1. Inflow Of Diphtheria Cases In a Tertiary Care Centre Prof. J.V Singh, Head Deptt. of Community Medicine CSM Medical University UP, Lucknow Dr. Saurabh Kashyap, JR-1 Deptt. of Community Medicine CSM Medical University UP, Lucknow

2. Introduction Diphtheria is an acute respiratory tract illness, caused by Cornynebacteriumdiphtheriae, a facultative anaerobic gram positive bacterium. It is characterized by sore throat, low fever, and an adherent membrane (a pseudo membrane)on the tonsils, pharynx,and/or nasal cavity. A milder form of diphtheria can be restricted to the skin. Uncommon consequences include myocarditis (about 20% cases)and peripheral neuropathy(about 10% of cases).

5. Low-grade fever (>103°F is rare)

8. METHODOLOGY Study site: The Department of Pediatrics CSMMU, Lucknow. Study design: A Case-series study Study duration: 2 months from 1st August to 30th September 2010. Study population: Clinically suspected case of diphtheria admitted in the hospital.

9. RESULTS AND OBSERVATIONS

10. Table-1: District Wise Distribution Of Diphtheria Cases And Vaccination Status

11. District wise distribution of the studied diphtheria cases and actual immunisation coverage (DLHS-3 2007-08)

12. Table 2: Age and Sex Distribution of Diphtheria Cases

13. Table 3: Socio-economic and Immunization status of Diphtheria cases

14. Table 4: Bio-social profile of families of the diphtheria cases

15. HABITAT OF DIPHTHERIA CASES

16. Conclusion The maximum cases were seen above 1 yr of age, out of which 33.63% were of above the age of 5 yrs. Maximum number of diphtheria cases (29.20%)were from Lucknow district. Majority (49.56%) of cases were unimmunized and 39.82%were partially immunized. 87% of the diphtheria cases were from rural background. The study shows predominance of diphtheria cases among males(59.30%) as compared to that of females(40.70%).

17. Conclusion…… 6. The number of diphtheria cases were more in lower socioeconomic class(74.34%) followed by lower middle class(17.70%). 7. Hindus were affected more(70.80%) than any other religion. 8. In 43.36% cases the Head of the family were illiterate. 9. 4 cases died while on treatment , out of which 1 died of rare complication (cardiomyopathy). 10. 2 patient left the hospital against medical advice and rest were discharged following improvement.

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