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[Dengue: a new approach].

J C Serufo1, V Nobre, A Rayes

  • 1Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. serufo@brhs.com.br

Revista Da Sociedade Brasileira De Medicina Tropical
|November 7, 2000
PubMed
Summary

This study revises dengue classification, integrating sepsis and systemic inflammatory response syndrome (SIRS) concepts. The new approach simplifies severe dengue diagnosis and treatment, aiding healthcare professionals during outbreaks.

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Area of Science:

  • Infectious Diseases
  • Critical Care Medicine

Context:

  • Traditional dengue classification, including dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS), presents diagnostic and treatment challenges.
  • Existing diagnostic criteria can lead to confusion and increased physician workload when managing severe dengue cases.

Purpose:

  • To propose a revised dengue classification system that incorporates modern critical care concepts.
  • To simplify the initial evaluation and treatment protocols for severe dengue.

Summary:

  • The proposed classification integrates concepts of sepsis, systemic inflammatory response syndrome (SIRS), and acute respiratory distress syndrome (ARDS).
  • This revised approach aims to reduce diagnostic ambiguity and streamline treatment decision-making for severe dengue.
  • A diagrammatic representation of the new classification is provided for clarity.

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Impact:

  • Facilitates easier adoption of dengue management protocols by healthcare personnel, especially in epidemic-prone regions.
  • Aligns dengue syndrome management with established intensive care unit (ICU) protocols.
  • Improves the practical utility of dengue classification for timely and effective patient care.