Dang Humması İle Başvuran Hastalarda Psikiyatrik Morbidite

Amaç: Dang humması ile başvuran hastalardaki psikiyatrik bozuklukların veya semptomların ve psikotropik reçete sıklığının yaygınlığının araştırılması. Materyal ve Metot: Bu tanımlayıcı çalışmada, Haziran 2017 - Ekim 2017 tarihleri arasında hastanenin tıbbi birimlerinde Dang humması ile başvuran tüm hastaların taburculuk özetleri gözden geçirildi ve psikotropik reçete, psikiyatrik konsültasyon ve psikiyatrik tanı detayları alındı. Bulgular: Yaklaşık 14 hastaya (% 5.71) başvuru sırasında psikotropik ilaçlar verilmişti. Sadece 4 hasta psikiyatrik konsültasyon almıştı. 14 hastanın 9'unda klonazepam, 3'ünde ketiapin reçete edilmişti. Hastaların geri kalan kısmına sertralin ve amitriptilin verilmişti. Sonuç: Çeşitli Hint ülkelerinde ve dünyada son zamanlardaki Dang humması salgınları nedeniyle, hastalığın zihinsel işlevlere etkilerini değerlendirmek önemlidir, zira tedavi edilmeyen psikiyatrik hastalıklar tıbbi morbiditenin artmasına, sağlık masraflarının yükselmesine, iyileşme sürecinin gecikmesine veya ortadan kalkmasına sebep olabilir.

Psychiatric Morbidity among Patients Admitted with Dengue Fever

Objectives: To study the prevalence of psychiatric disorders or symptoms and psychotropic prescription patterns among patients who admitted with Dengue fever.Materials and Methods: In this descriptive study, discharge summaries of all the patients admitted with Dengue fever in a medical unit of the hospital from June 2017 to October 2017, were reviewed and details of psychotropic prescriptions, psychiatric consultations and psychiatric diagnosis were collected.Results: About 14 patients (5.71%) received psychotropic medication during admission. Only 4 patients received psychiatric consultation. Out of 14 patients, 9 patients were prescribed clonazepam, 3 patients were prescribed quetiapine. Rest of the patients received sertraline, and amitriptyline.Conclusion: In view of the recent epidemics of Dengue in various Indian states and all over the world, it is important to evaluate the burden of the disease on mental functioning, as untreated psychiatric illness can lead to increased medical morbidity, higher healthcare costs, and can delay or prevent recovery from medical illness.

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1. Monath TP. Dengue: The risk to developed and developing countries. Proc Nail Academy Science USA 1994;91:2395-400.
2. Thomas SJ, Strickman D, Vaughn DW. Dengue epidemiology: Virus epidemiology, ecology, and emergence. Advances in Virus Research 2003;61:235-89.
3. Patz JA, Daszak P, Tabor GM, Aguirre AA, Pearl M, Epstein J, Wolfe ND, Kilpatrick AM, Foufopoulos J, Molyneux D, Bradley DJ. Working group on land use change and disease emergence. Unhealthy landscapes: Policy recommendations on land use change and infectious disease emergence. Environmental Health Perspectives 2004; 112(10):1092-8.
4. Gulati S, Maheshwari A, authors. Atypical manifestations of Dengue. Trop Med Int Health 2007;12:1087–95.
5. Wiwanitkit S & Wiwanitkit V. Psychological Manifestation in Dengue: Did it Really exist? Indian Journal of Psychological Medicine 2013;35(2):222.
6. Blum JA, Pfeifer S, Hatz CF. Psychiatric manifestations as the leading symptom in an expatriate with Dengue fever. Infection 2010;38:341–3.
7. Hashmi AM, Butt Z, Idrees Z et al. Anxiety and depression symptoms in patients with Dengue fever and their correlation with symptom severity. Int J Psychiatry Med 2012;44:199‐210.
8. Jhanjee A, Bhatia MS, Srivastava S, Rathi A. A study of psychiatric symptomatology in Dengue patients. Delhi Psychiatry J 2013;16: 21‐3.
9. Gill KU, Ahmad W, Irfan M. A clinical study to see the psychological effects of Dengue fever. Pak J Med Health Sci 2011;5: 101-4.
10. Bhatia MS, Saha R. Neuropsychiatric manifestations in Dengue fever. Med J DY Patil Univ 2017;10:204-6.
11. de Miranda AS. Dengue-3 encephalitis promotes anxiety-like behavior in mice. Behavioural Brain Research 2012; 230:237–42.