頁籤選單縮合
題名 | 2015年5月至9月登革熱死亡個案分析=Fatal Dengue Cases, May–September 2015 |
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作 者 | 周郁茹; 蔡懷德; 田鴻毅; 洪敏南; 吳岫; 洪敏南; 周郁茹; 蔡懷德; 吳岫; 田鴻毅; | 書刊名 | 疫情報導 |
卷期 | 31:21 2015.11.10[民104.11.10] |
頁次 | 頁532-538 |
分類號 | 415.239 |
關鍵詞 | 登革熱; 死亡病例分析; |
語文 | 中文(Chinese) |
中文摘要 | 2015年登革熱疫情為登革熱列入法定傳染病通報以來疫情規模最大的一次。根據疾病管制署法定傳染病通報資料,自2015年5月至9月,累計13,682本土登革熱確定病例,46例死亡。本文針對死亡案例進行分析。經研判36例死因與登革熱直接相關。全部46例登革熱死亡案例中,男性24位(52.2%),年齡中位數為77歲(範圍49至94歲)。41例(89.1%)至少有一項慢性病。到院時有16例重症,13例有警示徵象。發病日到死亡天數為0–26天(中位數5天)。診治年紀大、具有慢性病史之登革熱患者,需密切評估是否有警示徵象並密切追蹤臨床症狀變化,以降低死亡的發生。 |
英文摘要 | The number of dengue cases in 2015 had been the highest compared with the numbers in past years since dengue fever became notifiable in Taiwan. During May–September 2015, 13,682 local cases, including 46 deaths, were reported. Of 46 deaths, 36 were directly related to dengue as determined by an expert committee. The median age of the 46 deaths was 77 years (range49–94 years); 24 (52.2%) were male and 41 (89.1%) had at least one chronic conditions. Sixteen (34.8%) of 46 patients had initial presentations compatible to severe dengue fever. Of 30 cases that did not meet the criteria for severe dengue fever, 13 showed warning signs. Half of the mortality occurred within 5days after symptoms onset. It is important to monitor carefully for severe dengue and dengue with warning signs, especially in elderly patients and those who have multiple comorbidities, which implicate higher risk of mortality. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。