Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/7568
Title: Referral pattern of leptospirosis cases during a large urban epidemic of dengue.
Authors: Flannery, Brendan
Pereira, Mônica M.
Velloso, Luciana de Freitas
Carvalho, Clarissa de Castro
Codes, Lina Góes de
Orrico, Giovanna de Saboia
Dourado, Cibele M. Ribeiro
Riley, Lee Woodland
Reis, Mitermayer Galvão dos
Ko, Albert Icksang
Affilliation: School of Public Health. University of California. Warren Hall. Berkeley, CA
Hospital Couto Maia. Secretary of Health for the State of Bahia. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Hospital Couto Maia. Secretary of Health for the State of Bahia. Salvador, BA, Brasil
School of Public Health. University of California. Warren Hall. Berkeley, CA
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Weill Medical College of Cornell University. New York, NY
Abstract: During heavy seasonal rainfall in 1996, concurrent epidemics of dengue and leptospirosis occurred in an urban center in northeastern Brazil. We interviewed 110 cases of leptospirosis hospitalized a median of seven days after the onset of illness to evaluate the impact of the dengue epidemic on the triage of suspected leptospirosis from ambulatory clinics to the infectious disease reference hospital. Within the first three days of illness, 46 (42%) cases sought their first medical evaluation, and 28 (61% of 46) received a diagnosis of dengue. Dengue diagnoses were associated with a median of five days delay in referral to the infectious disease hospital. Patients who reported initial diagnoses of dengue were more likely than other patients to have required admission to the intensive care unit (odds ratio [OR] 2.7, 95% confidence interval [CI] 0.8–9.5) and to have died during hospitalization (OR 5.1, 95% CI 0.8–55.0). These findings indicate that diagnostic confusion between the early symptoms of leptospirosis and dengue may have contributed to the high mortality observed during the leptospirosis epidemic
DeCS: During heavy seasonal rainfall in 1996, concurrent epidemics of dengue and leptospirosis occurred in
Leptospirose/diagnóstico
Referência e Consulta
Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Feminino
Humanos
Masculino
Meia-Idade
Issue Date: 2001
Publisher: The American Society of Tropical Medicine and Hygiene
Citation: Referral pattern of leptospirosis cases during a large urban epidemic of dengue.
ISSN: 0002-9637
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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