An evaluation of the World Health Organization's 1997 and 2009 dengue classifications in hospitalized dengue patients in Malaysia
The latest revised version of the World Health Organization's dengue classification was released in 2009. A handful of studies have taken initiatives to evaluate the old and revised guidelines to determine early signs and symptoms of severe dengue. This retrospective study aimed to compare the...
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| Veröffentlicht in: | Journal of infection in developing countries 2014-07, Vol.8 (7), p.869-875 |
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| creator | Zakaria, Zuraihan Zainordin, Nur A Sim, Benedict L H Zaid, Masliza Haridan, Umi S Aziz, Abu T A Shueb, Rafidah H Mustafa, Mahiran Yusoff, Nik K N Malik, Alam S Lee, Christopher K C Abubakar, Sazaly Hoh, Boon Peng |
| description | The latest revised version of the World Health Organization's dengue classification was released in 2009. A handful of studies have taken initiatives to evaluate the old and revised guidelines to determine early signs and symptoms of severe dengue. This retrospective study aimed to compare the classification of dengue using both the 1997 and 2009 guidelines in a selected cohort of dengue patients from Peninsular Malaysia between 2008 and 2012.
Adult dengue patients were recruited from tertiary hospitals in two different states, Selangor and Kelantan, in Peninsular Malaysia. Their clinical manifestations were assessed.
A total of 281 confirmed dengue patients were enrolled; the mean duration of illness at admission was five days. Of these, 88.6%, 10.7%, and 0.7% were classified according to the 1997 guidelines as having dengue fever (DF), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS), respectively. When the WHO 2009 guidelines were applied, 17.1%, 78.3%, and 4.6% were classified as dengue without warning signs, dengue with warning signs, and severe dengue, respectively.
Our data suggests that the revised WHO 2009 guidelines stratify a much larger proportion of patients into a category that requires a higher level of medical and nursing care. |
| doi_str_mv | 10.3855/jidc.4283 |
| format | Article |
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Adult dengue patients were recruited from tertiary hospitals in two different states, Selangor and Kelantan, in Peninsular Malaysia. Their clinical manifestations were assessed.
A total of 281 confirmed dengue patients were enrolled; the mean duration of illness at admission was five days. Of these, 88.6%, 10.7%, and 0.7% were classified according to the 1997 guidelines as having dengue fever (DF), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS), respectively. When the WHO 2009 guidelines were applied, 17.1%, 78.3%, and 4.6% were classified as dengue without warning signs, dengue with warning signs, and severe dengue, respectively.
Our data suggests that the revised WHO 2009 guidelines stratify a much larger proportion of patients into a category that requires a higher level of medical and nursing care.</description><identifier>ISSN: 1972-2680</identifier><identifier>ISSN: 2036-6590</identifier><identifier>EISSN: 1972-2680</identifier><identifier>DOI: 10.3855/jidc.4283</identifier><identifier>PMID: 25022297</identifier><language>eng</language><publisher>Italy: Journal of Infection in Developing Countries</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Dengue - classification ; Dengue - diagnosis ; Dengue - etiology ; Dengue fever ; Female ; Guidelines as Topic ; Hospitalization ; Humans ; Malaysia ; Male ; Middle Aged ; Retrospective Studies ; Severe Dengue - classification ; Severe Dengue - diagnosis ; Severe Dengue - etiology ; World Health Organization ; Young Adult</subject><ispartof>Journal of infection in developing countries, 2014-07, Vol.8 (7), p.869-875</ispartof><rights>2014. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-bc07b515008eac8f4849c152cb872e646ff4bbadb33445c0f074e1c916eff50d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25022297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zakaria, Zuraihan</creatorcontrib><creatorcontrib>Zainordin, Nur A</creatorcontrib><creatorcontrib>Sim, Benedict L H</creatorcontrib><creatorcontrib>Zaid, Masliza</creatorcontrib><creatorcontrib>Haridan, Umi S</creatorcontrib><creatorcontrib>Aziz, Abu T A</creatorcontrib><creatorcontrib>Shueb, Rafidah H</creatorcontrib><creatorcontrib>Mustafa, Mahiran</creatorcontrib><creatorcontrib>Yusoff, Nik K N</creatorcontrib><creatorcontrib>Malik, Alam S</creatorcontrib><creatorcontrib>Lee, Christopher K C</creatorcontrib><creatorcontrib>Abubakar, Sazaly</creatorcontrib><creatorcontrib>Hoh, Boon Peng</creatorcontrib><title>An evaluation of the World Health Organization's 1997 and 2009 dengue classifications in hospitalized dengue patients in Malaysia</title><title>Journal of infection in developing countries</title><addtitle>J Infect Dev Ctries</addtitle><description>The latest revised version of the World Health Organization's dengue classification was released in 2009. A handful of studies have taken initiatives to evaluate the old and revised guidelines to determine early signs and symptoms of severe dengue. This retrospective study aimed to compare the classification of dengue using both the 1997 and 2009 guidelines in a selected cohort of dengue patients from Peninsular Malaysia between 2008 and 2012.
Adult dengue patients were recruited from tertiary hospitals in two different states, Selangor and Kelantan, in Peninsular Malaysia. Their clinical manifestations were assessed.
A total of 281 confirmed dengue patients were enrolled; the mean duration of illness at admission was five days. Of these, 88.6%, 10.7%, and 0.7% were classified according to the 1997 guidelines as having dengue fever (DF), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS), respectively. When the WHO 2009 guidelines were applied, 17.1%, 78.3%, and 4.6% were classified as dengue without warning signs, dengue with warning signs, and severe dengue, respectively.
Our data suggests that the revised WHO 2009 guidelines stratify a much larger proportion of patients into a category that requires a higher level of medical and nursing care.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Dengue - classification</subject><subject>Dengue - diagnosis</subject><subject>Dengue - etiology</subject><subject>Dengue fever</subject><subject>Female</subject><subject>Guidelines as Topic</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Malaysia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Severe Dengue - classification</subject><subject>Severe Dengue - diagnosis</subject><subject>Severe Dengue - etiology</subject><subject>World Health Organization</subject><subject>Young Adult</subject><issn>1972-2680</issn><issn>2036-6590</issn><issn>1972-2680</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpd0ctKxDAUBuAgijNeFr6ABFyoixlzbZOliDdQZqO4LGl64mTIpGPTCrrzze1cFHF1DpyPnwM_QkeUjLmS8mLmKzsWTPEtNKQ6ZyOWKbL9Zx-gvZRmhEjNJd1FAyYJY0znQ_R1GTG8m9CZ1tcR1w63U8AvdRMqfAcmtFM8aV5N9J8rcJow1TrHJlaYEaJxBfG1A2yDSck7b1cqYR_xtE4L35rgP6H6YYv-DLFd3R9NMB_JmwO040xIcLiZ--j55vrp6m70MLm9v7p8GFme63ZUWpKXkkpCFBirnFBCWyqZLVXOIBOZc6IsTVVyLoS0xJFcALWaZuCcJBXfR2fr3EVTv3WQ2mLuk4UQTIS6SwWVQgqaCaV6evKPzuquif13BZMZYTknMuvV-VrZpk6pAVcsGj83zUdBSbHspVj2Uix76e3xJrEr51D9yp8i-DcL7IiK</recordid><startdate>20140714</startdate><enddate>20140714</enddate><creator>Zakaria, Zuraihan</creator><creator>Zainordin, Nur A</creator><creator>Sim, Benedict L H</creator><creator>Zaid, Masliza</creator><creator>Haridan, Umi S</creator><creator>Aziz, Abu T A</creator><creator>Shueb, Rafidah H</creator><creator>Mustafa, Mahiran</creator><creator>Yusoff, Nik K N</creator><creator>Malik, Alam S</creator><creator>Lee, Christopher K C</creator><creator>Abubakar, Sazaly</creator><creator>Hoh, Boon Peng</creator><general>Journal of Infection in Developing Countries</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8C1</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140714</creationdate><title>An evaluation of the World Health Organization's 1997 and 2009 dengue classifications in hospitalized dengue patients in Malaysia</title><author>Zakaria, Zuraihan ; 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A handful of studies have taken initiatives to evaluate the old and revised guidelines to determine early signs and symptoms of severe dengue. This retrospective study aimed to compare the classification of dengue using both the 1997 and 2009 guidelines in a selected cohort of dengue patients from Peninsular Malaysia between 2008 and 2012.
Adult dengue patients were recruited from tertiary hospitals in two different states, Selangor and Kelantan, in Peninsular Malaysia. Their clinical manifestations were assessed.
A total of 281 confirmed dengue patients were enrolled; the mean duration of illness at admission was five days. Of these, 88.6%, 10.7%, and 0.7% were classified according to the 1997 guidelines as having dengue fever (DF), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS), respectively. When the WHO 2009 guidelines were applied, 17.1%, 78.3%, and 4.6% were classified as dengue without warning signs, dengue with warning signs, and severe dengue, respectively.
Our data suggests that the revised WHO 2009 guidelines stratify a much larger proportion of patients into a category that requires a higher level of medical and nursing care.</abstract><cop>Italy</cop><pub>Journal of Infection in Developing Countries</pub><pmid>25022297</pmid><doi>10.3855/jidc.4283</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1972-2680 |
| ispartof | Journal of infection in developing countries, 2014-07, Vol.8 (7), p.869-875 |
| issn | 1972-2680 2036-6590 1972-2680 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Dengue - classification Dengue - diagnosis Dengue - etiology Dengue fever Female Guidelines as Topic Hospitalization Humans Malaysia Male Middle Aged Retrospective Studies Severe Dengue - classification Severe Dengue - diagnosis Severe Dengue - etiology World Health Organization Young Adult |
| title | An evaluation of the World Health Organization's 1997 and 2009 dengue classifications in hospitalized dengue patients in Malaysia |
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