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Dengue algorithms integrated into the IMCI guidelines: An updated assessment in five Southeast-Asian countries.

Stephanie PetzoldKerstin D RosenbergerBridget WillsJacqueline DeenMartin W WeberThomas Jaenischnull null
Published in: PLoS neglected tropical diseases (2022)
This study supports the extension of the IMCI age range beyond 5 years of age as well as the inclusion of dengue relevant content in the algorithm. Because of the challenge of distinguishing dengue from other febrile illnesses, simple laboratory testing (e.g., full blood count) should be offered at an early stage during the course of the illness. Testing only children with consecutive fever over 3 days may lead to an underdiagnosis of dengue among those with acute febrile illness in children 5-15 years of age. In addition, specific laboratory testing for dengue should be made available to peripheral health facilities.
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