Referral pattern of leptospirosis cases during a large urban epidemic of dengue.
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2001 |
| Outros Autores: | , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/7568 |
Resumo: | School of Public Health. University of California. Warren Hall. Berkeley, CA |
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Flannery, BrendanPereira, Mônica M.Velloso, Luciana de FreitasCarvalho, Clarissa de CastroCodes, Lina Góes deOrrico, Giovanna de SaboiaDourado, Cibele Maria RibeiroRiley, Lee WoodlandReis, Mitermayer Galvão dosKo, Albert Icksang2014-05-02T15:58:51Z2014-05-02T15:58:51Z2001Referral pattern of leptospirosis cases during a large urban epidemic of dengue.0002-9637https://www.arca.fiocruz.br/handle/icict/7568engThe American Society of Tropical Medicine and HygieneReferral pattern of leptospirosis cases during a large urban epidemic of dengue.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleSchool of Public Health. University of California. Warren Hall. Berkeley, CAHospital Couto Maia. Secretary of Health for the State of Bahia. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilHospital Couto Maia. Secretary of Health for the State of Bahia. Salvador, BA, BrasilSchool of Public Health. University of California. Warren Hall. Berkeley, CAFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Weill Medical College of Cornell University. New York, NYDuring 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 epidemicDuring heavy seasonal rainfall in 1996, concurrent epidemics of dengue and leptospirosis occurred inLeptospirose/diagnósticoReferência e ConsultaAdolescenteAdultoIdosoCriançaPré-EscolarFemininoHumanosMasculinoMeia-Idadeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALFlannery B Referral pattern....pdfFlannery B Referral pattern....pdfapplication/pdf69522https://www.arca.fiocruz.br/bitstream/icict/7568/1/Flannery%20B%20Referral%20pattern....pdf8388a12b44c4c68eeb813fe4a617ac6eMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/7568/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTFlannery B Referral pattern....pdf.txtFlannery B Referral pattern....pdf.txtExtracted texttext/plain38582https://www.arca.fiocruz.br/bitstream/icict/7568/5/Flannery%20B%20Referral%20pattern....pdf.txtc8328ec42843220d5209be8e5bb3466eMD55THUMBNAILFlannery B Referral pattern....pdf.jpgFlannery B Referral pattern....pdf.jpgGenerated Thumbnailimage/jpeg1696https://www.arca.fiocruz.br/bitstream/icict/7568/4/Flannery%20B%20Referral%20pattern....pdf.jpgcce2049593fa11db7293ef9906815a3bMD54icict/75682023-03-15 14:33:05.332oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:33:05Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.pt_BR.fl_str_mv |
Referral pattern of leptospirosis cases during a large urban epidemic of dengue. |
| title |
Referral pattern of leptospirosis cases during a large urban epidemic of dengue. |
| spellingShingle |
Referral pattern of leptospirosis cases during a large urban epidemic of dengue. Flannery, Brendan 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 |
| title_short |
Referral pattern of leptospirosis cases during a large urban epidemic of dengue. |
| title_full |
Referral pattern of leptospirosis cases during a large urban epidemic of dengue. |
| title_fullStr |
Referral pattern of leptospirosis cases during a large urban epidemic of dengue. |
| title_full_unstemmed |
Referral pattern of leptospirosis cases during a large urban epidemic of dengue. |
| title_sort |
Referral pattern of leptospirosis cases during a large urban epidemic of dengue. |
| author |
Flannery, Brendan |
| author_facet |
Flannery, Brendan Pereira, Mônica M. Velloso, Luciana de Freitas Carvalho, Clarissa de Castro Codes, Lina Góes de Orrico, Giovanna de Saboia Dourado, Cibele Maria Ribeiro Riley, Lee Woodland Reis, Mitermayer Galvão dos Ko, Albert Icksang |
| author_role |
author |
| author2 |
Pereira, Mônica M. Velloso, Luciana de Freitas Carvalho, Clarissa de Castro Codes, Lina Góes de Orrico, Giovanna de Saboia Dourado, Cibele Maria Ribeiro Riley, Lee Woodland Reis, Mitermayer Galvão dos Ko, Albert Icksang |
| author2_role |
author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Flannery, Brendan Pereira, Mônica M. Velloso, Luciana de Freitas Carvalho, Clarissa de Castro Codes, Lina Góes de Orrico, Giovanna de Saboia Dourado, Cibele Maria Ribeiro Riley, Lee Woodland Reis, Mitermayer Galvão dos Ko, Albert Icksang |
| dc.subject.decs.pt_BR.fl_str_mv |
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 |
| topic |
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 |
| description |
School of Public Health. University of California. Warren Hall. Berkeley, CA |
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2001 |
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2001 |
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2014-05-02T15:58:51Z |
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2014-05-02T15:58:51Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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Referral pattern of leptospirosis cases during a large urban epidemic of dengue. |
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https://www.arca.fiocruz.br/handle/icict/7568 |
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0002-9637 |
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Referral pattern of leptospirosis cases during a large urban epidemic of dengue. 0002-9637 |
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The American Society of Tropical Medicine and Hygiene |
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The American Society of Tropical Medicine and Hygiene |
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