Caracterización clínico laboratorial de pacientes internados por dengue en sala de pediatría del Hospital General de Luque enero-mayo 2024

Abstract

Introduction: Dengue represents a frequent cause of pediatric hospital admission in Paraguay, where Luque General Hospital is an important referral center for its care. This study sought to characterize the clinical and laboratory aspects of pediatric patients hospitalized for dengue between January-May 2024. Methodology: Observational, descriptive, cross-sectional study. Pediatric patients under 15 years of age hospitalized for dengue in the Pediatrics Ward of Luque General Hospital were included. Sociodemographic, clinical, laboratory variables and hospitalization data were analyzed through medical record review. Results: During the study period, 90 patients were hospitalized with a diagnosis of Dengue. The most affected age group was 6-10 years (42.2%), with a predominance of males (57.8%). The majority came from Luque (78.9%). The main clinical manifestations were fever (70%), abdominal pain (64.4%) and vomiting (57.8%). Laboratory findings showed thrombocytopenia (mean 117,213/mm³) and elevated transaminases (AST mean 102.4 U/L). Pleural effusion was the most frequent complication (10%). Parenteral hydration was the main treatment (72.2%). In 50% of cases, hospital stay was 3-4 days, with an improvement rate of 98.9%. Conclusion: The clinical-laboratory characterization of pediatric patients with dengue showed a presentation profile with predominance of uncomplicated cases, typical clinical manifestations and favorable evolution. These findings validate the effectiveness of the implemented management protocols and provide valuable information to optimize care for future cases.