Abstract
INTRODUCTION: Rapid urbanisation lead to high density population in large cities. These changing environments influence the epidemiological pattern of leptospirosis, to move from rural to urban areas. Objective of this study is to determine the demographic and clinical characteristics of leptospirosis patients admitted to HKL. METHODS: This is a registry base retrospective study; carried out among all patients admitted with diagnosis of Leptospirosis to HKL between January 2013 and December 2018. A total list of 4270 suspected leptospirosis cases were downloaded from CDC-is in Excel-2013 format and then analysed using SPSS version 21.0. Only confirmed cases were included in this study, which were 1106 patients. RESULTS: The admitted patients were from Kuala Lumpur 715 (64.6%), Selangor 372 (33.6%), and other states 19 (1.7%); consist of 841 (76.0%) males and 265 (24.0%) females. The mean age was 34-year (SD 15.4year) with majority were in the age group of 18-30 (42.9%) and 31-60 (40.0%). Mostly was Malaysian 855 (77.3%) with ethnicity of Malays (55.5%), Indian (12.0%), and Chinese (5.9%). The most common clinical symptoms were fever 183 (35.95%), followed by diarrhoea 53 (10.5%), vomiting 61 (12.1%), myalgia 28 (5.5%), abdominal pain 26 (5.1%), headache 20 (4.0%), and arthralgia 28 (5.5%). Mostly admitted to Medical ward 912(82.5%), while 139 (12.6%) severe cases need intensive care, and death occurrence were 25 (2.3%). CONCLUSION: Based on age, the most affected groups were the active working population. Clinical presentation varied from mild illness to life-threatening complications.
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@proceedings{APCPH-2019-138,
title = {Characteristic of Leptospirosis Patients Admitted to Hospital Kuala Lumpur (HKL) From 2013 to 2018.},
author = {Shahida Ismail and Rohaida Ismail and NormazuraMustapa and Siti Sara Yaacob and Anis Salwa Kamarudin},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Rapid urbanisation lead to high density population in large cities. These changing environments influence the epidemiological pattern of leptospirosis, to move from rural to urban areas. Objective of this study is to determine the demographic and clinical characteristics of leptospirosis patients admitted to HKL. METHODS: This is a registry base retrospective study; carried out among all patients admitted with diagnosis of Leptospirosis to HKL between January 2013 and December 2018. A total list of 4270 suspected leptospirosis cases were downloaded from CDC-is in Excel-2013 format and then analysed using SPSS version 21.0. Only confirmed cases were included in this study, which were 1106 patients. RESULTS: The admitted patients were from Kuala Lumpur 715 (64.6%), Selangor 372 (33.6%), and other states 19 (1.7%); consist of 841 (76.0%) males and 265 (24.0%) females. The mean age was 34-year (SD 15.4year) with majority were in the age group of 18-30 (42.9%) and 31-60 (40.0%). Mostly was Malaysian 855 (77.3%) with ethnicity of Malays (55.5%), Indian (12.0%), and Chinese (5.9%). The most common clinical symptoms were fever 183 (35.95%), followed by diarrhoea 53 (10.5%), vomiting 61 (12.1%), myalgia 28 (5.5%), abdominal pain 26 (5.1%), headache 20 (4.0%), and arthralgia 28 (5.5%). Mostly admitted to Medical ward 912(82.5%), while 139 (12.6%) severe cases need intensive care, and death occurrence were 25 (2.3%). CONCLUSION: Based on age, the most affected groups were the active working population. Clinical presentation varied from mild illness to life-threatening complications.},
note = {Type: POSTER PRESENTATION; Organisation: Public Health Unit, Hospital Kuala Lumpur, Malaysia, Pasir Mas District Health Office, Kelantan, Malaysia, Public Health Division, Melaka Health State Department, Melaka, Public Health Division, Selangor State Health Department, Shah Alam, Malaysia, Disease Control Division, Ministry of Health, Putrajaya, Malaysia},
keywords = {apcph2019, Hospital Kuala Lumpur, Leptospirosis},
pubstate = {published},
tppubtype = {proceedings}
}