Evaluation of the WHO classification of dengue disease severity during an epidemic in 2011 in the state of Ceara, Brazil
In 2009, the World Health Organization (WHO) issued a new guideline that stratifies dengue-affected patients into severe (SD) and non-severe dengue (NSD) (with or without warning signs). To evaluate the new recommendations, we completed a retrospective cross-sectional study of the dengue haemorrhagi...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Fundação Oswaldo Cruz (FIOCRUZ)
2014-02-01
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| Series: | Memorias do Instituto Oswaldo Cruz |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762014000100093&lng=en&tlng=en |
| _version_ | 1797756886735388672 |
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| author | Luciano Pamplona de Goes Cavalcanti Lia Alves Martins Mota Gustavo Porto Lustosa Mayara Carvalho Fortes Davi Alves Martins Mota Antonio Afonso Bezerra Lima Ivo Castelo Branco Coelho Maria Paula Gomes Mourao |
| author_facet | Luciano Pamplona de Goes Cavalcanti Lia Alves Martins Mota Gustavo Porto Lustosa Mayara Carvalho Fortes Davi Alves Martins Mota Antonio Afonso Bezerra Lima Ivo Castelo Branco Coelho Maria Paula Gomes Mourao |
| author_sort | Luciano Pamplona de Goes Cavalcanti |
| collection | DOAJ |
| description | In 2009, the World Health Organization (WHO) issued a new guideline that stratifies dengue-affected patients into severe (SD) and non-severe dengue (NSD) (with or without warning signs). To evaluate the new recommendations, we completed a retrospective cross-sectional study of the dengue haemorrhagic fever (DHF) cases reported during an outbreak in 2011 in northeastern Brazil. We investigated 84 suspected DHF patients, including 45 (53.6%) males and 39 (46.4%) females. The ages of the patients ranged from five-83 years and the median age was 29. According to the DHF/dengue shock syndrome classification, 53 (63.1%) patients were classified as having dengue fever and 31 (36.9%) as having DHF. According to the 2009 WHO classification, 32 (38.1%) patients were grouped as having NSD [4 (4.8%) without warning signs and 28 (33.3%) with warning signs] and 52 (61.9%) as having SD. A better performance of the revised classification in the detection of severe clinical manifestations allows for an improved detection of patients with SD and may reduce deaths. The revised classification will not only facilitate effective screening and patient management, but will also enable the collection of standardised surveillance data for future epidemiological and clinical studies. |
| first_indexed | 2024-03-12T18:07:00Z |
| format | Article |
| id | doaj.art-0cb498bfb0db48c899411970f4720f40 |
| institution | Directory Open Access Journal |
| issn | 1678-8060 |
| language | English |
| last_indexed | 2024-03-12T18:07:00Z |
| publishDate | 2014-02-01 |
| publisher | Fundação Oswaldo Cruz (FIOCRUZ) |
| record_format | Article |
| series | Memorias do Instituto Oswaldo Cruz |
| spelling | doaj.art-0cb498bfb0db48c899411970f4720f402023-08-02T09:25:56ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz1678-80602014-02-011091939810.1590/0074-0276140384S0074-02762014000100093Evaluation of the WHO classification of dengue disease severity during an epidemic in 2011 in the state of Ceara, BrazilLuciano Pamplona de Goes CavalcantiLia Alves Martins MotaGustavo Porto LustosaMayara Carvalho FortesDavi Alves Martins MotaAntonio Afonso Bezerra LimaIvo Castelo Branco CoelhoMaria Paula Gomes MouraoIn 2009, the World Health Organization (WHO) issued a new guideline that stratifies dengue-affected patients into severe (SD) and non-severe dengue (NSD) (with or without warning signs). To evaluate the new recommendations, we completed a retrospective cross-sectional study of the dengue haemorrhagic fever (DHF) cases reported during an outbreak in 2011 in northeastern Brazil. We investigated 84 suspected DHF patients, including 45 (53.6%) males and 39 (46.4%) females. The ages of the patients ranged from five-83 years and the median age was 29. According to the DHF/dengue shock syndrome classification, 53 (63.1%) patients were classified as having dengue fever and 31 (36.9%) as having DHF. According to the 2009 WHO classification, 32 (38.1%) patients were grouped as having NSD [4 (4.8%) without warning signs and 28 (33.3%) with warning signs] and 52 (61.9%) as having SD. A better performance of the revised classification in the detection of severe clinical manifestations allows for an improved detection of patients with SD and may reduce deaths. The revised classification will not only facilitate effective screening and patient management, but will also enable the collection of standardised surveillance data for future epidemiological and clinical studies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762014000100093&lng=en&tlng=endengue feverclassification criteriawarning signsBrazil |
| spellingShingle | Luciano Pamplona de Goes Cavalcanti Lia Alves Martins Mota Gustavo Porto Lustosa Mayara Carvalho Fortes Davi Alves Martins Mota Antonio Afonso Bezerra Lima Ivo Castelo Branco Coelho Maria Paula Gomes Mourao Evaluation of the WHO classification of dengue disease severity during an epidemic in 2011 in the state of Ceara, Brazil Memorias do Instituto Oswaldo Cruz dengue fever classification criteria warning signs Brazil |
| title | Evaluation of the WHO classification of dengue disease severity during an epidemic in 2011 in the state of Ceara, Brazil |
| title_full | Evaluation of the WHO classification of dengue disease severity during an epidemic in 2011 in the state of Ceara, Brazil |
| title_fullStr | Evaluation of the WHO classification of dengue disease severity during an epidemic in 2011 in the state of Ceara, Brazil |
| title_full_unstemmed | Evaluation of the WHO classification of dengue disease severity during an epidemic in 2011 in the state of Ceara, Brazil |
| title_short | Evaluation of the WHO classification of dengue disease severity during an epidemic in 2011 in the state of Ceara, Brazil |
| title_sort | evaluation of the who classification of dengue disease severity during an epidemic in 2011 in the state of ceara brazil |
| topic | dengue fever classification criteria warning signs Brazil |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762014000100093&lng=en&tlng=en |
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