Short report:: Assessment of the World Health Organization scheme for classification of dengue severity in Nicaragua

被引:112
作者
Balmaseda, A
Hammond, SN
Pérez, MA
Cuadra, R
Solano, S
Rocha, J
Idiaquez, W
Harris, E
机构
[1] Univ Calif Berkeley, Div Infect Dis, Sch Publ Hlth, Berkeley, CA 94720 USA
[2] Minist Salud, Dept Virol, Ctr Nacl Diagnost & Ref, Managua, Nicaragua
[3] Hosp Infantil manuel Jesus Rivera, Infect Dis Unit, Managua, Nicaragua
[4] Hosp Escuela Oscar Danilo Rosales Arguello, Leon, Nicaragua
关键词
D O I
10.4269/ajtmh.2005.73.1059
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The World Health Organization (WHO) scheme for classification of dengue severity was evaluated in a three-year study, of 1,671. confirmed dengue cases in three Nicaraguan hospitals. The WHO classification of dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS) was compared with the presence of hemorrhagic manifestations, signs of vascular permeability, marked thrombocytopenia, and shock in 114 infants, 1,211 children, and 346 adults. We found that strict application of the WHO criteria fails to detect a significant number of patients with severe manifestations of dengue, especially in adults.
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页码:1059 / 1062
页数:4
相关论文
共 27 条
[1]  
Aggarwal A, 1998, Indian Pediatr, V35, P727
[2]   Reappearance of Aedes aegypti (Diptera: Culicidae) in Lima, Peru [J].
Andrade, CS ;
Cáceres, AG ;
Vaquerizo, A ;
Ibañez-Bernal, S ;
Cachay, LS .
MEMORIAS DO INSTITUTO OSWALDO CRUZ, 2001, 96 (05) :657-658
[3]  
Diaz A, 1988, Bull Pan Am Health Organ, V22, P133
[4]   Dengue: an escalating problem [J].
Gibbons, RV ;
Vaughn, DW .
BMJ-BRITISH MEDICAL JOURNAL, 2002, 324 (7353) :1563-1566
[5]  
Guzman M G, 1987, Bull Pan Am Health Organ, V21, P270
[6]  
HALSTEAD SB, 1965, YALE J BIOL MED, V37, P434
[7]  
Hammond SN, 2005, AM J TROP MED HYG, V73, P1063
[8]  
HARRIGAN J, 2000, J AFRICAN BUSINESS, V1, P63
[9]   DENGUE INFECTIONS IN THE PHILIPPINES - CLINICAL AND VIROLOGICAL FINDINGS IN 517 HOSPITALIZED-PATIENTS [J].
HAYES, CG ;
MANALOTO, CR ;
GONZALES, A ;
RANOA, CP .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1988, 39 (01) :110-116
[10]   Dengue haemorrhagic fever in children in the 1996 Delhi epidemic [J].
Kabra, SK ;
Jain, Y ;
Pandey, RM ;
Madhulika ;
Singhal, T ;
Tripathi, P ;
Broor, S ;
Seth, P ;
Seth, V .
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 1999, 93 (03) :294-298