Abstract
INTRODUCTION: Recent decades showed global incidence of dengue had grown dramatically. Dengue can lead to serious illness with fatality rate in Malaysia range from 0.2 to 0.3% for the past 5-years. Early diagnosis able to improve prognosis, reduce fatality rate and facilitate vector control management. The objective of this study is to determine the predictors of diagnostic delay among dengue cases in Kuantan. METHODS: We conducted a cross sectional study using convenient sampling where we included the first hundred notified dengue cases in Kuantan from October until November 2018. Data from the investigation forms of notified dengue cases reviewed and analysed using SPSS. RESULTS: From hundred dengue cases notified, only 42% were diagnosed early (?3 days). 30.0% of patients had consulted the healthcare providers late while another 28% consulted early but were diagnosed late. Mean duration of diagnosis from onset was 3.96± 2.10 days. Among those presented early, 51.4% were diagnosed at 2nd visit and 14.3% diagnosed after 2nd visit. Among those presented early and fulfilled case definition, 75% FBC were not done while 69% serological test were not done despite of the availability. CONCLUSIONS: Diagnostic delay of dengue was one of the major challenges for effective dengue case management in Kuantan.Intensive efforts should be conducted on promoting health education and public awareness. Indication for dengue diagnostic testing should be strengthened to anticipate diagnostic delay for early clinical and public health intervention.
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@proceedings{APCPH-2019-295,
title = {The Predictors for Diagnostic Delay of Dengue in Kuantan},
author = {Shahdattul Dewi Nur Khairitza Taib and Mohamed Sapian Mohamed and Aladin Muhammad and Mohd Rujhan Hadfi Mat Daud and Muhammad Idham Mohd Zainuddin and Noor Azurah Wan Chik and Ramli Alwi and Nazirul Jaafar and Fatimah A. Majid},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Recent decades showed global incidence of dengue had grown dramatically. Dengue can lead to serious illness with fatality rate in Malaysia range from 0.2 to 0.3% for the past 5-years. Early diagnosis able to improve prognosis, reduce fatality rate and facilitate vector control management. The objective of this study is to determine the predictors of diagnostic delay among dengue cases in Kuantan. METHODS: We conducted a cross sectional study using convenient sampling where we included the first hundred notified dengue cases in Kuantan from October until November 2018. Data from the investigation forms of notified dengue cases reviewed and analysed using SPSS. RESULTS: From hundred dengue cases notified, only 42% were diagnosed early (?3 days). 30.0% of patients had consulted the healthcare providers late while another 28% consulted early but were diagnosed late. Mean duration of diagnosis from onset was 3.96± 2.10 days. Among those presented early, 51.4% were diagnosed at 2nd visit and 14.3% diagnosed after 2nd visit. Among those presented early and fulfilled case definition, 75% FBC were not done while 69% serological test were not done despite of the availability. CONCLUSIONS: Diagnostic delay of dengue was one of the major challenges for effective dengue case management in Kuantan.Intensive efforts should be conducted on promoting health education and public awareness. Indication for dengue diagnostic testing should be strengthened to anticipate diagnostic delay for early clinical and public health intervention.},
note = {Type: POSTER PRESENTATION; Organisation: Jabatan Kesihatan Negeri Pahang, Pejabat Kesihatan Daerah Kuantan, Pejabat Kesihatan Daerah Kuantan},
keywords = {clinical intervention, Early diagnosis, Late presentation, public health intervention},
pubstate = {published},
tppubtype = {proceedings}
}