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<datestamp>2018-01-04</datestamp>
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<publisher>HAL CCSD</publisher>
<title lang=en>Epidemiological assessment of the severity of dengue epidemics in French Guiana.</title>
<creator>Flamand, Claude</creator>
<creator>Fritzell, Camille</creator>
<creator>Prince, Christelle</creator>
<creator>Abboud, Philippe</creator>
<creator>Ardillon, Vanessa</creator>
<creator>Carvalho, Luisiane</creator>
<creator>Demar, Magalie</creator>
<creator>Boukhari, Rachida</creator>
<creator>Papaix-Puech, Martine</creator>
<creator>Elenga, Narcisse</creator>
<creator>Rousset, Dominique</creator>
<creator>Matheus, Séverine</creator>
<creator>Nacher, Mathieu</creator>
<creator>Quenel, Philippe</creator>
<creator>Djossou, Félix</creator>
<contributor>Unité d'Epidémiologie ; Institut Pasteur de la Guyane - Réseau International des Instituts Pasteur (RIIP)</contributor>
<contributor>Unité des Maladies Infectieuses et Tropicales ; Centre Hospitalier de Cayenne Andrée Rosemon</contributor>
<contributor>Cellule Inter Régionale d'Epidémiologie des Antilles - Guyane ; Institut de Veille Sanitaire</contributor>
<contributor>Medicine Department ; Ecosystemes Amazoniens et Pathologie Tropicale (EPat) ; Institut Pasteur de la Guyane - Institut National de la Santé et de la Recherche Médicale (INSERM) - Université de Guyane (UG) - Institut Pasteur de la Guyane - Institut National de la Santé et de la Recherche Médicale (INSERM) - Université de Guyane (UG)</contributor>
<contributor>Laboratoire de Biologie Médicale ; Centre Hospitalier de l'Ouest Guyanais Franck Joly (Saint-Laurent-du-Maroni)</contributor>
<contributor>Service de Médecine Interne Centre Médico-Chirurgical, Kourou, Guyane Française</contributor>
<contributor>Service de Pédiatrie ; Centre Hospitalier de Cayenne Andrée Rosemon</contributor>
<contributor>Institut Pasteur de la Guyane</contributor>
<contributor>Ecosystemes Amazoniens et Pathologie Tropicale (EPat) ; Institut Pasteur de la Guyane - Institut National de la Santé et de la Recherche Médicale (INSERM) - Université de Guyane (UG)</contributor>
<contributor>Centre d'Investigation Clinique Antilles-Guyane (CIC - Antilles Guyane) ; Université des Antilles et de la Guyane (UAG) - Institut National de la Santé et de la Recherche Médicale (INSERM) - CHU de Pointe-à-Pitre - Centre Hospitalier de Cayenne Andrée Rosemon - CHU de Fort de France</contributor>
<contributor>Laboratoire d'étude et de recherche en environnement et santé (LERES) ; École des Hautes Études en Santé Publique [EHESP] (EHESP)</contributor>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<contributor> Écosystèmes amazoniens et pathologie tropicale ; Université de Guyane (UG)</contributor>
<description>International audience</description>
<source>ISSN: 1932-6203</source>
<source>PLoS ONE</source>
<publisher>Public Library of Science</publisher>
<identifier>hal-01477201</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01477201</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01477201</source>
<source>PLoS ONE, Public Library of Science, 2017, 12, pp.e0172267. 〈10.1371/journal.pone.0172267〉</source>
<identifier>DOI : 10.1371/journal.pone.0172267</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1371/journal.pone.0172267</relation>
<identifier>PUBMED : 28196111</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/28196111</relation>
<language>en</language>
<subject>[SDV.EE] Life Sciences [q-bio]/Ecology, environment</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>BACKGROUND: Dengue fever is the most important arboviral infection that affects humans, particularly in tropical and subtropical regions. Here, we provide the first comprehensive overview of the severity of dengue epidemics in French Guiana. METHODOLOGY/PRINCIPAL FINDINGS: We monitored hospitalized cases between 2008 and 2013. Detailed clinical features and biological parameters were collected on a daily basis from all cases. Among the 1,356 cases, 216 (16%) were classified according to the WHO 2009 classification as dengue without warning signs (WS), 926 (68%) were classified as dengue with WS and 214 (16%) were classified as severe dengue. The severity rates were similar between the three major epidemics that occurred during the study period, whereas the hospitalization rate was highest in 2013. Fluid accumulation, aspartate aminotransferase (ASAT) counts>193 IU/L and platelet counts<75,000 cells/mm3 were associated with dengue severity. CONCLUSIONS/SIGNIFICANCE: Our findings provide a recent epidemiological description of the severity of dengue epidemics in French Guiana. These results highlight the potential impacts and consequences of implementing the WHO 2009 classification on hospital activity. Future studies should include virological and immunological investigations of well-documented serum samples.</description>
<date>2017</date>
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