Prognosis

The first Kawasaki disease outbreak in the Philippines was on June 19, 2010, in which 10 cases of highly suspicious cases were reported to the National Epidemiology Center. An ill patient was a resident of 3 municipalities in Nueva Ecija with fever of 5 or more days and the presence of at least 4 of the following: edema or desquamation of extremities, polymorphic exanthema, bilateral conjunctival congestion, oral mucosal changes and/or cervical lymphadenopathy from February 4 to June 24, 2010. With the application of the American Society of Pediatrics (ASP) Syndromes Guidelines in the diagnosis of Kawasaki Diseases, four cases were diagnosed as Kawasaki Disease. Age ranged from 3 months to 8 years (median 4 years). Three were males. All had fever of more than 5 days. All cases met the syndrome criteria of Kawasaki Disease. In other countries, the disease is most frequently observed in Japan, Taiwan, and Korea. The prevalence of Kawasaki disease increased from 1967 to the mid 1980s and has leveled out at 5000-6000 cases per year. Several epidemics occurred in Japan during the years 1979, 1982, and 1985. The current Japanese incidence is approximately 112 cases per 100,000 population.

In the onset of illness, we rated him as good because it was easy to identify that he had Kawasaki disease since he had a strawberry-like tongue. In the duration of illness, we also rated him as good because mother rushed him to the hospital knowing the differences in his sons body. For the precipitating factor, we rated him as fair because the factor that maybe triggered for his illness was his age. The attitude and willingness of the patient to take the medicine was good since he was just a baby, he was not allowed to refuse or say no to it. For the age, we rated him as fair because at his age he can get this disease. The family support of the patient was good, because it as an evident he has his parents always at his side attending to his needs. Conclusion: Our group concluded to give baby T a good score. It is because of the criteria

above where we have rated him, out of the 7 criteria there were 0 criteria that has a score of poor, 2 were fair and 5 were good. It is very difficult to prevent a disease, but he was still able to maintain a good status despite of the condition. He was able to recover easily and his family, at the same time, was able to acknowledge the disease and without any hesitation they surrendered him to the care of the health care professionals and thus, of the student nurses also. Medications to help him cure his KD was also available which gives him another good score in the criteria.