Evaluation of dengue fever reports during an epidemic, Colombia (2014)
- Authors:
- Autor USP: QUIJANO, FREDI ALEXANDER DIAZ - FSP
- Unidade: FSP
- DOI: 10.1590/S0034-8910.2014048005321
- Subjects: DENGUE (EPIDEMIOLOGIA); SURTOS DE DOENÇAS (ESTATÍSTICAS E DADOS NUMÉRICOS); NOTIFICAÇÃO DE DOENÇAS; SENSIBILIDADE E ESPECIFICIDADE; VIGILÂNCIA EPIDEMIOLÓGICA
- Language: Inglês
- Abstract: OBJECTIVE To assess the validity of dengue fever reports and how they relate to the definition of case and severity. METHODS Diagnostic test assessment was conducted using cross-sectional sampling from a universe of 13,873 patients treated during the fifth epidemiological period in health institutions from 11 Colombian departments in 2013. The test under analyses was the reporting to the National Public Health Surveillance System, and the reference standard was the review of histories identified by active institutional search. We reviewed all histories of patients diagnosed with dengue fever, as well as a random sample of patients with febrile syndromes. The specificity and sensitivity of reports were estimated for this purpose, considering the inverse of the probability of being selected for weighting. The concordance between reporting and the findings of the active institutional search was calculated using Kappa statistics. RESULTS We included 4,359 febrile patients, and 31.7% were classified as compatible with dengue fever (17 with severe dengue fever; 461 with dengue fever and warning signs; 904 with dengue fever and no warning signs). The global sensitivity of reports was 13.2% (95%CI 10.9;15.4) and specificity was 98.4% (95%CI 97.9;98.9). Sensitivity varied according to severity: 12.1% (95%CI 9.3;14.8) for patients presenting dengue fever with no warning signs; 14.5% (95%CI 10.6;18.4) for those presenting dengue fever with warning signs, and 40.0% (95%CI 9.6;70.4) for those with severe dengue fever. Concordance between reporting and the findings of the active institutional search resulted in a Kappa of 10.1%. CONCLUSIONS Low concordance was observed between reporting and the review of clinical histories, which was associated with the low reporting of dengue fever compatible cases, especially milder cases.
- Imprenta:
- Source:
- Título: Revista de Saúde Pública
- ISSN: 0034-8910
- Volume/Número/Paginação/Ano: v. 48 n. 6, p. 899-905, dez. 2014
- Status:
- Artigo publicado em periódico de acesso aberto (Gold Open Access)
- Versão do Documento:
- Versão publicada (Published version)
- Acessar versão aberta:
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ABNT
ROMERO-VEGA, Liliana et al. Evaluation of dengue fever reports during an epidemic, Colombia. Revista de Saúde Pública, v. 48 n. 6, p. 899-905, 2014Tradução . . Disponível em: https://doi.org/10.1590/S0034-8910.2014048005321. Acesso em: 15 abr. 2026. -
APA
Romero-Vega, L., Pacheco, O., Hoz-Restrepo, F. de la, & Diaz-Quijano, F. A. (2014). Evaluation of dengue fever reports during an epidemic, Colombia. Revista de Saúde Pública, 48 n. 6, 899-905. doi:10.1590/S0034-8910.2014048005321 -
NLM
Romero-Vega L, Pacheco O, Hoz-Restrepo F de la, Diaz-Quijano FA. Evaluation of dengue fever reports during an epidemic, Colombia [Internet]. Revista de Saúde Pública. 2014 ; 48 n. 6 899-905.[citado 2026 abr. 15 ] Available from: https://doi.org/10.1590/S0034-8910.2014048005321 -
Vancouver
Romero-Vega L, Pacheco O, Hoz-Restrepo F de la, Diaz-Quijano FA. Evaluation of dengue fever reports during an epidemic, Colombia [Internet]. Revista de Saúde Pública. 2014 ; 48 n. 6 899-905.[citado 2026 abr. 15 ] Available from: https://doi.org/10.1590/S0034-8910.2014048005321 - Sample allocation balancing overall representativeness and stratum precision
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