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Clinical markers associated with acute laboratory-confirmed Dengue infection: results of a national epidemiological surveillance system / Marcadores clínicos asociados con la infección de Dengue confirmada por laboratorio: resultados del sistema nacional de vigilancia epidemiológica
Murillo-Zamora, Efrén; Medina-González, Alfredo; Trujillo-Hernández, Benjamín; Mendoza-Cano, Oliver; Guzmán-Esquivel, José; Higareda-Almaraz, Martha A; Higareda-Almaraz, Enrique.
Affiliation
  • Murillo-Zamora, Efrén; Instituto Mexicano del Seguro Social. Colima. MX
  • Medina-González, Alfredo; Instituto Mexicano del Seguro Social. Colima. MX
  • Trujillo-Hernández, Benjamín; Universidad de Colima. Facultad de Medicina. Colima. MX
  • Mendoza-Cano, Oliver; Universidad de Colima. Coquimatlán. MX
  • Guzmán-Esquivel, José; Instituto Mexicano del Seguro Social. Colima. MX
  • Higareda-Almaraz, Martha A; Instituto Mexicano del Seguro Social. MX
  • Higareda-Almaraz, Enrique; Instituto Mexicano del Seguro Social. MX
Rev. salud pública ; 19(6): 744-748, nov.-dic. 2017. tab
Article in English | LILACS | ID: biblio-962065
Responsible library: BR1.1
ABSTRACT
ABSTRACT Objective To evaluate the association of several clinical markers with acute laboratory-positive Dengue Virus infection. Methods A hospital-based case-control study was conducted in the state of Colima, Mexico, by using information from the National System of Epidemiological Surveillance (Sistema Nacional de Vigilancia Epidemiológica [SINAVE]) for Dengue. Data from 2 732 cases and 2 775 frequency-matched controls were analyzed. Odds Ratio (OR) and the 95 % Confidence Interval (CI), estimated by means of logistic regression models, were used. Results The presence of skin rash (OR=1,7; 95 % CI 1,5-2,1), persisting vomiting (OR=1,8; 95 % CI 1,5-2,3) and increased capillary fragility (petechiae, ecchymosis, hematoma or positive tourniquet test; OR=1,8; 95 % CI 1,2-2,6) were associated with laboratory-positive infection. Conclusions Three clinical markers were significantly associated with an increased risk of acute laboratory-confirmed dengue infection. These findings would support accurate and timely diagnosis of dengue in laboratory-limited settings.(AU)
RESUMEN
RESUMEN Objetivo Evaluar la asociación de distintos marcadores clínicos con la infección por virus de Dengue, confirmada por laboratorio. Métodos Se condujo un estudio hospitalario de casos y controles, en el estado de Colima, México, usando información del Sistema Nacional de Vigilancia Epidemiológica (SINAVE) para dengue. Se analizó la información de 2 732 casos y 2 775 controles de frecuencia compatible/pareada. Se utilizó la Razón de Momios (RM) y el Intervalo de Confianza de 95 % (IC), estimado con modelos de regresión logística. Resultados La presencia de exantema (OR=1,7; 95 % CI 1,5-2,1), vómito persistente (OR=1,8; 95 % CI 1,5-2,3) y fragilidad capilar aumentada (petequias, equimosis, hematomas o prueba del torniquete positiva; OR=1,8; 95 % CI 1,2-2,6) se asociaron con la infección por dengue confirmada por laboratorio. Conclusiones Tres marcadores clínicos se asociaron significante con un riesgo incrementado de la infección aguda por dengue confirmada por laboratorio. Estos hallazgos pueden apoyar al preciso y oportuno diagnóstico de la infección en sitios con acceso limitado a laboratorios.(AU)
Subject(s)


Full text: Available Collection: International databases Health context: SDG3 - Health and Well-Being / Neglected Diseases Health problem: Target 3.3: End transmission of communicable diseases / Dengue / Neglected Diseases Database: LILACS Main subject: Biomarkers / Population Surveillance / Dengue Type of study: Evaluation study / Observational study / Prognostic study / Risk factors / Screening study Limits: Humans Language: English Journal: Rev. salud pública Journal subject: Public Health Year: 2017 Document type: Article Affiliation country: Mexico Institution/Affiliation country: Instituto Mexicano del Seguro Social/MX / Universidad de Colima/MX

Full text: Available Collection: International databases Health context: SDG3 - Health and Well-Being / Neglected Diseases Health problem: Target 3.3: End transmission of communicable diseases / Dengue / Neglected Diseases Database: LILACS Main subject: Biomarkers / Population Surveillance / Dengue Type of study: Evaluation study / Observational study / Prognostic study / Risk factors / Screening study Limits: Humans Language: English Journal: Rev. salud pública Journal subject: Public Health Year: 2017 Document type: Article Affiliation country: Mexico Institution/Affiliation country: Instituto Mexicano del Seguro Social/MX / Universidad de Colima/MX
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