Tropical

Dengue Severity (WHO 2009)

Triage tool based on the 2009 WHO classification: dengue without warning signs, dengue with warning signs, and severe dengue. Drives admission and intravenous fluid decisions.

Abdominal pain or tenderness

Warning sign

Persistent vomiting

Warning sign

Clinical fluid accumulation (ascites, pleural effusion)

Warning sign

Mucosal bleeding

Warning sign

Lethargy or restlessness

Warning sign

Liver enlargement > 2 cm

Warning sign

Increasing hematocrit with rapid decrease in platelets

Warning sign (laboratory)

Severe plasma leakage (shock or fluid overload with respiratory distress)

Severe dengue criterion

Severe bleeding (clinically significant)

Severe dengue criterion

Severe organ involvement (AST/ALT ≥ 1000, impaired consciousness, heart/other organ failure)

Severe dengue criterion

Source

World Health Organization. Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control — New Edition. WHO, Geneva 2009.

PMID 23762963 Ask House about this