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Master Thesis

Volume d'hydratation orale des patients atteints de dengue en médecine générale à La Réunion

Abstract : Background : Dengue fever is a worldwide growing arbovirosis. Since 2017, Reunion Island has been facing the biggest epidemic since 1977. A study carried out in Nicaragua suggested a reduction in the risk of hospitalisation by taking 5 glasses of liquid per day (1,183 ml). In 2003, WHO has then set this hydration target. The objective of this study was to evaluate the volume of hydration of Reunionese suffering from Dengue. Method : A cross-sectional descriptive observational study was performed. Patients with « dengue-like » syndrome were recruited by general practitioners. A medical questionnaire and an hydration self-questionnaire were completed twice, before and after biological confirmation of dengue diagnosis. Statistical analysis was descriptive and bivariate. Results : 174 patients were included from 04/01/19 to 07/01/19. The mean oral hydration volume was 1,863 ml and 1,944 ml in the 1st and 2nd medical consultations. 70 % and 85 % of patients consumed more than 5 glasses in the 1st and 2nd medical consultations. Water was the most commonly consumed fluid. Patients consuming more than 5 glasses of liquid had significantly fewer clinical signs of alert in the 1st consultation (p = 0.044). Conclusion : The volume of hydration of the Reunionese appeared to be in accordance with WHO recommendations. Local recommendations should make patients aware of oral hydration, with a minimum volume target and intake of isotonic solutions. A larger observational and/or interventional study with an unbiaise quantification of hydration would be needed.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02888852
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Submitted on : Friday, July 3, 2020 - 12:50:54 PM
Last modification on : Thursday, October 15, 2020 - 3:02:39 PM
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  • HAL Id : dumas-02888852, version 1

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Olivier Besnard. Volume d'hydratation orale des patients atteints de dengue en médecine générale à La Réunion. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02888852⟩

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