Diretrizes clínicas da ABRAMEDE para o manejo de dengue em pacientes adultos na emergência
DOI:
https://doi.org/10.54143/jbmede.v4i2.199Palavras-chave:
Dengue, Epidemias, Guias como assunto, Emergências, Serviços médicos de emergênciaResumo
No Brasil, a dengue é a arbovirose mais significativa e um dos principais motivos de consultas em Departamentos de Emergência. Em 2024, o país vem enfrentando um número recorde de casos, exacerbando a superlotação das emergências. Diante da grave epidemia, é crucial aprimorar o manejo clínico, para evitar a evolução para formas graves da doença e reduzir a mortalidade. Esta diretriz clínica é dedicada ao manejo de pacientes adultos com suspeita ou quadro confirmado de dengue na emergência, seja em Departamentos de Emergência hospitalares ou unidades de pronto atendimento. A elaboração desta diretriz ocorreu entre fevereiro, março e abril de 2024, por um painel de 17 especialistas. Adotou-se a metodologia GRADE, que segue um processo envolvendo: o desenvolvimento de revisões sistemáticas para as questões priorizadas; a avaliação da certeza das evidências; a formulação de recomendações utilizando o framework GRADE evidence-to-decision. A metodologia GRADE-ADOLOPMENT também foi utilizada para adotar e/ou adaptar revisões sistemáticas e recomendações de outras diretrizes aplicáveis. Dez perguntas clínicas foram priorizadas e respondidas, sendo geradas recomendações com força e nível de evidência variados. Esta é a primeira diretriz da Associação Brasileira de Medicina de Emergência que emprega a metodologia GRADE para fornecer respostas claras e baseadas em evidências às perguntas consideradas mais críticas por especialistas no manejo de pacientes adultos com dengue nas emergências.
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