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登革热——如何进行最佳分类。

Dengue--how best to classify it.

机构信息

Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA.

出版信息

Clin Infect Dis. 2011 Sep;53(6):563-7. doi: 10.1093/cid/cir451. Epub 2011 Aug 10.

Abstract

Dengue has emerged as a major public health problem worldwide. Dengue virus infection causes a wide range of clinical manifestations. Since the 1970s, clinical dengue has been classified according to the World Health Organization guideline as dengue fever and dengue hemorrhagic fever. The classification has been criticized with regard to its usefulness and its applicability. In 2009, the World Health Organization issued a new guideline that classifies clinical dengue as dengue and severe dengue. The 2009 classification differs significantly from the previous classification in both conceptual and practical levels. The impacts of the new classification on clinical practice, dengue research, and public health policy are discussed.

摘要

登革热已成为全球主要的公共卫生问题。登革热病毒感染可引起多种临床表现。自 20 世纪 70 年代以来,世界卫生组织(WHO)的指南将临床登革热分为登革热和登革出血热。该分类在实用性和适用性方面受到了批评。2009 年,世界卫生组织发布了新的指南,将临床登革热分为登革热和重症登革热。2009 年的分类在概念和实践层面上与之前的分类有很大的不同。本文讨论了新分类对临床实践、登革热研究和公共卫生政策的影响。

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