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1.
Rev. cuba. med. trop ; 69(3): 1-15, set.-dic. 2017.
Article in Spanish | LILACS, CUMED | ID: biblio-901256

ABSTRACT

El dengue es una enfermedad viral transmitida por mosquitos que puede ser causa de gravedad y muerte. No existe droga antiviral reconocida como eficaz. Sin embargo, las regularidades de esta enfermedad han permitido la identificación de signos de alarma que anuncian extravasación de plasma e inminencia del choque. El inicio precoz del tratamiento de los pacientes mediante la reposición de líquidos cristaloides por vía intravenosa ha demostrado ser una medida efectiva y salvadora. Se necesita capacitación sistemática y acciones de reorganización de la atención médica en función de la epidemia. Se expone la contribución de los profesionales del Instituto de Medicina Tropical Pedro Kourí y otras instituciones cubanas a ese empeño(AU)


Dengue is a viral disease transmitted by mosquitoes which may be severe and cause death. No antiviral drug has been recognized as effective. However, the regularities of this condition have made it possible to identify warning signs announcing plasma leakage and the imminence of shock. Early start of treatment with intravenous crystalloid fluid replacement has proven to be an effective, life-saving measure. Systematic training actions and reorganization of medical care are required during an epidemic. The paper describes the contribution of professionals from Pedro Kouri Tropical Medicine Institute and other Cuban institutions to this effort(AU)


Subject(s)
Humans , Male , Female , Severe Dengue/prevention & control , Dengue/mortality , Dengue/therapy , Cuba , Dengue/diagnosis , Liquid Crystals/standards
2.
Ciudad de México; Centro Nacional de Excelencia Tecnológica en Salud; 2015. 80 p. tab.(Guías de Práctica Clínica de Enfermería). (SS-783-15).
Monography in Spanish | LILACS, BDENF | ID: biblio-1037680

ABSTRACT

Introducción. El dengue es una enfermedad infecciosa sistémica, viral transmitida por el mosquito “Aedes”. La OMS calcula que cada año se producen entre 50 y 100 millones de infecciones por este virus en el mundo. En México en el transcurso de la última década ha habido un incremento de casos, especialmente de tipo hemorrágico.Métodos. Se realizó una búsqueda sistemática de artículos en cuatro etapas, retrospectiva a 10 años relacionada a dengue grave en PubMed, BVS, Tripdatabase y sitios Web; obteniendo 149 resultados, siendo útiles 40 para el desarrollo de esta guía: revisiones sistemáticas, meta análisis, ensayos clínicos aleatorizados, estudios observacionales y Guías de Práctica Clínica.Resultados. Revisiones sistemáticas mencionan que la desnutrición grado 2 o 3 proteico calórica severa protege contra la vasculopatía del dengue y que la fase crítica comienza alrededor del período de desaparición de fiebre, la leucopenia avanza y hay una rápida disminución de plaquetas, esto precede a la manifestación más específica y potencialmente mortal de esta fase: incrementa la permeabilidad capilar conduciendo a la pérdida de plasma y aumento en él hematocrito; un estudio transversal prospectivo encontró que infecciones sucesivas del virus del dengue aumentan el riesgo de dengue grave y un estudio multicéntrico refiere que las fallas orgánicas más desarrolladas fueron respiratorias, cardiovasculares, neurológicas y hepáticas.Conclusiones. La implementación de las recomendaciones están dirigidas principalmente a las intervenciones de enfermería que contribuyen a la prevención, recuperación, disminución de complicaciones y limitación de daños para el paciente con dengue grave.


Introduction. Dengue fever is a systemic, viral infectious disease transmitted by the ""Aedes"" mosquito. WHO estimates that each year occur between 50 and 100 million infections by this virus in the world. In Mexico over the course of the last decade, there has been an increase in cases, especially of hemorrhagic type. Methods. A systematic search of articles was carried out in four stages, back at 10 years related to severe dengue in PubMed, VHL, Tripdatabase and Web sites; 149 results, being useful 40 for the development of this guide: systematic reviews, meta analysis, clinical trials randomized, observational studies and clinical practice guidelines. Results. Systematic reviews mentioned malnutrition grade 2 or severe caloric protein 3 protects against vascular disease of dengue and the critical phase begins around the time of the disappearance of fever, leukopenia advances and there is a rapid decrease in platelets, this precedes the manifestation more specific and potentially deadly this phase: increases capillary permeability, leading to the loss of plasma and increase the hematocrit; a prospective cross-sectional study found that successive infections of the dengue virus increases the risk of serious dengue and a multicenter study concerns that more developed organic failures were respiratory, cardiovascular, neurological and hepatic.Conclusions. The implementation of the recommendations are directed mainly to the nursing interventions that contribute to the prevention, recovery, reduction of complications and limitation of patient with severe dengue.


Introdução. Dengue é uma doença infecciosa sistêmica, viral transmitida pelo mosquito ""Aedes"". O que estima-se que cada ano produzirá entre 50 e 100 milhões de infecções por este vírus no mundo. No México, durante a última década tem sido um aumento de casos, especialmente do tipo hemorrágico. Métodos. Uma busca sistemática dos artigos foi realizada em quatro etapas, em 10 anos relacionados com graves da dengue no PubMed, BVS, Tripdatabase e Web sites; 149 resultados, sendo 40 útil para o desenvolvimento deste guia: revisões sistemáticas, meta análise, ensaios clínicos randomizados, estudos observacionais e diretrizes de prática clínica.Resultados. Revisões sistemáticas mencionado o grau de desnutrição 2 ou proteína calórica grave 3 protege contra doença vascular de dengue e a fase crítica começa na época do desaparecimento da febre, leucopenia avança e há uma rápida diminuição de plaquetas, isto precede a manifestação mais específica e potencialmente mortal nesta fase: aumenta a permeabilidade capilar, levando à perda de plasma e aumento do hematócrito; um estudo transversal prospectivo descobriu que infecções sucessivas do vírus da dengue a aumentam o risco de dengue grave e um estudo multicêntrico refere-se que os defeitos orgânicos mais específica e potencialmente mortal nesta fase: aumenta a permeabilidade capilar, levando à perda de plasma e aumento do hematócrito; um estudo transversal prospectivo descobriu que infecções sucessivas do vírus da dengue a aumentam o risco de dengue grave e um estudo multicêntrico refere-se que os defeitos orgânicos mais desenvolvidos eram respiratórias, cardiovasculares, neurológicas e hepáticas. Conclusões. A implementação das recomendações são direcionados principalmente para eles, as intervenções de enfermagem que contribuem para a prevenção, recuperação, redução de complicações e a limitação de danos para o paciente com dengue grave.


Subject(s)
Humans , Severe Dengue/complications , Severe Dengue/diagnosis , Severe Dengue/nursing , Severe Dengue/epidemiology , Severe Dengue/immunology , Severe Dengue/mortality , Severe Dengue/pathology , Severe Dengue/prevention & control , Severe Dengue/blood , Severe Dengue/therapy
3.
Rev. cuba. med. trop ; 66(1): 132-142, ene.-mar. 2014.
Article in Spanish | LILACS | ID: lil-717214

ABSTRACT

Introducción: la inmunidad del hospedero desempeña un papel importante en determinar el desarrollo de las infecciones por dengue y del cuadro severo de la enfermedad. Sin embargo, otros factores intervienen en el complejo mecanismo de la patogénesis, como la variación entre las cepas virales. Objetivos: evaluación de la capacidad neutralizante de un grupo de sueros de posconvalescientes frente a 2 cepas de dengue 4 pertenecientes a un mismo genotipo. Métodos: se emplearon sueros de 68 individuos con un cuadro de fiebre del dengue y 35 con un cuadro clínico de fiebre hemorrágica del dengue. Resultados: los títulos de anticuerpos neutralizantes en los sueros estudiados fueron bajos y se observó una capacidad neutralizante diferente entre las 2 cepas de dengue 4 del genotipo II. Se observaron diferencias significativas en los títulos de anticuerpos neutralizantes de los sueros procedentes de individuos con infección secundaria y con la forma severa de la enfermedad. Conclusiones: estos resultados demuestran la complejidad de los anticuerpos neutralizantes, que se producen después de una infección por el virus dengue con diferentes cepas de un mismo serotipo, lo cual conduce a obtener resultados diversos por esta técnica que podría ser la causa de la trasmisión continuada de múltiples cepas de dengue.


Introduction: host immunity plays an important role in determining the development of dengue infections and the severe form of the disease. However, other factors, such as the variation between viral strains, are also involved in this complex pathogenesis mechanism. Objectives: evaluate the neutralizing capacity of a number of sera from post-convalescing patients against two dengue 4 strains from the same genotype. Methods: examination was conducted of sera from 68 individuals with dengue fever and 35 with dengue hemorrhagic fever. Results: neutralizing antibody titers were low in the sera analyzed. Different neutralizing capacity was found between the two dengue 4 strains from genotype II. Significant differences were observed between neutralizing antibody titers in sera from individuals with secondary infection and with the severe form of the disease. Conclusions: results reveal the complex nature of the neutralizing antibodies produced after a dengue infection with different strains of the same serotype, leading to diverse results by this technique, which could be the cause of the continued transmission of multiple dengue strains.


Subject(s)
Antibodies, Neutralizing , Convalescence , Severe Dengue/immunology , Severe Dengue/prevention & control , Dengue/prevention & control
5.
Weekly Epidemiological Monitor. 2012; 05 (07): 1
in English | IMEMR | ID: emr-175901

ABSTRACT

In the past two years [2010/11, Pakistan witnessed major outbreaks of dengue/dengue hemorrhagic fever. In response to this WHO Country Office in Pakistan, in collaboration with Punjab Province [health sector], is organizing a Workshop on "Post Dengue/Dengue Hemorrhagic Fever Outbreak" in Lahore, Pakistan during the period 27 to 29 February 2012. The objectives of this Workshop are to document the experience and lessons learned during the 2011 dengue outbreak in Pakistan and to provide conclusions and recommendations for improving existing strategies and programs for dengue control in the Country. The WHO Regional Office [WHO/EMRO] is providing necessary technical and administrative support for organizing this workshop


Subject(s)
Humans , Severe Dengue/epidemiology , Disease Outbreaks , Education , Dengue/prevention & control , Severe Dengue/prevention & control , World Health Organization , Severe Dengue
7.
SQUMJ-Sultan Qaboos University Medical Journal. 2011; 11 (4): 531
in English | IMEMR | ID: emr-117417
8.
Weekly Epidemiological Monitor. 2011; 04 (32): 1
in English | IMEMR | ID: emr-161281

ABSTRACT

The WHO Eastern Mediterranean Regional Office organized a sub-regional meeting on dengue fever and chikungunya for the countries of the Red Sea rim from 20-21 August, 2011. The meeting was held in Cairo, Egypt and was attended by 51 participants and 5 organizations. The meeting brought in together, epidemiologists, clinicians, laboratory experts and senior policy and decision makers from the ministries of health and other institutions and a call for action was launched on the concluding day


Subject(s)
Alphavirus Infections/epidemiology , Disease Outbreaks , Severe Dengue/epidemiology , Severe Dengue/prevention & control , Alphavirus Infections/prevention & control , Dengue/prevention & control , Dengue
9.
Rev. cuba. med. trop ; 61(1)ene.-abr. 2009. ilus
Article in Spanish | LILACS | ID: lil-547070

ABSTRACT

Evaluar los resultados de las acciones de control y eliminación de un brote de dengue en Santiago de Cuba en septiembre de 2001. Se realizó un estudio descriptivo transversal retrospectivo para describir el brote de dengue y las acciones en su control y eliminación. Este brote aportó 38 casos confirmados serológicamente, así como otros 16 casos en otras ßreas de salud. La implementación de medidas rápidas y efectivas en la lucha antivectorial, la organización de la detección y el manejo de casos, así como la participación comunitaria y de los organismos del estado, permitieron localizar este episodio y lograr su eliminación en 45 d. Las experiencias en la lucha antivectorial y el empleo precoz del tratamiento con insecticidas de acción residual resultaron elementos claves en el control del brote.


To asses result of the actions aimed at control and eradication of a dengue outbreak in Santiago de Cuba in september 2001. A descriptive retrospective cross-sectional study was performed in order to describe the dengue outbreak and the actions aimed at control and eradication. This outbreak gave rise to 38 serologically confirmed cases as well as other 16 cases in other health areas. The implementation of rapid and effective actions as part of the anti-vector fight, the organized detection and management of cases as well as the community and central state bodies involvement made it possible to eradicate this outbreak in 45 days. The experiences accumulated in the anti-vector fight and the early use of residual action pesticide treatments were key elements for the control of this dengue outbreak.


Subject(s)
Humans , Female , Child , Adolescent , Severe Dengue , Severe Dengue/prevention & control , Severe Dengue/transmission , Cross-Sectional Studies , Epidemiology, Descriptive , Retrospective Studies
10.
Cad. saúde pública ; 25(supl.1): S19-S31, 2009. tab
Article in English | LILACS | ID: lil-507309

ABSTRACT

Dengue is the most important vector-borne disease in the Americas and threatens the lifes of millions of people in developing countries. Imprecise morbidity and mortality statistics underestimate the magnitude of dengue as a regional health problem. As a result, it is considered a low priority by the health sector with no timely steps for effective control. Dengue is perceived as a problem of "others" (individually, collectively and institutionally), therefore responsibility for its control is passed on to others (neighbors, the community, municipality, health institutions, or other governmental agencies). With no precise risk indicators available there is little opportunity for timely diagnoses, treatment, health interventions or vector control (poor surveillance). Solutions only targeting the vector reduce the impact of interventions and there is no sustainable control. Without political commitment there are insufficient resources to face the problem. This paper discusses the challenges for prevention and control in the Americas.


El dengue es la enfermedad transmitida por vector más importante en las Américas, que amenaza la vida de millones de personas. Las cifras subestiman la magnitud del problema y el dengue no figura como prioridad para las autoridades en salud y no se identifica como problema (baja percepción de riesgo), por lo que las medidas para el control se realizan tardíamente. El dengue se considera un problema de "otros" (individuo, colectividad, institucional) y la responsabilidad del control se desvía hacia otros (vecindario, comunidad, municipio, el Ministerio de Salud, etc.). Se carece de indicadores de riesgo precisos, por lo que no hay oportunidad para acciones de diagnóstico, tratamiento, prevención y control vectorial. Con intervenciones poco efectivas no hay control sostenible y sin compromiso político no hay recursos suficientes para enfrentar este problema sanitario. Este artículo aborda los desafíos para la prevención y el control del dengue en las Américas.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Animals , Child , Female , Humans , Infant , Male , Middle Aged , Young Adult , Communicable Disease Control , Dengue/epidemiology , National Health Programs , Aedes/virology , Severe Dengue/epidemiology , Severe Dengue/mortality , Severe Dengue/prevention & control , Dengue/prevention & control , Dengue/transmission , Environmental Exposure , Incidence , Insect Vectors/virology , Latin America/epidemiology , Risk Factors , Severity of Illness Index , Young Adult
11.
Cad. saúde pública ; 25(supl.1): S115-S124, 2009. graf, tab
Article in English | LILACS | ID: lil-507313

ABSTRACT

Dengue emerged as a public health burden in Southeast Asia during and following the Second World War and has become increasingly important, with progressively longer and more frequent cyclical epidemics of dengue fever/dengue hemorrhagic fever. Despite this trend, surveillance for this vector-borne viral disease remains largely passive in most Southeast Asian countries, without adequate laboratory support. We review here the factors that may have contributed to the changing epidemiology of dengue in Southeast Asia as well as challenges of disease prevention. We also discuss a regional approach to active dengue virus surveillance, focusing on urban areas where the viruses are maintained, which may be a solution to limited financial resources since most of the countries in the region have developing economies. A regional approach would also result in a greater likelihood of success in disease prevention since the large volume of human travel is a major factor contributing to the geographical spread of dengue viruses.


A dengue emergiu como problema de saúde pública no Sudeste Asiático durante e após a Segunda Guerra Mundial, e vem se agravando cada vez mais, com epidemias cíclicas progressivamente mais longas e freqüentes de dengue e de febre hemorrágica da dengue. Apesar dessa tendência, a vigilância dessa virose transmitida por vetores permanece basicamente passiva na maioria dos países do Sudeste Asiático, sem apoio laboratorial adequado. O artigo apresenta uma revisão dos fatores que podem ter contribuído para a mudança no perfil epidemiológico da dengue na região, além de discutir os desafios para a prevenção da doença. Analisa-se também uma abordagem regional para a vigilância ativa dos vírus da dengue, focando as áreas urbanas onde eles se mantêm, o que pode representar uma solução à limitação de recursos financeiros, uma vez que a maioria dos países da região tem economias em desenvolvimento. Uma abordagem regional também resultaria em maior probabilidade de sucesso na prevenção da doença, já que a grande circulação de viajantes na região é um fator importante na disseminação dos vírus da dengue.


Subject(s)
Animals , Humans , Aedes/pathogenicity , Dengue/epidemiology , Dengue/prevention & control , Mosquito Control/organization & administration , Public Health Practice , Aedes/virology , Asia, Southeastern/epidemiology , Dengue Virus , Disease Outbreaks , Severe Dengue/epidemiology , Severe Dengue/prevention & control , Environmental Monitoring , Incidence , Insect Vectors/growth & development , Laboratories/supply & distribution , Population Surveillance
12.
Cad. saúde pública ; 25(supl.1): S7-S18, 2009. ilus, graf, tab
Article in English | LILACS | ID: lil-507319

ABSTRACT

This article revisits the epidemiology of dengue in Brazil, 25 years after its reemergence in the country, discussing the main determinants and implications for its control. The authors emphasize the clinical and epidemiological peculiarities of this viral disease in Brazil, which leads the world in both the number of cases reported and risk of occurrence of the disease. The article presents the changes occurring in the dengue epidemiological pattern in recent years, like the sudden age shift in the incidence of dengue hemorrhagic fever, and discusses possible associated factors. The article focuses specifically on the epidemic in Rio de Janeiro in 2008, this episode's impact on the international community, and the fear that the disease could spread to Europe. The authors conclude that the current situation emphasizes the need for the international scientific community to renew its efforts to generate knowledge allowing improvement and progress in the development of new tools and strategies for dengue prevention.


Este artigo revisita a epidemiologia da dengue no Brasil após 25 anos da sua reemergência discutindo os principais determinantes e implicações no seu controle. Destacam-se peculiaridades clínicas e epidemiológicas desta virose neste país, que ocupa uma das primeiras posições no que diz respeito tanto ao número de casos notificados como no risco de ocorrência desta doença no mundo. Apresentam-se as mudanças que vêm ocorrendo no padrão epidemiológico da doença nos últimos anos, a exemplo do súbito deslocamento de faixa etária na incidência da febre hemorrágica da dengue, discutindo-se os possíveis fatores envolvidos. Particulariza-se a epidemia do Rio de Janeiro, em 2008, o reflexo deste episódio na comunidade internacional e o temor de disseminação da doença para a Europa. Os autores consideram que esta conjuntura aponta para a necessidade da comunidade científica mundial renovar esforços para gerar conhecimentos que possibilitem o aperfeiçoamento e avanço no desenvolvimento de novas ferramentas e estratégias de prevenção da dengue.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Humans , Infant , Middle Aged , Young Adult , Communicable Diseases, Emerging/epidemiology , Disease Outbreaks , Dengue/epidemiology , Brazil/epidemiology , Severe Dengue/epidemiology , Severe Dengue/mortality , Severe Dengue/prevention & control , Dengue/mortality , Dengue/prevention & control , Disease Outbreaks/prevention & control , Incidence , Risk Factors , Severity of Illness Index , Young Adult
14.
Lima; Perú. Ministerio de Salud. Dirección General de Salud de las Personas. Estrategia Sanitaria Nacional de Prevención y Control de Enfermedades Metaxénicas y OTV's-Control del Dengue; 2008. [20] p. ilus.
Monography in Spanish | LILACS | ID: lil-648678

ABSTRACT

El presente documento contiene la información sobre qué es y dónde hay dengue, cómo se propaga el dengue y cómo puede evitar el dengue


Subject(s)
Dengue/prevention & control , Severe Dengue/prevention & control , Peru
15.
Weekly Epidemiological Monitor. 2008; 01 (30): 1
in English | IMEMR | ID: emr-131890

ABSTRACT

During the past three months of 2008, three member states of Eastern Mediterranean Region [EMR] have reported outbreaks of Dengue fever/ Dengue haemorrhagic fever [DF/DHF] to WHO. Yemen has reported 1,024 cases of DF/DHF from Shabwa and Abyan governorates. Sudan reported 360 cases of DF/DHF from Red Sea State. Saudi Arabia has reported 537 cases of DF/ DHF so far this year from 20 localities in and around Jeddah City. These DF/DHF outbreaks were reported at almost the same time period and from three neighbouring countries surrounding the Red Sea. All these three countries [Saudi Arabia, Sudan and Yemen] have witnessed repeated outbreaks of DF/DHF in the past


Subject(s)
Humans , Severe Dengue/epidemiology , Disease Outbreaks , Dengue/prevention & control , Severe Dengue/prevention & control
18.
Epidemiol. serv. saúde ; 16(3): 175-184, 2007. tab, graf
Article in Portuguese | LILACS | ID: lil-467165

ABSTRACT

Este estudo avalia o sub-registro de dengue hemorrágica (DH) comparando sua ocorrência entre dois Distritos Sanitários (DS) de Belo Horizonte, Estado de Minas Gerais, Brasil, entre março e junho de 1998. Registros médicos e dados do Sistema de Informação de Agravos de Notificação (Sinan) /Ministério da Saúde, referentes aos casos suspeitos de DH acompanhados, clínica e laboratorialmente, na unidade ambulatorial de referência (UAR) implantada no DS Leste, foram comparados aos casos notificados pelas unidades básicas de saúde do DS Noroeste do Município. Entre 201 casos suspeitos de DH com sangramentos espontâneos atendidos na UAR, oito (4 por cento) casos foram classificados como DH Grau II, conforme critério da Organização Mundial da Saúde (OMS). No DS Noroeste, foram notificados, no mesmo período, 545 casos suspeitos de DH com sangramentos espontâneos, sendo esperada a ocorrência de 22 casos de DH Grau II. Apenas um caso de DH foi notificado. Conclui-se que a estratégia de implantação da UAR no DS Leste deve ser adotada pelos demais DS do Município, minimizando o sub-registro e o impacto da doença na população...


This study analyses the underreporting cases of hemorrhagic dengue (HD) comparing its occurrence in two Sanitary Districts (DS) of the Municipality of Belo Horizonte, State of Minas Gerais, Brazil, between March and June of 1998. Medical records and registers of Notifying Diseases Information System (Sinan)/Ministry of Health, referring to suspect HD assisted at the reference unit (UAR) implemented in the Eastern DS, for clinical and laboratorial follow up, were compared to reported cases of HD by the health units of the Northwestern DS of Belo Horizonte. Two hundred and one assisted at the UAR were classified as suspected cases of dengue with spontaneous hemorrhage, of which eight (4%) were classified as HD Degree II, according to World Health Organization (WHO) criteria. In the same period, 545 suspected cases of dengue with spontaneous hemorrhage were registered at the Northwestern DS, for which an occurrence of 22 cases of HD Degree II was expected. The results of this study demonstrate that the strategy adopted at the Eastern DS should be adopted in other DSs of the city so to decrease underreporting as the impact of the disease on the population.


Subject(s)
Humans , Disease Notification , Severe Dengue/prevention & control , Systems Analysis , Information Services
19.
Acta méd. costarric ; 48(4): 185-189, oct.-dic. 2006. ilus
Article in Spanish | LILACS | ID: lil-581191

ABSTRACT

Justificación y objetivos: El dengue es una enfermedad endémica, lo que implica que todos los años se presentan brotes en el país que justifican establecer una organización especial de los servicios de salud para garantizar una atención oportuna a la población. Método: Se realizó un estudio transversal descriptivo en 1153 casos internados en el Hospital "Dr. Enrique Baltodano" de la ciudad de Liberia, durante 2003. Se efectuó un análisis descriptivo de sexo, edad, estancia hospitalaria y diagnóstico de egreso. Se describió la organización de la atención y el manejo médico de los pacientes en una epidemia de dengue. En ese año el laboratorio de referencia de dengue de Instituto Costarricense de Investigación en Nutrición y Salud (INCIENSA) detectó la circulación del virus dengue serotipo 2. No se reportaron defunciones en el país por dengue hemorrágico. Resultados: Se estudiaron 1153 pacientes hospitalizados por dengue, 549 (47.6 por ciento) del sexo masculino y 604 (52.4 por ciento) del sexo femenino. La edad promedio fue de 33 años, con un rango de 2 a 94, de los cuales 52 (5 por ciento) cumplieron criterios para dengue hemorrágico; del resto, 949 (82 por ciento) tenía conteo de plaquetas menores de 100.00mm3, y 152 (13 por ciento) presentaron manifestaciones hemorrágicas; no se detectó en estos dos grupos datos de extravasación de plasma por ultrasonido. No se presentaron complicaciones ni fallecidos durante la hospitalización. La estancia hospitalaria promedio fue de 2.26 días (IC 95 por ciento = 2.32-2.19). Conclusión: Los resultados obtenidos evidencian la necesidad de contar con una estrategia para organizar la atención en epidemias de dengue. Esto garantiza una tasa de letalidad del 0 por ciento y estancias hospitalarias bajas. Lo anterior se logra mediante la identificación temprana de criterios de ingreso, utilizando datos clínicos y de laboratorio. Esta metodología disminuye los costos económicos y está al alcance de todos los servicios de salud. De...


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Dengue , Endemic Diseases/prevention & control , Severe Dengue/prevention & control , Severe Dengue/drug therapy , Severe Dengue/therapy , Public Health , Costa Rica
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