PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.




PMID- 28403751
OWN - NLM
STAT- MEDLINE
DA  - 20170413
DCOM- 20170419
LR  - 20170419
IS  - 1326-5377 (Electronic)
IS  - 0025-729X (Linking)
VI  - 206
IP  - 7
DP  - 2017 Apr 17
TI  - Management of dengue in Australian travellers: a retrospective multicentre
      analysis.
PG  - 295-300
AB  - OBJECTIVES: To describe the epidemiology, clinical and laboratory features and
      outcomes of dengue in returned Australian travellers, applying the revised WHO
      dengue classification (2009) to this population. DESIGN, SETTING AND
      PARTICIPANTS: Retrospective case series analysis of confirmed dengue cases
      hospitalised at one of four Australian tertiary hospitals, January 2012 - May
      2015. MAIN OUTCOME MEASURES: Clinical features, laboratory findings and outcomes 
      of patients with dengue; dengue classification according to 2009 WHO guidelines. 
      RESULTS: 208 hospitalised patients (median age, 32 years; range, 4-76 years) were
      included in the study. Dengue was most frequently acquired in Indonesia (94
      patients, 45%) and Thailand (40, 19%). The most common clinical features were
      fever (98% of patients) and headache (76%). 84 patients (40%) met the WHO
      criteria for dengue with warning signs, and one the criteria for severe dengue;
      the most common warning signs were mucosal bleeding (44 patients, 21%) and
      abdominal pain (43, 21%). Leukopenia (176 patients, 85%), thrombocytopenia (133, 
      64%), and elevated liver enzyme levels (154, 76%) were the most common laboratory
      findings. 46 patients (22%) had serological evidence of previous exposure to
      dengue virus. WHO guidelines were documented as a management benchmark in ten
      cases (5%); 46 patients (22%) received non-steroidal anti-inflammatory drugs
      (NSAIDs). CONCLUSIONS: A significant proportion of returning Australian
      travellers hospitalised for dengue have unrecognised warning signs of severe
      disease. Many received NSAIDs, which can increase the risk of haemorrhage in
      dengue. As travel to Asia from Australia continues to increase, it is vital for
      averting serious outcomes that clinicians can recognise and manage dengue.
FAU - Tai, Alex Yc
AU  - Tai AY
AD  - Austin Health, Melbourne, VIC [email protected]
FAU - McGuinness, Sarah L
AU  - McGuinness SL
AD  - Royal Darwin Hospital, Darwin, NT.
FAU - Robosa, Roselle
AU  - Robosa R
AD  - Monash Infectious Diseases, Monash Health and Monash University, Melbourne, VIC.
FAU - Turner, David
AU  - Turner D
AD  - Victorian Infectious Disease Service, Royal Melbourne Hospital, Melbourne, VIC.
FAU - Huang, G Khai Lin
AU  - Huang GK
AD  - Royal Darwin Hospital, Darwin, NT.
FAU - Leder, Karin
AU  - Leder K
AD  - Victorian Infectious Disease Service, Royal Melbourne Hospital, Melbourne, VIC.
FAU - Korman, Tony M
AU  - Korman TM
AD  - Monash Infectious Diseases, Monash Health and Monash University, Melbourne, VIC.
FAU - Thevarajan, Irani
AU  - Thevarajan I
AD  - Victorian Infectious Disease Service, Royal Melbourne Hospital, Melbourne, VIC.
FAU - Stewardson, Andrew J
AU  - Stewardson AJ
AD  - Austin Health, Melbourne, VIC.
FAU - Padiglione, Alexander A
AU  - Padiglione AA
AD  - Monash Infectious Diseases, Monash Health and Monash University, Melbourne, VIC.
FAU - Johnson, Douglas F
AU  - Johnson DF
AD  - Austin Health, Melbourne, VIC.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - Australia
TA  - Med J Aust
JT  - The Medical journal of Australia
JID - 0400714
RN  - 0 (Anti-Inflammatory Agents, Non-Steroidal)
SB  - IM
MH  - Abdominal Pain/epidemiology
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Anti-Inflammatory Agents, Non-Steroidal/therapeutic use
MH  - Australia
MH  - Child
MH  - Child, Preschool
MH  - Dengue/diagnosis/drug therapy/*epidemiology
MH  - Dengue Virus
MH  - Disease Management
MH  - Female
MH  - Fever/epidemiology
MH  - Headache/epidemiology
MH  - Hemorrhage/epidemiology
MH  - Hospitalization
MH  - Humans
MH  - Indonesia
MH  - Leukopenia/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Tertiary Care Centers
MH  - Thailand
MH  - Thrombocytopenia/epidemiology
MH  - *Travel
MH  - Young Adult
EDAT- 2017/04/14 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/14 06:00
PHST- 2016/09/03 [received]
PHST- 2016/12/01 [accepted]
AID - 10.5694/mja16.01056 [pii]
PST - ppublish
SO  - Med J Aust. 2017 Apr 17;206(7):295-300.

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