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Introduction: Dengue is the most rapidly spreading mosquito-borne viral disease in the world.In India, there is increased proportion of Dengue cases with severe disease. Early recognition and prompt initiation of appropriate treatment are vital to reduce disease related morbidity and mortality. Objective: To study the clinical profile and outcome of hospitalized dengue fever cases in children during outbreaks. Methods: This is an observational prospective study conducted at tertiary care hospital. All children who presented with clinical features of dengue & dengue serology positive children were included in the study. Results: A total of 185 children diagnosed to have dengue fever were admitted in the hospital during the study period. The cases were classified according to WHO protocol as Dengue without warning sign (48.1%), Dengue with warning signs (27%) and severe dengue (24.8%). All the children had fever as the presenting complaint. The other predominant symptoms observed were vomiting (61.6%), abdominal pain (50.2%), rashes (30.2%), myalgia (24.3%), and bleeding manifestation (16.2%). The other significant findings noted were Hepatomegaly (52.4%), Ascites (47.01%), and pleural effusion (41%). Gallbladder wall thickness (80.4%) was the most common radiological abnormality. Mortality in this study was 1.08%. Conclusion: Children in the age group of 5-15 years were most commonly affected. Fever, Persistent vomiting, abdominal pain, Hepatomegaly, pleural effusion, were predominant presenting symptoms and signs. Early recognition, precise assessment and appropriate treatment with the help of WHO revised classification and management guidelines have reduced the mortality.

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Introduction: Poisoning in pediatric age group became a challenging emergency in world that might be accidental, incidental or with snake bite or scorpion sting. In spite of many measures proposed by several organizations still the cases of poisoning are increasing. Methods: In this study above 1 month to 18 years of age children were included. Cases of food poisoning, allergic drug reactions were included along with scorpion sting and snake bite. Various parameter analyzed were age, sex, time of ingestion, type of poison, signs and symptoms, time taken to reach hospital, treatment offered, and complications underwent by the patient. Results: All the children who came with complaints of poisoning were admitted in the PICU. Total PICU admissions for 2 years were 693 out of which 27 cases were poisoning. Of total admissions 3.89% were poisoning cases. In total poisoning cases admitted female are 12 and males were 15. Accidentally ingested poisoning cases were 13, intentional ingested were 4 and poisoning due snake bite were 3, scorpion sting were 7. In accidental ingested poisoning 1 is by Datura seeds. Poisoning by ingestion was of total 17 cases and other (scorpion sting and snake bite) are 10. On comparing with age 1-5 years children were more effected i.e, 15. Conclusion: It is retrospective study which showed accidental poisoning is commonly seen in under 5 age group children and incidental poisoning seen in above 10 age group children. In both groups parental counselling and safety measures improve the outcome. Early intervention of pediatric poisoning decreases morbidity and mortality in children.