Comparitive evaluation of different systems of medicines and the present scenario of chikungunya in Kerala

Dilip C; Saraswathi R; Krishnan PN; AK Azeem; Raseena; Abdul azeez; Ramya; Jaywin jose

摘要

Objective:To identify the chikungunya outbreaks in both indoor and outdoor patients in some selected hospitals in our locality and the burden and magnitude of the disease, to compare different system of medicines (allopathic, Ayurvedic, homeopathy etc) and to explore the knowledge, attitude and practices of pharmacists and other health care professionals in the treatment of chikungunya. Methods:A six-month study was carried out. Detailed history was taken from the case history, personal interview of doctors and suspected cases. Personal data such as name age, sex, location, date of onset of illness, medical history, general/systemic examination features, drugs used (allopathy, Ayurveda, homeopathy, or traditional) for the treatment, etc. were noted down. A simple questionnaire was prepared and distributed to various doctors practicing various systems of medicines. Results:A total of 209 suspected cases were identified from July to December, 2009. People in the age group of 20-40 years were more affected. The study revealed that females were more affected than males. The Grade-III (58.73%) population was more prone to chikungunya than Grade-II (38.75%) and Grade-I (2.87%). It showed that fever, pain in muscles, and sleeping disturbances were the intense symptoms of chikungunya. Myocarditis and arthritis were concomitant diseases which worsened chikungunya symptoms. It also indicated the effective medicine for compliance is nonsteroidal antiinflammatory drugs (NSAIDS). Conclusions:From our study we found that in some places there is no proper documentation, even though there are proper guidelines framed by the relevant authorities. It can be concluded from the study that all the systems of medicine are equally important for the management of chikungunya. Additional effort in promoting the guidelines at local level and proper documentation helps to achieve the goal of curbing the chikungunya. It is high time to increase our effort and promote these messages at grassroot level which benefits the society/community as a whole.

机译：目的：确定当地一些医院的室内和室外患者的基孔肯雅病暴发以及疾病的负担和严重程度，比较不同的药物系统（同种疗法，阿育吠陀疗法，顺势疗法等），并探索知识，态度药师和其他医疗保健专业人员在基孔肯雅热治疗中的实践和做法。方法：进行了为期六个月的研究。详细的历史记录来自于病史，对医生的个人访谈和疑似病例。记录下姓名，年龄，性别，位置，发病日期，病史，一般/全身检查特征，用于治疗的药物（同种疗法，阿育吠陀，顺势疗法或传统药物）等个人数据。编写了一份简单的问卷，并分发给了从事各种药物系统的各种医生。结果：2009年7月至2009年12月，共鉴定出209例可疑病例。20-40岁年龄段的人群受影响更大。研究表明，女性比男性受影响更大。与II级（38.75％）和I级（2.87％）相比，III级（58.73％）人口更容易出现基孔肯雅热。它表明发烧，肌肉疼痛和睡眠障碍是基孔肯雅的强烈症状。心肌炎和关节炎是伴随疾病，使基孔肯雅病症状恶化。它还表明有效的依从性药物是非甾体类抗炎药（NSAIDS）。结论：从我们的研究中我们发现，即使有相关机构制定了适当的指导方针，在某些地方也没有适当的文件记录。从研究中可以得出结论，所有医学系统对于基孔肯雅热的管理同等重要。在地方层面上推广指南的额外努力和适当的文档有助于实现遏制基孔肯雅热的目标。现在是加强我们的努力并在基层宣传这些信息的时候了，这有益于整个社会/社区。

Comparitive evaluation of different systems of medicines and the present scenario of chikungunya in Kerala

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