Hospital based clinical surveillance for dengue haemorrhagic fever in Bandung, Indonesia 1994-1995
Hospital based clinical surveillance for dengue haemorrhagic fever in Bandung, Indonesia 1994-1995
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DOI：
10.1016/s0001-706x(01)00180-2
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发表时间：
2001-10-22
期刊：
影响因子：
2.7
通讯作者：
Colebunders, R
中科院分区：
文献类型：
--
作者：
Chairulfatah, A;Setiabudi, D;Colebunders, R
在印度尼西亚，根据法律，登革出血热（DHF）病例必须在24小时内向地区卫生当局报告。本研究的目的是评价该报告系统的充分性、准确性和报告延迟。在万隆市的四家主要医院，审查了1994年4月至1995年3月期间收治的登革出血热住院病例的医疗记录。将登革出血热病例清单与向万隆市卫生局报告的第一批病例进行了比较。在研究期间，诊断出569例DHF病例和81例登革热休克综合征（DSS）病例。在650例疑似DHF/DSS住院病例中，只有199例（31%）报告给了万隆市卫生局。所有住院病例中的致死性病例百分比（11/650）（1.7%）显著低于报告病例中的致死性病例百分比（5/199）（2.5%）。在接受登革热血清学检测的583例住院病例中，只有443例（76%）检测呈阳性。在报告的199例DHF/DSS病例中，151例（76%）血凝抑制试验阳性。本研究表明，应加强万隆DHF/DSS的监测系统。DHF/DSS病例应根据住院期间的诊断报告，最好在获得血清学确认后报告。(C)2001 Elsevier Science B. V.保留所有权利。
In Indonesia, by law dengue haemorrhagic fever (DHF) cases must be reported within 24 h to the district health authority. The objective of this study was to evaluate the adequacy, accuracy and reporting delay of this reporting system. In four major hospitals of the city of Bandung, medical records of hospitalised DHF cases admitted between April 1994 and March 1995 were reviewed. This list of DHF cases was compared with the fist of reported cases to the Bandung Municipality Health Office. During the study period, 569 DHF cases and 81 dengue shock syndrome (DSS),cases were diagnosed. Only 199 (31%) of the 650 hospitalised cases with suspected DHF/DSS were reported to the Bandung Municipality Health Office. The percentage of fatal cases was significantly lower among all hospitalised cases 11/650 (1.7%) than among reported cases 5/199 (2.5%). In only 443 of the 583 hospitalised cases (76%) in which a dengue serological test was performed, was this test positive. Of the 199 reported DHF/DSS cases 151 (76%) had a positive haemagglutination inhibition test. This study shows that the surveillance system for DHF/DSS in Bandung should be strengthened. DHF/DSS cases should be reported on the basis of a diagnosis made during hospitalisation preferably after a serological confirmation is obtained. (C) 2001 Elsevier Science B.V. All rights reserved.