Clinical presentations of Dengue vary

widely with unpredictable clinical

outcome
1
.
Changes in the epidemiology of
dengue, lead to problems with the use
of the existing WHO classification
1
.
Background
1. Nathan Michael B. Dragar Renu D, Guzman Maria, et all. Dengue:
Guidelines for diagnosis, treatment, prevention and control. WHO, 2009.
The new classification of Dengue
Haemorraghic Fever (DHF) has
been published in guideline of
diagnosis and treatment DHF by
WHO on 2009
1
.
The new classification has not
been applied in M Djamil Hospital.
Background
1. Nathan Michael B. Dragar Renu D, Guzman Maria, et all. Dengue:
Guidelines for diagnosis, treatment, prevention and control. WHO, 2009.
To compare
WHO 1997
Classification
WHO 2009
Classification
Objective
WHO 1997
Classification
WHO 2009
Classification
Subject without complete data was
excluded.
Data was analyzed with SPSS 15
th

version
Method ...
Result .
There were 135 children enrolled this study,
but he common diagnosis based on WHO
1997 and 2009 classification was DHF grade 3
(45,9%) and severe dengue (54,1%).
Result
Result
Male
43%
Female
57%
Sex
Undernouris
h
44%
Wellnourish
46%
Overweight
2%
Obesity
8%
Nutritional Status
Result ...
Average age 7,3
years + 3,8
Days of fever
4,75+0,86
Result ...
DHF grade 1
7%
DHF grade 2
41%
DHF grade 3
51%
DHF grade 4
1%
WHO 1997 Classification
Probable
dengue
10%
Dengue with
warning sign
36%
Severe dengue
54%
WHO 2009 Classification
Result .
There were 135 children enrolled this study, but he
common diagnosis based on WHO 1997 and 2009
classification was DHF grade 3 (45,9%) and severe
dengue (54,1%).
Comparation of WHO 1997 and WHO 2009
classification were ; DHF grade 1 and probable dengue
with warning sign, DHF grade 2 and probable dengue
with warning sign, DHF grade 3 and severe dengue,
DHF grade 4 and severe dengue, which statistically
significant (P=0,001, <0,005).
Result ...
Result .
There were 61 children enrolled this study.
The common diagnosis based on WHO 1997
and 2009 classification was DHF grade 3
(45,9%) and severe dengue (54,1%).
WHO 2009 * WHO 1997 Crosstabulation
3 17 2 0 22
75,0% 77,3% 7,1% ,0% 36,1%
0 0 26 7 33
,0% ,0% 92,9% 100,0% 54,1%
1 5 0 0 6
25,0% 22,7% ,0% ,0% 9,8%
4 22 28 7 61
100,0% 100,0% 100,0% 100,0% 100,0%
Count
% within WHO 1997
Count
% within WHO 1997
Count
% within WHO 1997
Count
% within WHO 1997
Dengan warning sign
Dengue Berat
Presumtif dengue
WHO
2009
Total
1 2 3 4
WHO 1997
Total
DHF grade 1 and probable dengue with
warning sign,
DHF grade 2 and probable dengue with
warning sign,
DHF grade 3 and severe dengue,
DHF grade 4 and severe dengue, which
statistically significant (P=0,001, <0,005).
Comparation of WHO 1997 and
WHO 2009 classification
Conclusion.
DHF grade 1 and 2 suitable with probable
dengue with warning sign, DHF grd 3 and 4
suitable with severe dengue