Kalayanarooj Siripen, Rimal Hem Sagar, Andjaparidze Alex, Vatcharasaevee Varunee, Nisalak Ananda, Jarman Richard G, Chinnawirotpisan Piyawan, Mammen Mammen P, Holmes Edward C, Gibbons Robert V
Queen Sirikit National Institute of Child Health, Bangkok, Thailand.
Am J Trop Med Hyg. 2007 Sep;77(3):534-7.
In response to a January 2005 report of dengue hemorrhagic fever (DHF) in Timor Leste, the World Health Organization sent a team to assist the National Hospital Guido Valadares (NHGV) in Dili with clinical case management and diagnostic support. The hospital reported 67 admissions including 8 deaths (case fatality rate approximately 12%) over the previous weeks with case histories clinically compatible with DHF. During the intervention, an additional 44 suspected dengue patients were admitted to the pediatric ward of NHGV. Among 41 patients with clinical diagnoses of dengue fever or DHF, 38 (93%) were laboratory confirmed. Although cause and effect cannot be definitely attributed, the case fatality rate decreased to 3.6% after the intervention with education about dengue management strategies.
针对2005年1月东帝汶登革出血热(DHF)的报告,世界卫生组织派出一个小组,协助帝力的吉多·瓦拉达雷斯国家医院(NHGV)进行临床病例管理和诊断支持。该医院报告称,在过去几周内有67人入院,其中8人死亡(病死率约为12%),病例病史在临床上与登革出血热相符。在干预期间,又有44名疑似登革热患者被收治到NHGV的儿科病房。在41例临床诊断为登革热或登革出血热的患者中,38例(93%)经实验室确诊。尽管不能确定因果关系,但在开展登革热管理策略教育干预后,病死率降至3.6%。