity was seen in malaria suspects. These aspects need to be addressed by the programme managers.
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PMID:Awareness and practices regarding malaria in clinical suspects and the alarming slide positivity rate amongst them: a hospital based study from Delhi. 2514 54