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Clinical and epidemiologic characteristics associated with dengue during and outside the 2016 outbreak identified in health facility-based surveillance in Ouagadougou, Burkina Faso
by
Namkung, Suk
, Bonnet, Emmanuel
, Carabali, Mabel
, Lim, Jacqueline K.
, Somé, Paul-André
, Kagone, Therese
, Ridde, Valéry
, Shin, Mee Young
, Yoon, In-Kyu
, Yang, Jae Seung
, Dahourou, Desire Lucien
, Alexander, Neal
, Barro, Ahmed
, Nikiema, Teguewende
, Lee, Jung-Seok
, Edwards, Tansy
, Lee, Kang Sung
, Kaba, Losseni
, Seydou, Yaro
in
Adolescent
/ Adult
/ Antibodies, Viral - blood
/ Biology and life sciences
/ Burkina Faso - epidemiology
/ Child
/ Child, Preschool
/ Dengue - epidemiology
/ Dengue - pathology
/ Dengue Virus - classification
/ Dengue Virus - genetics
/ Dengue Virus - isolation & purification
/ Disease Outbreaks
/ Enzyme-Linked Immunosorbent Assay
/ Epidemiological Monitoring
/ Female
/ Fever - epidemiology
/ Fever - etiology
/ Health Facilities
/ Human health and pathology
/ Humans
/ Immunoglobulin G - blood
/ Immunoglobulin M - blood
/ Infant
/ Infectious diseases
/ Life Sciences
/ Male
/ Medicine and Health Sciences
/ Microbiology and Parasitology
/ People and places
/ Prevalence
/ Research and Analysis Methods
/ Reverse Transcriptase Polymerase Chain Reaction
/ Santé publique et épidémiologie
/ Virology
/ Young Adult
2019
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Clinical and epidemiologic characteristics associated with dengue during and outside the 2016 outbreak identified in health facility-based surveillance in Ouagadougou, Burkina Faso
by
Namkung, Suk
, Bonnet, Emmanuel
, Carabali, Mabel
, Lim, Jacqueline K.
, Somé, Paul-André
, Kagone, Therese
, Ridde, Valéry
, Shin, Mee Young
, Yoon, In-Kyu
, Yang, Jae Seung
, Dahourou, Desire Lucien
, Alexander, Neal
, Barro, Ahmed
, Nikiema, Teguewende
, Lee, Jung-Seok
, Edwards, Tansy
, Lee, Kang Sung
, Kaba, Losseni
, Seydou, Yaro
in
Adolescent
/ Adult
/ Antibodies, Viral - blood
/ Biology and life sciences
/ Burkina Faso - epidemiology
/ Child
/ Child, Preschool
/ Dengue - epidemiology
/ Dengue - pathology
/ Dengue Virus - classification
/ Dengue Virus - genetics
/ Dengue Virus - isolation & purification
/ Disease Outbreaks
/ Enzyme-Linked Immunosorbent Assay
/ Epidemiological Monitoring
/ Female
/ Fever - epidemiology
/ Fever - etiology
/ Health Facilities
/ Human health and pathology
/ Humans
/ Immunoglobulin G - blood
/ Immunoglobulin M - blood
/ Infant
/ Infectious diseases
/ Life Sciences
/ Male
/ Medicine and Health Sciences
/ Microbiology and Parasitology
/ People and places
/ Prevalence
/ Research and Analysis Methods
/ Reverse Transcriptase Polymerase Chain Reaction
/ Santé publique et épidémiologie
/ Virology
/ Young Adult
2019
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Clinical and epidemiologic characteristics associated with dengue during and outside the 2016 outbreak identified in health facility-based surveillance in Ouagadougou, Burkina Faso
by
Namkung, Suk
, Bonnet, Emmanuel
, Carabali, Mabel
, Lim, Jacqueline K.
, Somé, Paul-André
, Kagone, Therese
, Ridde, Valéry
, Shin, Mee Young
, Yoon, In-Kyu
, Yang, Jae Seung
, Dahourou, Desire Lucien
, Alexander, Neal
, Barro, Ahmed
, Nikiema, Teguewende
, Lee, Jung-Seok
, Edwards, Tansy
, Lee, Kang Sung
, Kaba, Losseni
, Seydou, Yaro
in
Adolescent
/ Adult
/ Antibodies, Viral - blood
/ Biology and life sciences
/ Burkina Faso - epidemiology
/ Child
/ Child, Preschool
/ Dengue - epidemiology
/ Dengue - pathology
/ Dengue Virus - classification
/ Dengue Virus - genetics
/ Dengue Virus - isolation & purification
/ Disease Outbreaks
/ Enzyme-Linked Immunosorbent Assay
/ Epidemiological Monitoring
/ Female
/ Fever - epidemiology
/ Fever - etiology
/ Health Facilities
/ Human health and pathology
/ Humans
/ Immunoglobulin G - blood
/ Immunoglobulin M - blood
/ Infant
/ Infectious diseases
/ Life Sciences
/ Male
/ Medicine and Health Sciences
/ Microbiology and Parasitology
/ People and places
/ Prevalence
/ Research and Analysis Methods
/ Reverse Transcriptase Polymerase Chain Reaction
/ Santé publique et épidémiologie
/ Virology
/ Young Adult
2019
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Clinical and epidemiologic characteristics associated with dengue during and outside the 2016 outbreak identified in health facility-based surveillance in Ouagadougou, Burkina Faso
Journal Article
Clinical and epidemiologic characteristics associated with dengue during and outside the 2016 outbreak identified in health facility-based surveillance in Ouagadougou, Burkina Faso
2019
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Overview
In Africa, the magnitude of dengue virus (DENV) transmission is largely unknown. In Burkina Faso, several outbreaks have been reported and data are often based on findings from outbreak investigations.
To better understand dengue epidemiology and clinical characteristics in Burkina Faso, a fever surveillance study was conducted among patients aged 1-55 years, who presented with non-malarial febrile illness at five primary healthcare facilities in Ouagadougou, Burkina Faso from December 2014 to February 2017, encompassing a 3-month dengue outbreak in September-November 2016. Acute and convalescent blood samples were collected within an interval of 10-21 days between visits. Acute samples were tested with dengue rapid diagnostic tests (RDT) and a selected subset with RT-PCR, and all acute/convalescent samples with IgM/IgG ELISA.
Among 2929 non-malarial febrile patients, 740 (25%) were dengue-positive based on RT-PCR and/or IgM/IgG ELISA; 428 out of 777 patients (55%) and 312 out of 2152 (14%) were dengue-positive during outbreak and non-outbreak periods, respectively. There were 11% (316/2929) and 4% (129/2929) patients showing positive for NS1 and IgM, on the RDT, respectively. DENV 2 predominated during the outbreak, whereas DENV 3 predominated before the outbreak. Only 25% of dengue-positive cases were clinically diagnosed with suspected dengue. The odds of requiring observation for ≤3 days (versus routine outpatient care) were 11 times higher among dengue-positive cases than non-dengue cases. In adjusted analyses, dengue-positivity was associated with rash and retro-orbital pain (OR = 2.6 and 7.4, respectively) during the outbreak and with rash and nausea/vomiting (OR = 1.5 and 1.4, respectively) during the non-outbreak period.
Dengue virus is an important pathogen in Burkina Faso, accounting for a substantial proportion of non-malarial fevers both during and outside outbreak, but is only infrequently suspected by clinicians. Additional longitudinal data would help to further define characteristics of dengue for improved case detection and surveillance.
Publisher
Public Library of Science,Public Library of Science (PLoS)
Subject
/ Adult
/ Child
/ Dengue Virus - classification
/ Dengue Virus - isolation & purification
/ Enzyme-Linked Immunosorbent Assay
/ Female
/ Humans
/ Infant
/ Male
/ Medicine and Health Sciences
/ Microbiology and Parasitology
/ Research and Analysis Methods
/ Reverse Transcriptase Polymerase Chain Reaction
/ Santé publique et épidémiologie
/ Virology
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