Effect of Intensified Care on the Prognosis of High-Risk Dengue Inpatients, Kaohsiung-Pingtung Region, 2014

DOI: 10.6525/TEB.20160920.32(18).002

Yen-Chang Tuan^1＊, Min-Nan Hung, Chin-Yu Chang,Chiou-Yueh You, Chao-Ching Chang

2016 Vol.32 NO.18

Correspondence Author： Yen-Chang Tuan^1＊

Abstract：

 As of September 22, 2014, there had been six dengue deaths reported. To mitigate dengue fatality, an intensified care program targeting hospitalized dengue patients was implemented by increasing the awareness of proper management among clinicians. Clinicians in charge of at-risk inpatients were contacted by Taiwan Centers for Disease Control medical officers. Risk of fatality was determined by age (≥50 years), presence of comorbidity, prior dengue illness, and presence of warning signs. During the period of September 23–December 31 2014, 185 of the 2,608 hospitalized patients received intensified care and all survived. The overall fatality rate, however, was not significantly different between the periods before and after implementation of this program. Comorbidity, prior dengue illness, and warning signs of dengue were found to be independently associated with increased fatality.