Evidence for a revised dengue case classification: A multi-centre prospective study across Southeast Asia and Latin America
T Jänisch, A Balmaseda, I Castelo, E Dimaano, T Hien, N Hung, A Kroeger, L Lum, E Martinez, J Siqueiera, T Thuy, I Villalobos, E Villegas, B Wills · Das Gesundheitswesen · 2010 · Heft 09
Bibliografische Angaben
Zusammenfassung
Background: There has been growing concern regarding the applicability and usefulness of the current World Health Organisation (WHO) classification system for dengue. The terminology emphasises haemorrhage rather than vascular leakage as an indicator of severity, and the classification is misleading in a significant proportion of patients with shock. Methods: We recruited children and adults with suspected dengue in seven countries across Southeast Asia and Latin America. Patients were followed daily with detailed case report forms, and subsequently categorised into one of three intervention groups according to…