期刊
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
卷 81, 期 2, 页码 287-292出版社
AMER SOC TROP MED & HYGIENE
DOI: 10.4269/ajtmh.2009.81.287
关键词
-
Dengue is a major problem worldwide, and improving case management is a significant priority. In consultation with colleagues in Thailand changes ill management of hospitalized dengue cases were introduced in Nicaragua. including Oral rather than intravenous (IV) fluids Upon admission. Continuous Monitoring of Clinical and laboratory signs, and use of IV fluids principally during the critical phase and colloids ill management of shock. Two periods were compared, before (2003) and after (2005) their implementation, to assess impact. In 2003. 182 hospitalized laboratory-confirmed dengue cases 0-14 years of age who presented <= 5 days post-symptom onset Were included in the study: 46 were enrolled in 2005. Outcomes included significant reductions in days of IV fluid administration (P = 0.0001), number of patients receiving IV Fluids (P < 0.0001). and duration of hospitalization (P < 0.000), and a non-significant reduction ill the number of admissions to the intensive care unit from 8 in 2003 to 0 in 2005 (P = 0.36). This study demonstrates Concrete gains in dengue patient care and case management.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据