{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T07:06:11Z","timestamp":1773299171145,"version":"3.50.1"},"reference-count":27,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3,8]]},"abstract":"<jats:p>Dengue, a mosquito-borne viral disease, is increasingly being identified as a cause of outbreaks in the United States. During July\u2013December 2013, a total of three south Texas counties reported 53 laboratory-confirmed dengue cases; 26 were locally acquired, constituting the largest outbreak in Texas since 2005. Because dengue outbreaks are expected to continue in south Texas and early case identification and timely treatment can reduce mortality, we sought to determine clinicians' knowledge of dengue and its clinical management. A survey was sent to 2,375 south Texas clinicians; 217 (9%) completed the survey. Approximately half of participants demonstrated knowledge needed to identify dengue cases, including symptoms (56%), early indicators of shock (54%), or timing of thrombocytopenia (48%). Fewer than 20% correctly identified all prevention messages, severe dengue warning signs, or circumstances in which a dengue patient should return for care. Knowledge of clinical management was limited; few participants correctly identified scenarios when plasma leakage occurred (10%) or a crystalloid solution was indicated (7%); however, 45% correctly identified when a blood transfusion was indicated. Because of the ongoing threat of dengue, we recommend clinicians in south Texas receive dengue clinical management training.<\/jats:p>","DOI":"10.4269\/ajtmh.16-0367","type":"journal-article","created":{"date-parts":[[2017,1,31]],"date-time":"2017-01-31T03:00:48Z","timestamp":1485831648000},"page":"708-714","source":"Crossref","is-referenced-by-count":7,"title":["Clinician Survey to Determine Knowledge of Dengue and Clinical Management Practices, Texas, 2014"],"prefix":"10.4269","volume":"96","author":[{"given":"Jessica K.","family":"Adam","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Abeyta","sequence":"additional","affiliation":[{"name":"Texas Department of State Health Services, Harlingen, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Smith","sequence":"additional","affiliation":[{"name":"Texas Department of State Health Services, Harlingen, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Gaul","sequence":"additional","affiliation":[{"name":"Texas Department of State Health Services, Austin, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana L.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia."},{"name":"Division of Vector-Borne Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Han","sequence":"additional","affiliation":[{"name":"Division of Vector-Borne Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler M.","family":"Sharp","sequence":"additional","affiliation":[{"name":"Division of Vector-Borne Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen H.","family":"Waterman","sequence":"additional","affiliation":[{"name":"Division of Global Migration and Quarantine, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kay M.","family":"Tomashek","sequence":"additional","affiliation":[{"name":"Division of Vector-Borne Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Clin Epidemiol","first-page":"299","article-title":"Epidemiology of dengue: past, present and future prospects","volume":"5","author":"Murray","year":"2013"},{"key":"ref2","series-title":"Am J Trop Med Hyg","first-page":"128","article-title":"The epidemiology of dengue in the Americas over the last three decades: a worrisome reality","volume":"82","author":"Martin","year":"2010"},{"key":"ref3","series-title":"CDC Health Information for International Travel: The Yellow Book","article-title":"Dengue","author":"Tomashek","year":"2016"},{"key":"ref4","series-title":"Ann Intern Med","first-page":"456","article-title":"GeoSentinel surveillance of illness in returned travelers, 2007\u20132011","volume":"158","author":"Leder","year":"2013"},{"key":"ref5","series-title":"Emerg Infect Dis","first-page":"742","article-title":"Dengue fever, Hawaii, 2001\u20132002","volume":"11","author":"Effler","year":"2005"},{"key":"ref6","series-title":"Morb Mortal Wkly Rep","first-page":"577","article-title":"Locally acquired dengue: Key West, Florida, 2009\u20132010","volume":"59","author":"Centers for Disease Control and Prevention","year":"2010"},{"key":"ref7","series-title":"Morb Mortal Wkly Rep","first-page":"57","article-title":"Underdiagnosis of dengue: Laredo, Texas, 1999","volume":"50","author":"Centers for Disease Control and Prevention","year":"2001"},{"key":"ref8","series-title":"Morb Mortal Wkly Rep","first-page":"785","article-title":"Dengue hemorrhagic fever: U.S.-Mexico border, 2005","volume":"56","author":"Centers for Disease Control and Prevention","year":"2007"},{"key":"ref9","series-title":"Am J Trop Med Hyg","first-page":"364","article-title":"Epidemic dengue and dengue hemorrhagic fever at the Texas-Mexico border: results of a household-based seroepidemiologic survey, December 2005","volume":"78","author":"Ramos","year":"2008"},{"key":"ref10","series-title":"Emerg Infect Dis","first-page":"1477","article-title":"Dengue fever seroprevalence and risk factors, Texas-Mexico border, 2004","volume":"13","author":"Brunkard","year":"2007"},{"key":"ref11","series-title":"J Med Entomol","first-page":"1019","article-title":"Dengue vectors, human activity, and dengue virus transmission potential in the lower Rio Grande Valley, Texas, United States","volume":"51","author":"Vitek","year":"2014"},{"key":"ref12","series-title":"Lancet","first-page":"1452","article-title":"Burden of symptomatic dengue infection in children at a primary school in Thailand: a prospective study","volume":"369","author":"Anderson","year":"2007"},{"key":"ref13","series-title":"J Infect Dis","first-page":"5","article-title":"Trends in patterns of dengue transmission over 4 years in a pediatric cohort study in Nicaragua","volume":"201","author":"Balmaseda","year":"2010"},{"key":"ref14","series-title":"Am J Trop Med Hyg","first-page":"60","article-title":"Epidemiology of dengue and dengue hemorrhagic fever in a cohort of adults living in Bandung, West Java, Indonesia","volume":"72","author":"Porter","year":"2005"},{"key":"ref15","series-title":"PLoS Negl Trop Dis","first-page":"e1614","article-title":"Dengue deaths in Puerto Rico: lessons learned from the 2007 epidemic","volume":"6","author":"Tomashek","year":"2012"},{"key":"ref16","series-title":"PLoS Negl Trop Dis","first-page":"e3192","article-title":"Physician survey to determine how dengue is diagnosed, treated and reported in Puerto Rico","volume":"8","author":"Tomashek","year":"2014"},{"key":"ref17","series-title":"Panorama Epidemiol\u00f3gico de Fiebre por Dengue y Fiebre Hemorr\u00e1gica por Dengue","author":"Secretar\u00eda de Salud","year":"2013"},{"key":"ref18","series-title":"Emerg Infect Dis","first-page":"1002","article-title":"Reemergence of dengue in southern Texas, 2013","volume":"22","author":"Thomas","year":"2016"},{"key":"ref19","series-title":"Hasta Semana Epidemiologica 46","author":"Epidemiologia\/LESPS","year":"2012"},{"key":"ref20","series-title":"Vector Borne Zoonotic Dis","first-page":"835","article-title":"Identification of dengue fever cases in Houston, Texas, with evidence of autochthonous transmission between 2003 and 2005","volume":"13","author":"Murray","year":"2013"},{"key":"ref21","series-title":"Dengue Guidelines for Diagnosis, Treatment, Prevention and Control","author":"World Health Organization","year":"2009"},{"key":"ref22","author":"SurveyMonkey","year":"2015"},{"key":"ref23","series-title":"BMC Med Res Methodol","first-page":"32","article-title":"Expoloring physician specialist response rates to web-based surveys","volume":"15","author":"Cunningham","year":"2015"},{"key":"ref24","series-title":"J Formos Med Assoc","first-page":"18","article-title":"Knowledge, attitude, and practice of dengue disease among healthcare professionals in southern Taiwan","volume":"112","author":"Ho","year":"2013"},{"key":"ref25","series-title":"J Pak Med Assoc","first-page":"392","article-title":"Dengue knowledge and its management practices 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