Ávila-Agüero María L, Camacho-Badilla Kattia, Brea-Del-Castillo José, Cerezo Lizbeth, Dueñas Lourdes, Luque Marco, Melgar Mario, Rocha Crisanta
Hospital Nacional de Niños San José, Costa Rica.
Centro Médico Universidad Central del Este, Santo Domingo, República Dominicana.
Rev Chilena Infectol. 2019 Dec;36(6):698-706. doi: 10.4067/S0716-10182019000600698.
Central America experiences a high burden of dengue reporting about 8% of all cases in the continent. This work reports the epidemiology of dengue in the sub region in a 10 years period.
To describe the epidemiology of dengue in Central America and the Dominican Republic.
Study period from 2005 to 2014. The data on dengue cases and deaths of the countries of Central America and the Dominican Republic, reported by the Ministries of Health, were compiled and analyzed and corroborated with the data published in the online bulletins and the interactive database of the Pan American Health Organization (PAHO). Population statistics were obtained from the National Statistics and Census Institutes of each country.
During the study period, 1,118,464 cases of dengue were notified. There were 32,431 serious cases reported, 888 people died. The lethality per case of dengue was on average 0.08%. The four dengue serotypes circulated during the decade analyzed.
Clinical and epidemiological information indicates high incidence rates, which have fluctuated in recent years, with significant co-circulation of several serotypes at the same time.
Notorious surveillance data collection differences were identified between countries, determining a heterologous epidemiological pattern.
中美洲登革热负担沉重，报告病例数约占该大陆所有病例的8%。本研究报告了该次区域10年间的登革热流行病学情况。
描述中美洲和多米尼加共和国的登革热流行病学情况。
研究时段为2005年至2014年。收集并分析了中美洲各国和多米尼加共和国卫生部报告的登革热病例和死亡数据，并与泛美卫生组织在线公告和交互式数据库中发布的数据进行了核对。人口统计数据来自各国的国家统计和普查机构。
在研究期间，共报告了1,118,464例登革热病例。报告了32,431例重症病例，888人死亡。登革热病例的平均致死率为0.08%。在分析的十年间，四种登革热血清型均有传播。
临床和流行病学信息表明发病率较高，近年来有所波动，几种血清型同时大量共存。
各国之间在监测数据收集方面存在显著差异，形成了异源性的流行病学模式。
