Abstract

TAMAYO ESCOBAR, Osmany Enrique et al. Warning signs in Cuban patients with dengue fever according to new reviewed classification of the World Health Organization. MEDISAN [online]. 2018, vol.22, n.8, pp.707-719. ISSN 1029-3019.

An observational, descriptive and cross sectional study was carried out in "Pedro Kourí" Tropical Medicine Institute from Havana, where 485 patients were admitted from January to December, 2012 with diagnosis of infection due to dengue fever, from whom a sample of 247 was chosen. Among the most common warning signs there were the increasing values of hematocrit (54.6 %), and the intense or sustained abdominal pain or both types (46.1 %). The warning signs generally appeared when fever ceased, and of the total of patients that presented it, 81.2 % at some moment of their clinical course were treated with early intravenous hydration, and none developed the serious form of the disease. The parenteral hydration therapy began belatedly in 18.8 % of the affected, including all those in severe state.

Keywords : dengue fever; dengue fever without warning signs; dengue fever with warning signs; intravenous hydration; reemerging disease.

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