ABRAMEDE clinical practice guidelines for the management of dengue in adult emergency department patients
DOI:
https://doi.org/10.54143/jbmede.v4i2.199Keywords:
Dengue, Epidemics, Guidelines as topic, Emergencies, Emergency medical servicesAbstract
In Brazil, dengue is the most significant arbovirus and one of the main reasons for consultations in Emergency Departments. In 2024, the country has been facing a record number of cases, exacerbating the Emergency Departments overcrowding. Given the severe epidemic, it is crucial to improve clinical management to prevent the progression to severe forms of the disease and reduce mortality. This clinical practice guideline is dedicated to the management of adult patients with suspected or confirmed
dengue in the emergency setting, whether in hospital Emergency Departments or urgent care units. The preparation of this guideline took place between February, March, and April 2024, by a panel of 17 experts. The GRADE methodology was adopted, which involves a process including: the development of systematic reviews for prioritized questions; the assessment of the certainty of evidence; and the formulation of recommendations using the GRADE evidence-to-decision framework. The GRADE-ADOLOPMENT methodology was also used to adopt and/or adapt systematic reviews and recommendations from other applicable guidelines. Ten clinical questions were prioritized and answered, generating recommendations with varying strength and levels of evidence. This is the first guideline from Associação Brasileira de Medicina de Emergência that employs the GRADE methodology to provide clear and evidence-based answers to the questions considered most critical by emergency
physicians in the management of adult patients with dengue in emergency settings.
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