{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:48:18Z","timestamp":1777880898648,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medicine"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aimed to understand the field epidemiology, clinical findings, diagnostic reports and outcome of Scrub typhus patients admitted at Gedu District Hospital, Bhutan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The researcher extracted data from the records of patients admitted at the hospital from 1 January 2017 to 31 December 2020, with diagnosis of Scrub typhus. A total of 185 records were used to study the demographic distribution, results of rapid diagnostic test for Scrub typhus, presence of eschar, treatment outcome and duration of admission in the hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The months of May to October had increased admissions of 137 (74%) patients with a peak in September. Three gewogs (sub-districts) had 173 (93.5%) patients; age range was 6\u2009months to 84\u2009years and a greater proportion of patients were females.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Scrub typhus is endemic in the district. The absence of recorded fever or a negative rapid diagnostic test report may not exclude the diagnosis of Scrub typhus.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20503121231175303","type":"journal-article","created":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T06:52:25Z","timestamp":1684565545000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Field epidemiology, clinical findings and outcome of Scrub typhus patients admitted at Gedu District Hospital, Chhukha, Bhutan"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1336-4096","authenticated-orcid":false,"given":"Tej Nath","family":"Nepal","sequence":"first","affiliation":[{"name":"Gedu Hospital, Chhukha, Bhutan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geeta","family":"Chhetri","sequence":"additional","affiliation":[{"name":"Gedu Higher Secondary School, Chhukha, Bhutan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,20]]},"reference":[{"key":"bibr1-20503121231175303","unstructured":"Xu G, Walker DH, Jupiter D, et al. A review of the global epidemiology of scrub typhus, http:\/\/europepmc.org\/backend\/ptpmcrender.fcgi?accid=PMC5687757&blobtype=pdf (2017, accessed 14 June 2018)."},{"key":"bibr2-20503121231175303","unstructured":"Bonell A, Lubell Y, Newton PN, et al. Paris DH. Estimating the burden of scrub typhus: a systematic review, http:\/\/europepmc.org\/backend\/ptpmcrender.fcgi?accid=PMC5634655&blobtype=pdf (2017, accessed 14 June 2018)."},{"key":"bibr3-20503121231175303","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1608499"},{"key":"bibr4-20503121231175303","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2009.02.006"},{"key":"bibr5-20503121231175303","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed4020056"},{"issue":"5","key":"bibr6-20503121231175303","doi-asserted-by":"crossref","first-page":"478","DOI":"10.4103\/ijd.IJD_388_17","volume":"62","author":"Chakraborty S","year":"2017","journal-title":"Indian J Dermatol"},{"key":"bibr7-20503121231175303","doi-asserted-by":"publisher","DOI":"10.4103\/0022-3859.118033"},{"key":"bibr8-20503121231175303","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2007.76.806"},{"key":"bibr9-20503121231175303","doi-asserted-by":"publisher","DOI":"10.4103\/ijmm.IJMM_17_405"},{"key":"bibr10-20503121231175303","doi-asserted-by":"publisher","DOI":"10.4103\/0971-5916.159279"},{"key":"bibr11-20503121231175303","unstructured":"Wangchuk S, Lhazeen K, Dorji T. Clinical characteristics of Scrub Typhus in Gedu and Mongar (Bhutan), http:\/\/www.rcdc.gov.bt\/publications\/ScrubTyphusinGeduandMongar.pdf (2009, accessed 14 June 2018)."},{"key":"bibr12-20503121231175303","doi-asserted-by":"publisher","DOI":"10.4103\/2224-3151.206248"},{"key":"bibr13-20503121231175303","doi-asserted-by":"publisher","DOI":"10.4103\/joah.joah_54_20"},{"key":"bibr14-20503121231175303","unstructured":"BHMIS mannual\n                      . Bhutan: Policy and Planning Division, Ministry of Health. 2009."},{"key":"bibr15-20503121231175303","doi-asserted-by":"publisher","DOI":"10.3201\/eid2905.221430"},{"key":"bibr16-20503121231175303","unstructured":"Tandin Z, Yoenten P, Chencho D, et al. Effect of habitat modification on risk of scrub typhus, an emerging infectious disease in Bhutan | Request PDF, https:\/\/www.researchgate.net\/publication\/332110284 (2018, accessed 2 May 2021)."},{"key":"bibr17-20503121231175303","doi-asserted-by":"publisher","DOI":"10.3201\/eid2412.180695"},{"key":"bibr18-20503121231175303","volume-title":"Scrub typhus IgG\/IgM tapid test cassette (WB\/S\/P)","author":"Hangzhou Clongene Biotech Co., Ltd","year":"2017"},{"key":"bibr19-20503121231175303","unstructured":"Zangpo T, Kezang Dorji KP. Guidelines on management of Scrub typhus, http:\/\/www.moh.gov.bt\/national-guideline-for-prevention-treatment-and-control-of-scrub-typhus\/  (2016, accessed 30 November 2022)."},{"key":"bibr20-20503121231175303","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"}],"container-title":["SAGE Open Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121231175303","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20503121231175303","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121231175303","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:25:40Z","timestamp":1777595140000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20503121231175303"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":20,"alternative-id":["10.1177\/20503121231175303"],"URL":"https:\/\/doi.org\/10.1177\/20503121231175303","relation":{},"ISSN":["2050-3121","2050-3121"],"issn-type":[{"value":"2050-3121","type":"print"},{"value":"2050-3121","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"20503121231175303"}}