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| Name | Class |
|---|---|
| European Union | OTHER |
| University of Oxford | OTHER |
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Improvements in diagnosis of dengue fever and prediction of which patients will get more severe disease are urgently needed to improve the treatment of patients with dengue. This is very important in places with many people who suffer from dengue but have limited health care resources. This study will enroll patients with fever which may be caused by dengue in 6 countries with high incidence of dengue over two continents (Brazil, Cambodia, El Salvador, Indonesia, Malaysia and Vietnam). All patients will be followed by a doctor with blood tests and exams until they recover. Symptoms and laboratory tests will be followed so that the cause of fever can be determined. For patients who have dengue, the investigators will look for symptoms and tests which indicate more serious disease. This study will help to determine how to identify patients with dengue fever based on symptoms and simple laboratory tests and those who will get more serious disease. It will also help to define a more standardized management of patients with dengue fever.
Improvements in clinical diagnosis of dengue and risk prediction for severe disease are urgently needed to improve overall clinical care, especially in settings with a high case burden where appropriate allocation of limited resources is crucial to outcome. In this work package 10,000 outpatients with undifferentiated fever, consistent with possible dengue, will be recruited within 3 days of fever onset in 6 endemic countries (Brazil, Cambodia, El Salvador, Indonesia, Malaysia and Vietnam), and will be followed daily until full recovery. Clinical features and simple laboratory parameters differentiating dengue from other febrile illness will be identified, and, among those with confirmed dengue, risk factors for progression to more severe disease will be evaluated. As well as contributing to the development of diagnostic and prognostic algorithms the clinical cohort has considerable potential towards standardisation of procedures for dengue management and reporting.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Febrile Patients | Observation of patients with possible dengue fever in the early phase of disease |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observation | Other | Clinical follow-up and laboratory investigations. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospitalization or administration of IV fluid | Proportion of dengue patients hospitalized or treated with IV fluids within 14 days of enrollment. | 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| Development of severe disease | Development of severe disease according to the 2009 WHO Dengue classification within 14 days of enrollment. | 14 days |
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Inclusion Criteria:
Exclusion Criteria:
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Febrile patients presenting to outpatient clinic
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Jänisch | Heidelberg University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| International Centre for Diarrhoeal Diseases | Dhaka | Dhaka Division | 1212 | Bangladesh | ||
| Fundacao Oswaldo Cruz (FIOCRUZ) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26968374 | Derived | Jaenisch T, Tam DT, Kieu NT, Van Ngoc T, Nam NT, Van Kinh N, Yacoub S, Chanpheaktra N, Kumar V, See LL, Sathar J, Sandoval EP, Alfaro GM, Laksono IS, Mahendradhata Y, Sarker M, Ahmed F, Caprara A, Benevides BS, Marques ET, Magalhaes T, Brasil P, Netto M, Tami A, Bethencourt SE, Guzman M, Simmons C, Quyen NT, Merson L, Dung NT, Beck D, Wirths M, Wolbers M, Lam PK, Rosenberger K, Wills B. Clinical evaluation of dengue and identification of risk factors for severe disease: protocol for a multicentre study in 8 countries. BMC Infect Dis. 2016 Mar 11;16:120. doi: 10.1186/s12879-016-1440-3. |
| Label | URL |
|---|---|
| IDAMS consortium | View source |
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| ID | Term |
|---|---|
| D003715 | Dengue |
| ID | Term |
|---|---|
| D000096724 | Mosquito-Borne Diseases |
| D000079426 | Vector Borne Diseases |
| D007239 | Infections |
| D001102 | Arbovirus Infections |
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| ID | Term |
|---|---|
| D019370 | Observation |
| ID | Term |
|---|---|
| D008722 | Methods |
| D008919 | Investigative Techniques |
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Blood samples
| Rio de Janeiro |
| Rio de Janeiro |
| Brazil |
| Fundacao Universidade Estadual do Ceara | Fortaleza | Brazil |
| Angkor Hospital for Children | Siem Reap | Cambodia |
| Hospital National de Ninos Benjamin Bloom | San Salvador | El Salvador |
| Gadjah Madah University | Yogyakarta | Indonesia |
| University of Malaya Medical Centre | Kuala Lumpur | Malaysia |
| Universidad de Carabobo | Valencia | Valencia | Venezuela |
| Oxford University Clinical Research Unit | Ho Chi Minh City | Vietnam |
| Section Clinical Tropical Medicine, Heidelberg University Medical Center, Germany | View source |
| Oxford University Clinical Research Unit, Viet Nam | View source |
| D014777 |
| Virus Diseases |
| D018177 | Flavivirus Infections |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006482 | Hemorrhagic Fevers, Viral |