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Dengue > Consultation for Management Author: Suranjith L. Seneviratne, MD, DPhil, MRCP, FRCPath; Panduka Karunanayake, MD, MRCP; Bandula Wijesiriwardena, MD, FRCP, FCCP, FCMSA, FRACP, FACP
Editorial changes - 2009-11-13
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Rationale:

  • Most clinicians working in nonendemic areas have little experience in managing patients with dengue.
  • Local experts in tropical and travel medicine or infectious diseases are likely to have greater experience in treating dengue, excluding other tropical illnesses, and recognizing coinfections.

Evidence:

  • Consensus.

Comments:

  • Clinicians with some expertise in tropical and travel medicine are more likely to provide optimal treatment.
  • Delays in the recognition and treatment of dengue are associated with an increase in morbidity and mortality (116).
  • The American Society of Tropical and Medicine and Hygiene provides a Clinical Consultants Directory that lists specialists who may be helpful in the treatment of dengue.

FAQs
Bandula Wijesiriwardena, MD, FRCP, FCCP, FCMSA, FRACP, FACP has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Panduka Karunanayake, MD, MRCP has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Suranjith L. Seneviratne, MD, DPhil, MRCP, FRCPath has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott.

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