Redefining outpatient dengue management 18 years on: lessons from a national tertiary centre

IF 4.7 3区医学 Q1 INFECTIOUS DISEASES

Travel Medicine and Infectious Disease Pub Date : 2025-07-28 DOI:10.1016/j.tmaid.2025.102882

Jinghao Nicholas Ngiam , Matthew Chung Yi Koh , Brenda Mae Alferez Salada , Dale Fisher , Sophia Archuleta , Jolene Ee Ling Oon

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引用次数: 0

Abstract

Background

Dengue fever places a substantial burden on healthcare systems in endemic areas. Traditional inpatient management places strain on hospital capacity during seasonal surges. This study evaluates an expanded nurse-led Dengue Outpatient Management (DOM) program at a tertiary centre in Singapore.

Methods

A prospective observational study was conducted from January 2023 to August 2024. DOM inclusion criteria were broadened to include older adults and patients with comorbidities, if clinically stable. Patients received physician evaluation, a nurse-led symptom-based assessment and vital signs monitoring.

Results

There were 167 patients managed in DOM in the study period. The model saved an average of 3.3 bed-days per patient, amounting to approximately 231 bed-days saved in 2023.

Conclusion

This expanded nurse-led outpatient dengue management model demonstrates safety, feasibility, and resource efficiency. With structured patient selection and monitoring protocols, DOM significantly reduces hospital bed occupancy while offering a scalable solution for dengue-endemic regions.

查看原文本刊更多论文

重新定义门诊登革热管理18年：来自国家三级医疗中心的经验教训。

背景：登革热对流行地区的卫生保健系统造成重大负担。传统的住院管理在季节性高峰期间对医院的能力造成压力。本研究评估了新加坡三级医疗中心扩大护士主导的登革热门诊管理（DOM）项目。方法：于2023年1月至2024年8月进行前瞻性观察研究。DOM纳入标准扩大到包括老年人和有合并症的患者，如果临床稳定。患者接受医生评估、护士主导的基于症状的评估和生命体征监测。结果：167例患者在研究期间接受了DOM治疗。该模型平均为每位患者节省了3.3个住院日，到2023年将节省约231个住院日。结论：这种扩大护士主导的登革热门诊管理模式具有安全性、可行性和资源效率。通过结构化的患者选择和监测协议，DOM大大减少了医院床位占用，同时为登革热流行地区提供了可扩展的解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Travel Medicine and Infectious Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-INFECTIOUS DISEASES

CiteScore

19.40

自引率

1.70%

发文量

211

审稿时长

49 days

期刊介绍： Travel Medicine and Infectious Disease Publication Scope: Publishes original papers, reviews, and consensus papers Primary theme: infectious disease in the context of travel medicine Focus Areas: Epidemiology and surveillance of travel-related illness Prevention and treatment of travel-associated infections Malaria prevention and treatment Travellers' diarrhoea Infections associated with mass gatherings Migration-related infections Vaccines and vaccine-preventable disease Global policy/regulations for disease prevention and control Practical clinical issues for travel and tropical medicine practitioners Coverage: Addresses areas of controversy and debate in travel medicine Aims to inform guidelines and policy pertinent to travel medicine and the prevention of infectious disease Publication Features: Offers a fast peer-review process Provides early online publication of accepted manuscripts Aims to publish cutting-edge papers