Publication: Evaluation of an algorithm for integrated management of childhood illness in an area of Vietnam with dengue transmission
Issued Date
2004-05-01
Resource Type
ISSN
13602276
Other identifier(s)
2-s2.0-2442710050
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Tropical Medicine and International Health. Vol.9, No.5 (2004), 573-581
Suggested Citation
Cao Xuan Thanh Phuong, Ngo Thi Nhan, Rachel Kneen, Bethel Delia, Le Thi Dep, Nguyen Thi Thuy Nga, Pham Thi Thu Thuy, Truong Dinh Luat, Tom Solomon, Bridget Wills, Christopher M. Parry, Tran Thi Thanh Huynh, Doan Thi Kim Lien, Ngo Thi Anh Tuyet, Tran Thi Cam Tu, Do Hoang An Loc, Nguyen Thi Kim Nhung, Nguyen Van Quyen, Eric A.F. Simoes, Nicholas P.J. Day, Nicholas J. White, Jeremy J. Farrar Evaluation of an algorithm for integrated management of childhood illness in an area of Vietnam with dengue transmission. Tropical Medicine and International Health. Vol.9, No.5 (2004), 573-581. doi:10.1111/j.1365-3156.2004.01232.x Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/21390
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Evaluation of an algorithm for integrated management of childhood illness in an area of Vietnam with dengue transmission
Author(s)
Cao Xuan Thanh Phuong
Ngo Thi Nhan
Rachel Kneen
Bethel Delia
Le Thi Dep
Nguyen Thi Thuy Nga
Pham Thi Thu Thuy
Truong Dinh Luat
Tom Solomon
Bridget Wills
Christopher M. Parry
Tran Thi Thanh Huynh
Doan Thi Kim Lien
Ngo Thi Anh Tuyet
Tran Thi Cam Tu
Do Hoang An Loc
Nguyen Thi Kim Nhung
Nguyen Van Quyen
Eric A.F. Simoes
Nicholas P.J. Day
Nicholas J. White
Jeremy J. Farrar
Ngo Thi Nhan
Rachel Kneen
Bethel Delia
Le Thi Dep
Nguyen Thi Thuy Nga
Pham Thi Thu Thuy
Truong Dinh Luat
Tom Solomon
Bridget Wills
Christopher M. Parry
Tran Thi Thanh Huynh
Doan Thi Kim Lien
Ngo Thi Anh Tuyet
Tran Thi Cam Tu
Do Hoang An Loc
Nguyen Thi Kim Nhung
Nguyen Van Quyen
Eric A.F. Simoes
Nicholas P.J. Day
Nicholas J. White
Jeremy J. Farrar
Abstract
OBJECTIVES: To determine whether nurses, using the WHO/UNICEF algorithm for integrated management of childhood illness (IMCI), modified to include dengue infection, satisfactorily classified children in an area endemic for dengue haemorrhagic fever (DHF). METHODS: Nurses assessed and classified, using the modified IMCI algorithm, a systematic sample of 1250 children aged 2 months to 10 years (n = 1250) presenting to a paediatric hospital in Dong Nai Province, Vietnam. Their classification was compared with that of a paediatrician, blind to the result of the nurses' assessment, which could be modified in the light of simple investigations, e.g. dengue serology. RESULTS: In children aged 2-59 months (n = 859), the nurses were able to classify, using the modified chart, the presenting illness in >99% of children and found more than one classification in 70%. For the children with pneumonia, diarrhoea, dengue shock syndrome, severe DHF and severe disease requiring urgent admission, the nurse's classification was >60% sensitive and >85% specific compared with that of the paediatrician. For the nurse's classification of DHF the specificity was 50-55% for the children <5 years and in children with definitive dengue serology. Alterations in the DHF algorithm improved specificity at the expense of sensitivity. CONCLUSION: Using the IMCI chart, nurses classified appropriately many of the major clinical problems in sick children <5 years in southern Vietnam. However, further modifications will be required in the fever section, particularly for dengue. The impact of using the IMCI chart in peripheral health stations remains to be evaluated.