FREQUENCY OF SCRUB TYPHUS IN A TERTIARY CARE HOSPITAL OF NORTHERN INDIA IN SUB-HIMALAYAN REGION

Author:

Bhanu Kanwar1,Anuradha Sood2,Aditya Rana1,S.C Jaryal3

Affiliation:

1. Postgraduate student, Department of Microbiology, DRPGMC, Tanda, Kangra (H.P.)

2. Associate professor, Department of Microbiology, DRPGMC, Tanda, Kangra (H.P.),

3. H.O.D. and professor, Department of Microbiology, DRPGMC, Tanda, Kangra (H.P.),

Abstract

Background and Objective: Scrub typhus is an endemic zoonotic infectious disease caused by the rickettsial bacteria Orientia tsutsugamushi, an obligate intracellular microbe. It is a serious public health problem in the Asia-Pacic region. The aim of this study was to identify the prevalence of scrub typhus in DRPGMC, a tertiary care hospital in Northern India. Methodolgy: A total of 2187 serum samples of 1022 males (46.73%) and 1165 females (53.27%) with suspected scrub typhus were received in the Department of Microbiology, DRPGMC over a period of 2 years from November 2019 to October 2021. Scrub typhus was tested by IgM ELISA (Inbios International, USA). Scrub typhus was diagnosed in 322 (14.72%) patients and the majority of them Results: were observed from August to November. Serum reactive test in females (61.80%) were in predominance as compared to serum reactive test in males (38.20%) with a ratio of 1.6:1. Majority of the samples (71.05%) were from age group 19 years to 60 years and least (4.12%) from age group 13 years to 18 years. Conclusion: The number of cases of Scrub typhus disease is increasing in North India and it is a matter of great concern. Health education campaigns focusing on the awareness of disease, quick diagnosis and prompt management is required to minimize morbidity and mortality from the disease.

Publisher

World Wide Journals

Reference11 articles.

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3. McDonald JC, MacLean JD, McDade JE, 1988. Imported rickettsial disease: clinical and epidemiologic features. Am J Med 85: 799–805.

4. Kumar K, Saxena VK, Thomas TG, Lal S, 2004. Outbreak investigation of scrub Typhus in Himachal Pradesh (India). J Commun Dis 36: 277–283. 7.

5. Vivekanandan M, Mani A, Priya YS, Singh AP, Jayakumar S, Purty S, 2010. Outbreak of scrub typhus in Pondicherry. JAssoc Physicians India 58: 24–28.

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