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MediSur
versión On-line ISSN 1727-897X
Resumen
RODRIGUEZ BUERGO, Delfín et al. Characterization of patients with clinical suspicion of dengue and warning signs. Pediatric Hospital. Cienfuegos, 2019. Medisur [online]. 2022, vol.20, n.1, pp. 81-86. Epub 28-Feb-2022. ISSN 1727-897X.
Background
The endemic-epidemic behavior of dengue in Cienfuegos has shown an increasing incidence every year in the child population, with an increase in the report of warning signs. The correct hospital approach to these cases, to avoiding fatal outcomes, is of great importance for the maternal and child area.
Objective
to characterize patients with clinical suspicion of dengue and who developed warning signs.
Methods
a descriptive study was carried out, which included 41 patients admitted to the Intensive Care Unit of the Cienfuegos Pediatric Hospital in 2019. The variables analyzed were: sex, age, nutritional status and associated chronic diseases, time between admission and beginning of symptoms, warning signs of the disease, reflection in the clinical history of the home and / or study center environment epidemiological situation, hospital stay and clinical evolution.
Results
female sex and preschool ages predominated, as well as normal weight (95.1%). 26.8% suffered from chronic diseases. Patients admitted more than 48 hours after the beginning of symptoms predominated. The most frequent warning signs were thrombocytopenia, fluid in the cavity (pleural, pericardial and perivesicular), vomiting and abdominal pain. The evolution was favorable.
Conclusion
The identified alarm signs indicate that the patients in the series could have evolved towards the severe stage of the disease, however, thanks to the early detection of the signs and the care received, the evolution was favorable.
Palabras clave : Arbovirus infections; dengue; intensive care units, pediatric.