{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:28:10Z","timestamp":1762003690838},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,4,29]],"date-time":"2004-04-29T00:00:00Z","timestamp":1083196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2004,5]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Objectives\u2002<\/jats:bold> To determine whether nurses, using the WHO\/UNICEF algorithm for integrated management of childhood illness (IMCI), modified to include dengue infection, satisfactorily classified children in an area endemic for dengue haemorrhagic fever (DHF).<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Nurses assessed and classified, using the modified IMCI algorithm, a systematic sample of 1250 children aged 2\u2003months to 10\u2003years (<jats:italic>n<\/jats:italic>\u2003=\u20031250) presenting to a paediatric hospital in Dong Nai Province, Vietnam. Their classification was compared with that of a paediatrician, blind to the result of the nurses\u2019 assessment, which could be modified in the light of simple investigations, e.g. dengue serology.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> In children aged 2\u201359\u2003months (<jats:italic>n<\/jats:italic>\u2003=\u2003859), the nurses were able to classify, using the modified chart, the presenting illness in &gt;99% of children and found more than one classification in 70%. For the children with pneumonia, diarrhoea, dengue shock syndrome, severe DHF and severe disease requiring urgent admission, the nurse's classification was &gt;60% sensitive and &gt;85% specific compared with that of the paediatrician. For the nurse's classification of DHF the specificity was 50\u201355% for the children &lt;5\u2003years and in children with definitive dengue serology. Alterations in the DHF algorithm improved specificity at the expense of sensitivity.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Using the IMCI chart, nurses classified appropriately many of the major clinical problems in sick children &lt;5\u2003years in southern Vietnam. However, further modifications will be required in the fever section, particularly for dengue. The impact of using the IMCI chart in peripheral health stations remains to be evaluated.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2004.01232.x","type":"journal-article","created":{"date-parts":[[2004,4,29]],"date-time":"2004-04-29T10:13:44Z","timestamp":1083233624000},"page":"573-581","source":"Crossref","is-referenced-by-count":10,"title":["Evaluation of an algorithm for integrated management of childhood illness in an area of Vietnam with dengue transmission"],"prefix":"10.1111","volume":"9","author":[{"given":"Cao Xuan Thanh","family":"Phuong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ngo Thi","family":"Nhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Kneen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delia","family":"Bethell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Le Thi","family":"Dep","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nguyen Thi Thuy","family":"Nga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pham Thi Thu","family":"Thuy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Truong Dinh","family":"Luat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Solomon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget","family":"Wills","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher M.","family":"Parry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"The Dong Nai\/WHO Study Team","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,4,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7441.702"},{"issue":"1","key":"e_1_2_10_3_1","first-page":"87","article-title":"Assessment of potential indicators for protein\u2010energy malnutrition in the algorithm for integrated management of childhood illness","volume":"75","author":"Bern C","year":"1997","journal-title":"Bulletin of the World Health Organisation"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(97)90099-7"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199903000-00007"},{"issue":"1","key":"e_1_2_10_6_1","first-page":"7","article-title":"Integrated management of childhood illness by outpatient health workers: technical basis and overview","volume":"75","author":"Gove S","year":"1997","journal-title":"Bulletin of the World Health Organisation"},{"issue":"1","key":"e_1_2_10_7_1","first-page":"65","article-title":"Identifying sick children requiring referral to hospital in Bangladesh","volume":"75","author":"Kalter HD","year":"1997","journal-title":"Bulletin of the World Health Organisation"},{"key":"e_1_2_10_8_1","first-page":"582","article-title":"Integrated management of childhood illness: a summary of first experiences","volume":"77","author":"Lambrechts T","year":"1999","journal-title":"Bulletin of the World Health Organisation"},{"volume-title":"Manual of Clinical Microbiology","year":"1995","author":"Murray PR","key":"e_1_2_10_9_1"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1086\/318479"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(00)90418-8"},{"issue":"1","key":"e_1_2_10_12_1","first-page":"33","article-title":"Evaluation of an algorithm for integrated management of childhood illness in an area of Kenya with high malaria transmission","volume":"75","author":"Perkins BA","year":"1997","journal-title":"Bulletin of the World Health Organisation"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1086\/514048"},{"issue":"1","key":"e_1_2_10_14_1","first-page":"33","article-title":"Evaluation of an algorithm for the integrated management of childhood illness in an area with seasonal malaria in the Gambia","volume":"75","author":"Weber MW","year":"1997","journal-title":"Bulletin of the World Health Organization"},{"volume-title":"Dengue Haemorrhagic Fever: Diagnosis, Treatment, Prevention and Control","year":"1997","author":"World Health Organization","key":"e_1_2_10_15_1"},{"key":"e_1_2_10_16_1","first-page":"929","article-title":"Use and interpretation of anthropometric indicators of nutritional status","volume":"64","author":"World Health Organization Working Group","year":"1986","journal-title":"Bulletin of the World Health Organization"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-3156.2004.01232.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-3156.2004.01232.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T14:55:14Z","timestamp":1696949714000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-3156.2004.01232.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,4,29]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2004,5]]}},"alternative-id":["10.1111\/j.1365-3156.2004.01232.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-3156.2004.01232.x","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"type":"print","value":"1360-2276"},{"type":"electronic","value":"1365-3156"}],"subject":[],"published":{"date-parts":[[2004,4,29]]}}}