دورية أكاديمية
Socio-demographic inequalities in the clinical characteristics of dengue haemorrhagic fever in the city of Rio de Janeiro, Brazil, 2007-2008.
| العنوان: | Socio-demographic inequalities in the clinical characteristics of dengue haemorrhagic fever in the city of Rio de Janeiro, Brazil, 2007-2008. |
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| المؤلفون: | Pone SM; Departamento de Pediatria,Instituto Nacional de Saúde da Mulher,Criança e Adolescente Fernandes Figueira,Fundação Oswaldo Cruz,Rio de Janeiro,Brazil., Hökerberg YHM; Laboratório de Epidemiologia Clínica,Instituto Nacional de Infectologia Evandro Chagas,Fundação Oswaldo Cruz,Rio de Janeiro,Brazil., Brasil P; Laboratório de Doenças Febris Agudas,Instituto Nacional de Infectologia Evandro Chagas,Fundação Oswaldo Cruz,Rio de Janeiro,Brazil., Nicolai CCA; Instituto Pereira Passos,Secretaria Municipal de Saúde do Rio de Janeiro,Rio de Janeiro,Brazil., Ferrari R; Laboratório de Epidemiologia Clínica,Instituto Nacional de Infectologia Evandro Chagas,Fundação Oswaldo Cruz,Rio de Janeiro,Brazil., de Oliveira RVC; Laboratório de Epidemiologia Clínica,Instituto Nacional de Infectologia Evandro Chagas,Fundação Oswaldo Cruz,Rio de Janeiro,Brazil. |
| المصدر: | Epidemiology and infection [Epidemiol Infect] 2018 Feb; Vol. 146 (3), pp. 359-366. Date of Electronic Publication: 2018 Jan 17. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cambridge University Press Country of Publication: England NLM ID: 8703737 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-4409 (Electronic) Linking ISSN: 09502688 NLM ISO Abbreviation: Epidemiol Infect Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Cambridge Eng : Cambridge University Press |
| مواضيع طبية MeSH: | Socioeconomic Factors*, Severe Dengue/*epidemiology, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Brazil/epidemiology ; Child ; Child, Preschool ; Cities/epidemiology ; Female ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Severe Dengue/virology ; Young Adult |
| مستخلص: | In 2007-2008, the city of Rio de Janeiro underwent an epidemiological change, with increases in the incidence in children and in severe forms of dengue. To describe the clinical profile and spatial distribution of dengue we performed an ecological study based on dengue surveillance data using the Brazilian classification (2005): dengue fever, dengue haemorrhagic fever (DHF) and dengue with complications. χ 2 test was used to describe the clinical and socio-demographic variables (P < 0.05). Spatial distribution of incidence and case-fatality was explored with thematic maps, Moran and Geary indices (P < 0.05). Of the total of 151 527 dengue cases, 38 808 met the inclusion criteria; 42.4% <18 years; 22.9% dengue with complications and 2.7% DHF. Case-fatality was higher in infants (1.4%) and in DHF (7.7%). Bleeding was more frequent in adolescents and adults while plasma leakage was more common in preschoolers and schoolchildren. The highest incidence was found in the West Zone of the city, in a different area from that of the worst case-fatality (P < 0.05). Although the incidence of DHF was higher in schoolchildren, infants showed higher case-fatality. The area with the highest case-fatality did not present the highest incidence, which suggests problems in the organization of health services. |
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| فهرسة مساهمة: | Keywords: Child; dengue; dengue haemorrhagic fever; spatial analysis |
| تواريخ الأحداث: | Date Created: 20180118 Date Completed: 20181101 Latest Revision: 20220716 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9134557 |
| DOI: | 10.1017/S0950268817003119 |
| PMID: | 29338803 |
| قاعدة البيانات: | MEDLINE |
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