DHF Bureau of Epidemiology, DDC, MPH  


BoE,DDC,MoPH
㹡ѧä (Case Definition for Surveillance)
ICD-10 : A90 / A91
ࡳҧԹԡ (Clinical Criteria)
2 Դ ധ ʹ͡
ധ
ºѹ Ѻ ҡ ҧ 2 ҡ 仹
  • Ǵҧعç
  • Ǵк͡
  • Ǵ
  • Ǵд١͢͵
  • ռ
  • ҡʹ͡
  • tourniquet test źǡ
    • ʹ͡
    ºѹ tourniquet test źǡ (Ǩشʹ͡ҡѺҡ 10 ش ͵ҧ źǡ) Ѻ ҡ ҧ 1 ҡ 仹
  • Ǵҧعç
  • Ǵк͡
  • Ǵ
  • Ǵд١͢͵
  • ռ
  • ҡʹ͡
  • Ѻѡ
  • ա¹ŧҧк¹Ե ФѹԵŴŧ (shock)
    • ࡳҧͧԺѵԡ (Laboratory Criteria)
      • Complete Blood Count (CBC)
        • ըӹǹʹǵ (< 5,000 /١ȡ) Ѵǹ lymphocyte ٧ (㹡óբͧധ)
        • ʹӡ 100,000 /١ȡ (㹡óբͧʹ͡)
        • ⵤԵ 10 - 20 ҡ (㹡óբͧʹ͡)
      • Chest x-rays (㹡óբͧʹ͡)
        - о pleural effusion ǹ˭оҧҹ ·ҡعçҨ 2 ҧ ҧҨҡҢҧ
      • Ǩҡʹ Ը PCR ͡¡
      • Ǩ͹Ժʹըе㹹ͧ (paired sera) Ը Hemagglutination Inhibition (HI) > 4 ҹͧ ͧԤѹ > 1: 1,280
      • ǨԤѹԴ IgM > 40 ٹԵ ͡鹢ͧ IgG ҧչӤѭԸ Enzyme Immuno Assay (EIA)
    (Case Classification)
    ധ
    ·ʧ(Suspected case) ¶֧ ҡõࡳҧԹԡ
    ·Ң(Probable case) ¶֧ ҡõࡳҧԹԡ ѡɳҧҧ˹ ѧ
    • ռšõǨʹ
    • ռš§ҧкҴԷҡѺ ռšõǨ׹ѹҧͧԺѵԡè
    ·׹ѹ (Confirmed case) ¶֧ ҡõࡳҧԹԡ ռŵࡳҧͧԺѵԡè
    ʹ͡
    ·ʧ(Suspected case) ¶֧ ҡõࡳҧԹԡ
    ·Ң(Probable case) ¶֧ ҡõࡳҧԹԡ ѡɳҧҧ˹ ѧ
    • ռšõǨʹ
    • ռš§ҧкҴԷҡѺ ռšõǨ׹ѹҧͧԺѵԡè
    ·׹ѹ (Confirmed case) ¶֧ ҡõࡳҧԹԡ ռŵࡳҧͧԺѵԡè
    §ҹµкѧä-ç.506(Reporting Criteria)
    §ҹ ·ʧ (Suspected case)
    ͺǹä(Epidemiological Investigation)
    ͺǹ੾ (Individual Investigation)
    ͺǹкҴ (Outbreak Investigation) 㹡óշԴä繡͹ պӡͺǹкҴѹ ͡ä ˵ءкҴ㹤駹 ͡ҧἹ㹡äǺ㹤駹 лͧѹкҴ㹤駵ҧ١ͧ ҡ ˹ѧ͹äԴ