TY  - JOUR
SN  - 1471-2334
PB  - BioMed Central; Springer
CY  - London; Berlin; Heidelberg
N2  - Background: In view of the long term discussion on the appropriateness of the dengue classification into dengue fever (DF), dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS), the World Health Organization (WHO) has outlined in its new global dengue guidelines a revised classification into levels of severity: dengue fever with an intermediary group of "dengue fever with warning sings", and severe dengue. The objective of this paper was to compare the two classification systems regarding applicability in clinical practice and surveillance, as well as user-friendliness and acceptance by health staff.   Methods: A mix of quantitative (prospective and retrospective review of medical charts by expert reviewers, formal staff interviews), semi-quantitative (open questions in staff interviews) and qualitative methods (focus group discussions) were used in 18 countries. Quality control of data collected was undertaken by external monitors.   Results: The applicability of the DF/DHF/DSS classification was limited, even when strict DHF criteria were not applied (13.7% of dengue cases could not be classified using the DF/DHF/DSS classification by experienced reviewers, compared to only 1.6% with the revised classification). The fact that some severe dengue cases could not be classified in the DF/DHF/DSS system was of particular concern. Both acceptance and perceived user-friendliness of the revised system were high, particularly in relation to triage and case management. The applicability of the revised classification to retrospective data sets (of importance for dengue surveillance) was also favourable. However, the need for training, dissemination and further research on the warning signs was highlighted.   Conclusions: The revised dengue classification has a high potential for facilitating dengue case management and surveillance.
TI  - Usefulness and applicability of the revised dengue case classification by disease: multi-centre study in 18 countries
EP  - 12
A1  - Barniol, Judit
A1  - Gaczkowski, Roger
A1  - Barbato, Eliana Vega
A1  - da Cunha, Rivaldo V.
A1  - Salgado, Doris
A1  - Martínez, Eric
A1  - Segarra, Carmita Soria
A1  - Pleites Sandoval, Ernesto B.
A1  - Mishra, Ajay
A1  - Laksono, Ida Safitri
A1  - Lum, Lucy CS
A1  - Martínez, José G.
A1  - Núnez, Andrea
A1  - Balsameda, Angel
A1  - Allende, Ivan
A1  - Ramírez, Gladys
A1  - Dimaano, Efren
A1  - Thomacheck, Kay
A1  - Akbar, Naeema A.
A1  - Ooi, Eng E.
A1  - Villegas, Elci
A1  - Hien, Tran T.
A1  - Farrar, Jeremy
A1  - Horstick, Olaf
A1  - Kroeger, Axel
A1  - Jänisch, Thomas
UR  - https://archiv.ub.uni-heidelberg.de/volltextserver/20809/
AV  - public
ID  - heidok20809
IS  - 106
VL  - 11
SP  - 1
Y1  - 2011///
JF  - BMC Infectious Diseases
ER  -