Enhancing surgical outcomes in dengue patients: strategic approaches to anesthetic management and timing of elective surgery
Marina Ayres Delgado, Andre Luis Vieira Drumond, André dos Santos Mendonça, Camila Gomes Dall'Aqua, Márcio Erlei Vieira de Sá Filho, Bruno Pessoa Chacon, Lais Mendes Viana
Abstract
Dear Editor,
Dengue fever remains a significant global health concern, particularly in tropical and subtropical regions where it manifests as a cyclical outbreak, affecting millions annually. The recent revisions to the WHO case classification in 2009 aimed to streamline diagnosis and management, yet challenges persist, especially concerning surgical interventions in dengue patients.
Dengue can be detected in its early stages (less than five days) by virus isolation, RNA detection, or by looking for antigens like NS1. After this time (more than five days after infection), the viremia has decreased and antibody responses have developed, making dengue virus RNA and antigens potentially undetectable. At this point, serological techniques for specific antibody identification (IgM or IgG detection) are appropriate.
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Submitted date:
03/16/2024
Accepted date:
05/07/2024
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