Prevalencia de falla multiorgánica en adultos con dengue con signos de alarma en el Hospital de Especialidades Teodoro Maldonado Carbo durante el periodo del año 2015 al 2020.

Abstract

Introduction: Denge is an infectious disease caused by mosquito bites, the mosquitos known as Aedes Aegypti and Aedes Albopictus. In our country this disease tends to become endemic therefore, a diagnosis based on the presence of alarming signs and symptoms and on laboratory results will allow an early and effective treatment with the goal of preventing future complications. Objective: to establish the prevalence of multi-organism failure in adults with denge experiencing alarming symptoms. Materials and Methods: This research was performed using a cross sectional descriptive study which included adult patients admitted to Teodoro Maldonado Carbo Hospital with the diagnosis of Denge experiencing alarming symptoms from 2015 to 2020. Results: A total of 152 patients diagnosed with Denge and experiencing alarming signs/symptoms were included in this research. From these patients, 61.8% were experiencing strong and constant stomachaches, 39.5% experienced vomit, 27.6% had clinically elevated hematocrit levels, 23% had bleeding, 3.3% hepatomegaly, 2.0% fluid accumulation, and lastly 1.3% experienced altered mental status. It is important to note that most of the patients, this is 96.1%, were hospitalized, and 1.3% had to be treated in the intensive care unit without experiencing multi-organism failure or death. Conclusion: The most common alarming clinical signs were stomaches and vomit; with respect to laboratory results, the most common signs were thrombocytopenia and elevated hematocrit levels. It is important to highlight that the presence of alarming sign/symptoms and laboratory studies will allow to prevent the risk of future complications related to this disease. Moreover, a relationship between the incidence of this desease and living conditions was observed; it was found that people with low socioeconomic status are at highest risk to develop Denge.