Critical analysis of the definition of severe dengue, based on the Ecuador outbreak in 2012

DOI: 10.4236/ojepi.2014.41007   PDF   HTML   XML   3,842 Downloads   8,067 Views   Citations


Of the 238 cases reported to the Ecuador Health Authorities in 2012 as severe dengue, only 53.3% met diagnostic criteria. The definition of severe dengue should be based on more precise criteria. Information about compliance with criteria should be fed back to local levels.

Share and Cite:

Sandoval, N. , Lozano, P. , Cevallos, J. , Ruiz, V. and Martín, M. (2014) Critical analysis of the definition of severe dengue, based on the Ecuador outbreak in 2012. Open Journal of Epidemiology, 4, 36-38. doi: 10.4236/ojepi.2014.41007.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Torres, E.M. (2006) La prevención de la mortalidad por dengue: Un espacio y un reto para la atención primaria de salud. Revista Panamericana de Salud Pública, 20, 60-74.
[2] World Health Organization (1997) Dengue haemorrhagic fever: Diagnosis, treatment, prevention and control. [Internet]. 2nd Edition, Geneva.
[3] World Health Organization and Special Programme for Research and Training in Tropical Diseases (2012) Hand-book for clinical management of dengue [Internet].
[4] Horstick, O., Farrar, J., Lum, L., Martinez, E., San Martin, J.L., Ehrenberg, J., et al. (2012) Reviewing the development, evidence base, and application of the revised dengue case classification. Pathogens and Global Health, 106, 94-101.
[5] Kalayanarooj, S. (2011) Dengue classification: Current WHO vs. the newly suggested classification for better clinical application? Journal of the Medical Association of Thailand, 94, S74-S84.
[6] Boletín epidemiológico de la situacióndel dengue en el ecuador, No. 46, 07 de enero de 2013 [Internet]. Ministerio de Salud Publica.
[7] Aung, K.L.L., Thanachartwet, V., Desakorn, V., Chamnanchanunt, S., Sahassananda, D., Chierakul, W., et al. (2013) Factors associated with severe clinical manifestation of dengue among adults in Thailand. Southeast Asian Journal of Tropical Medicine and Public Health, 44, 602-612.
[8] Narvaez, F., Gutierrez, G., Pérez, M.A., Elizondo, D., Nunez, A., Balmaseda, A., et al. (2011) Evaluation of the traditional and revised who classifications of dengue disease severity. PLOS Neglected Tropical Diseases, 5, e1397.
[9] Van de Weg, C.A.M., van Gorp, E.C.M., Supriatna, M., Soemantri, A., Osterhaus, A.D.M.E. and Martina, B.E.E. (2012) Evaluation of the 2009 WHO dengue case classification in an indonesian pediatric cohort. The American Journal of Tropical Medicine and Hygiene, 86, 166-170.
[10] Huy, N.T., Van Giang, T., Thuy, D.H.D., Kikuchi, M., Hien, T.T., Zamora, J., et al. (2013) Factors associated with dengue shock syndrome: A systematic review and meta-analysis. PLOS Neglected Tropical Diseases, 7, e2412.

comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.