Published in:
Open Access
01-11-2017 | What's New in Intensive Care
Recommendations for the management of severe malaria and severe dengue in resource-limited settings
Authors:
Arjen M. Dondorp, Mai Nguyen Thi Hoang, Mervyn Mer, for the Sepsis in Resource-Limited Settings-Expert Consensus Recommendations Group of the European Society of Intensive Care Medicine (ESICM) and the Mahidol-Oxford Research Unit (MORU) in Bangkok, Thailand
Published in:
Intensive Care Medicine
|
Issue 11/2017
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Excerpt
Sepsis in resource-limited settings will often have different aetiologies to those in western settings, including severe malaria, severe dengue, viral haemorrhagic fevers, mellioidosis, typhus, and leptospirosis. The Surviving Sepsis Campaign (SSC) guidelines [
1] are mainly based on evidence from studies on bacterial sepsis. These guidelines are widely applicable, but there are also exceptions. We focus here on disease-specific recommendations for the management of severe falciparum malaria and severe dengue. An international team with extensive practical experience in resource-limited intensive care units (ICUs) identified key questions concerning the SSC’s management recommendations on these diseases. Pertinent evidence from resource-limited settings was evaluated using the grading of recommendations assessment, development and evaluation (GRADE) tools. …