Clinical presentations of dengue vary widely with unpredictable clinical outcome 1. Changes in the epidemiology of dengue, lead to problems with the use of the existing WHO classification.
Clinical presentations of dengue vary widely with unpredictable clinical outcome 1. Changes in the epidemiology of dengue, lead to problems with the use of the existing WHO classification.
Clinical presentations of dengue vary widely with unpredictable clinical outcome 1. Changes in the epidemiology of dengue, lead to problems with the use of the existing WHO classification.
outcome 1 . Changes in the epidemiology of dengue, lead to problems with the use of the existing WHO classification 1 . Background 1. Nathan Michael B. Dragar Renu D, Guzman Maria, et all. Dengue: Guidelines for diagnosis, treatment, prevention and control. WHO, 2009. The new classification of Dengue Haemorraghic Fever (DHF) has been published in guideline of diagnosis and treatment DHF by WHO on 2009 1 . The new classification has not been applied in M Djamil Hospital. Background 1. Nathan Michael B. Dragar Renu D, Guzman Maria, et all. Dengue: Guidelines for diagnosis, treatment, prevention and control. WHO, 2009. To compare WHO 1997 Classification WHO 2009 Classification Objective WHO 1997 Classification WHO 2009 Classification Subject without complete data was excluded. Data was analyzed with SPSS 15 th
version Method ... Result . There were 135 children enrolled this study, but he common diagnosis based on WHO 1997 and 2009 classification was DHF grade 3 (45,9%) and severe dengue (54,1%). Result Result Male 43% Female 57% Sex Undernouris h 44% Wellnourish 46% Overweight 2% Obesity 8% Nutritional Status Result ... Average age 7,3 years + 3,8 Days of fever 4,75+0,86 Result ... DHF grade 1 7% DHF grade 2 41% DHF grade 3 51% DHF grade 4 1% WHO 1997 Classification Probable dengue 10% Dengue with warning sign 36% Severe dengue 54% WHO 2009 Classification Result . There were 135 children enrolled this study, but he common diagnosis based on WHO 1997 and 2009 classification was DHF grade 3 (45,9%) and severe dengue (54,1%). Comparation of WHO 1997 and WHO 2009 classification were ; DHF grade 1 and probable dengue with warning sign, DHF grade 2 and probable dengue with warning sign, DHF grade 3 and severe dengue, DHF grade 4 and severe dengue, which statistically significant (P=0,001, <0,005). Result ... Result . There were 61 children enrolled this study. The common diagnosis based on WHO 1997 and 2009 classification was DHF grade 3 (45,9%) and severe dengue (54,1%). WHO 2009 * WHO 1997 Crosstabulation 3 17 2 0 22 75,0% 77,3% 7,1% ,0% 36,1% 0 0 26 7 33 ,0% ,0% 92,9% 100,0% 54,1% 1 5 0 0 6 25,0% 22,7% ,0% ,0% 9,8% 4 22 28 7 61 100,0% 100,0% 100,0% 100,0% 100,0% Count % within WHO 1997 Count % within WHO 1997 Count % within WHO 1997 Count % within WHO 1997 Dengan warning sign Dengue Berat Presumtif dengue WHO 2009 Total 1 2 3 4 WHO 1997 Total DHF grade 1 and probable dengue with warning sign, DHF grade 2 and probable dengue with warning sign, DHF grade 3 and severe dengue, DHF grade 4 and severe dengue, which statistically significant (P=0,001, <0,005). Comparation of WHO 1997 and WHO 2009 classification Conclusion. DHF grade 1 and 2 suitable with probable dengue with warning sign, DHF grd 3 and 4 suitable with severe dengue