| I. Introduction: A revised dengue case classification and updated
clinical guidelines have been introduced. We would like to get your
views about how the use and value of warning signs. |
The revised classification of dengue cases and the updated
clinical guidelines have been introduced. We want to know your
opinion on the use and importance of warning signs in clinical
practice.
|
CA |
The reviewed classification of dengue cases and updated
clinical guidelines were introduced. We would like to get your
opinion on the use and importance of the warning signs in clinical
practice.
|
CA |
Section 2 – Dengue care in your current position.
5. Do you
have experiences in the management of dengue patients?
□ Yes □ No |
Section 2 – Experience in dengue management 5. Do you have any
experience in clinical management of dengue patients?
□
Yes
□
No
|
PA |
Section 2 – Experience in dengue care
5. Do you have experience in clinical management of dengue
patients?
□
Yes
□
No
|
PA |
6. How long have you been working with dengue patients?
A:
less than 1 year
B: one to five years
C: more than 5
years |
How long have you worked with dengue patient care? A: less
than 1 year B: 1 to 5 years C: more than 5 years
|
MA |
How long you do work in dengue patient’s care? A: Less than 1
year B: from 1 to 5 years C: more than 5 years
|
MA |
| 7. How many patients with suspected dengue did you care for within
the last year? |
How many patients with suspicion of dengue did you treat in
the last year?
|
IN |
How many patients with suspected dengue did you attend during
the last year?
|
IN |
| 9. When do you refer a patient suspected of dengue to a higher level
of care? (Please cross first the type of referral as this depends on
the level of health care where you work) |
In what type of situation do you refer a patient with dengue
to a health unit with a higher level of complexity? (Please check
the most appropriate choice, since this depends on the level of
complexity of the health unit where you mainly work)
|
|
In which situation you refer a patient with dengue to a health
unit with a higher level of complexity? (Please mark the most
appropriate option, as this depends on the level of complexity of
the health unit in which you operate primarily).
|
|
|
□ Referral from primary care (Health Center) to
hospital |
□
from the primary care unit (Health Center, Health Post,
Family Health Unit) to the hospital
|
IN |
□
from primary care unit (Health Center, Health Care Unit,
Family Health Unit) to the hospital
|
IN |
|
□ Referral from general ward to intensive care
unit(within hospital) |
□
from the ward to the intensive care unit (inside the same
hospital)
|
|
□
from ward to the intensive care unit (within the
hospital)
|
|
|
□ Referral from hospital to higher level
teaching hospital |
□
from the general hospital to a referral hospital
|
|
□
from the General Hospital to a reference hospital
|
|
| I refer the patient … |
I refer the patient when he/she .
|
|
I refer the patient when...
|
|
| C. If he or she has cold, clammy extremities |
Has cold and moist extremities
|
IN |
Has cold and wet extremities
|
PA |
| 10a. Are warning signs used if you want to refer a patient to the
hospital? (for health centre staff only) |
Do you use the World Health Organization (or Ministry of
Health) warning signs to refer a patient to the hospital? (to be
answered only by workers in primary care units)
|
PA |
Do you use the warning signs of the World Health Organization
(or the Ministry of Health) to refer a patient to the hospital? (To
be answered only by workers of primary care units)
|
PA |
| 10b. Which of the following warnings signs do you use? |
Which of the following warning signs do you use?
|
IN |
Which one (s) of the following warning signs do you
use?
|
IN |
| A. Severe/continuous abdominal pain or tenderness |
Strong and continuous abdominal pain
|
PA |
Severe and continuous abdominal pain
|
IN |
| B. Abdominal tenderness |
Pain on abdominal palpation
|
PA |
Pain on abdominal palpation
|
PA |
| D. Clinical fluid accumulation |
Serous effusion
|
MA |
Serous effusion
|
MA |
| H. Laboratory: increase in HCT concurrent with rapid decrease in
platelet count |
Laboratory results: increased hematocrit together with rapid
fall in platelet count
|
IN |
Lab: increased hematocrit concomitant to rapid decrease in
platelet count
|
MA |
| 11b. Which of the following warnings signs do you routinely use in
your facility? * |
Which of the following warning signs do you routinely use in
the health unit where you work?
|
IN |
Which one(s) of the following warning signs do you routinely
use in the health facility you work?
|
IN |
| A. Severe/continuous abdominal pain or tenderness |
Strong and continuous abdominal pain
|
PA |
Severe and continuous abdominal pain
|
IN |
| B. Abdominal tenderness |
Pain on abdominal palpation
|
PA |
Pain on abdominal palpation
|
PA |
| 12. Please list the warning signs in the list below according to
your order of importance to help detecting dengue. Give score of 1 to
7 (1 being the most important in your opinion) ** |
Please number the warning signs listed below according to the
order of importance for assisting in dengue management. Use a score
from 1 to 7 (with 1 being the most important in your
opinion)
|
IN |
Please number the warning signs listed below according to the
order of importance to assist in the management of dengue. Use the
score 1-7 (1 being the most important in your opinion)
|
IN |
| A. Abdominal pain or tenderness |
Strong and continuous abdominal pain or pain on abdominal
palpation
|
PA |
Severe and continuous abdominal pain
|
PA |
| 13. What warning signs would you add to the above list? |
What warning signs would you add to the above-mentioned
list?
|
IN |
Which one(s) of the warning sign(s) would you add to the above
mentioned list?
|
MA |
| 14. What warning signs would you cross from the above list? |
Which warning signs would you remove from the above-mentioned
list?
|
MA |
Which one(s) of the warning sign(s) would you withdraw from
the above mentioned list?
|
MA |
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