| Autor: |
Salazar Flórez JE; Epidemiology and Biostatistics Group, CES University, Medellín, Colombia.; Infectious and Chronic Diseases Study Group (GEINCRO), San Martín University Foundation, Sabaneta, Colombia., Marín Velasquez K; Colombian Institute of Tropical Medicine, CES University, Medellín, Colombia., Segura Cardona ÁM; Epidemiology and Biostatistics Group, CES University, Medellín, Colombia., Restrepo Jaramillo BN; Colombian Institute of Tropical Medicine, CES University, Medellín, Colombia., Ortega Díaz YE; Colombian Institute of Tropical Medicine, CES University, Medellín, Colombia., Giraldo Cardona LS; Infectious and Chronic Diseases Study Group (GEINCRO), San Martín University Foundation, Sabaneta, Colombia., Arboleda Naranjo M; Colombian Institute of Tropical Medicine, CES University, Medellín, Colombia. |
| Jazyk: |
angličtina |
| Zdroj: |
The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2024 Mar 19; Vol. 110 (5), pp. 971-978. Date of Electronic Publication: 2024 Mar 19 (Print Publication: 2024). |
| DOI: |
10.4269/ajtmh.23-0717 |
| Abstrakt: |
Dengue is the most common arboviral disease in the world. Traditionally, it has affected more adults, but the incidence in children has increased in recent years. Colombia is no stranger to this change; therefore, we aimed to find the differences in signs, symptoms, and clinical, hematological, and hemogram characteristics between children under 12 years old and individuals aged 12 years and older in an endemic region of Colombia in 2020-2022. The analyses were conducted with baseline data, corresponding to a cross-sectional design. Multiple correspondence analysis was used for general, dermatological, and clinical symptom profiles. Discriminant analysis was used for laboratory profiles. Multiple correspondence analysis was applied to nominal categorical data, employing Euclidean distances to analyze age groups. Discriminant analysis was applied to a training sample and validated on a test sample. The overall agreement of the model's discrimination, sensitivity, specificity, and fit indicators was calculated. The results indicated that individuals under 12 years exhibited distinct dermatological and clinical features, including rash, pruritus, hypotension, lymphocyte count, and platelet count, compared with those aged 12 years and older. In contrast, those 12 years and older were profiled for general and clinical symptoms such as pain (back pain, retro-orbital pain, headache), dizziness, chills, hematuria, tachypnea, and elevated/high hematocrit, hemoglobin, and basophil values. These findings are crucial to understanding the high incidence in children; they also facilitate rapid understanding of the disease in clinical care settings and differentiate it from other febrile outbreaks. This will affect disease control, particularly in severe cases, and reduce mortality. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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