A simple validated prediction rule to diagnose typhoid fever in Turkey
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Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Royal Soc Tropical Medicine
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
The goal of this study was to develop a simple prediction rule for the diagnosis of typhoid fever. A model for the prediction of patients with typhoid fever at hospital admission was derived and validated by assigning weighted point values to independent predictive factors associated with a diagnosis of typhoid fever at hospital admission. Patient demographic, clinical and laboratory variables were used to compare patients with blood culture-confirmed typhoid fever with patients with fever of unknown origin. The model was derived and validated in two separate cohorts of patients from Dicle University Hospital in Diyarbakir, Turkey. A total of 371 patients were enrolled. A diagnostic index score was created using seven independent predictive factors associated with typhoid fever at hospital admission: age <30 years, abdominal. distention, confusion, leukopenia, relative bradycardia, positive Widal test and a typhoid tongue. A clinical prediction rule helped to differentiate patients with typhoid fever. (C) 2006 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
Açıklama
Anahtar Kelimeler
Typhoid Fever, Enteric Fever, Diagnosis, Prediction Rule, Turkey
Kaynak
Transactions of The Royal Society of Tropical Medicine and Hygiene
WoS Q Değeri
Q2
Scopus Q Değeri
Q2
Cilt
100
Sayı
11
