Redefining outpatient dengue management 18 years on: lessons from a national tertiary centre
Background: Dengue fever places a substantial burden on healthcare systems in endemic areas. Traditional inpatient management places strain on hospital capacity during seasonal surges. This study evaluates an expanded nurse-led Dengue Outpatient Management (DOM) program at a tertiary centre in Singa...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-09-01
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| Series: | Travel Medicine and Infectious Disease |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1477893925000882 |
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| author | Jinghao Nicholas Ngiam Matthew Chung Yi Koh Brenda Mae Alferez Salada Dale Fisher Sophia Archuleta Jolene Ee Ling Oon |
| author_facet | Jinghao Nicholas Ngiam Matthew Chung Yi Koh Brenda Mae Alferez Salada Dale Fisher Sophia Archuleta Jolene Ee Ling Oon |
| author_sort | Jinghao Nicholas Ngiam |
| collection | DOAJ |
| description | Background: Dengue fever places a substantial burden on healthcare systems in endemic areas. Traditional inpatient management places strain on hospital capacity during seasonal surges. This study evaluates an expanded nurse-led Dengue Outpatient Management (DOM) program at a tertiary centre in Singapore. Methods: A prospective observational study was conducted from January 2023 to August 2024. DOM inclusion criteria were broadened to include older adults and patients with comorbidities, if clinically stable. Patients received physician evaluation, a nurse-led symptom-based assessment and vital signs monitoring. Results: There were 167 patients managed in DOM in the study period. The model saved an average of 3.3 bed-days per patient, amounting to approximately 231 bed-days saved in 2023. Conclusion: This expanded nurse-led outpatient dengue management model demonstrates safety, feasibility, and resource efficiency. With structured patient selection and monitoring protocols, DOM significantly reduces hospital bed occupancy while offering a scalable solution for dengue-endemic regions. |
| format | Article |
| id | doaj-art-1ad800cebf8241b5b115e38c1f73ea93 |
| institution | DOAJ |
| issn | 1873-0442 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Travel Medicine and Infectious Disease |
| spelling | doaj-art-1ad800cebf8241b5b115e38c1f73ea932025-08-20T03:22:48ZengElsevierTravel Medicine and Infectious Disease1873-04422025-09-016710288210.1016/j.tmaid.2025.102882Redefining outpatient dengue management 18 years on: lessons from a national tertiary centreJinghao Nicholas Ngiam0Matthew Chung Yi Koh1Brenda Mae Alferez Salada2Dale Fisher3Sophia Archuleta4Jolene Ee Ling Oon5Division of Infectious Diseases, Department of Medicine, National University Health System, Singapore; Corresponding author. 1E Kent Ridge Rd, NUHS Tower Block, Level 10, 119228, Singapore.Division of Infectious Diseases, Department of Medicine, National University Health System, SingaporeDivision of Infectious Diseases, Department of Medicine, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, SingaporeDivision of Infectious Diseases, Department of Medicine, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, SingaporeDivision of Infectious Diseases, Department of Medicine, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, SingaporeDivision of Infectious Diseases, Department of Medicine, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, SingaporeBackground: Dengue fever places a substantial burden on healthcare systems in endemic areas. Traditional inpatient management places strain on hospital capacity during seasonal surges. This study evaluates an expanded nurse-led Dengue Outpatient Management (DOM) program at a tertiary centre in Singapore. Methods: A prospective observational study was conducted from January 2023 to August 2024. DOM inclusion criteria were broadened to include older adults and patients with comorbidities, if clinically stable. Patients received physician evaluation, a nurse-led symptom-based assessment and vital signs monitoring. Results: There were 167 patients managed in DOM in the study period. The model saved an average of 3.3 bed-days per patient, amounting to approximately 231 bed-days saved in 2023. Conclusion: This expanded nurse-led outpatient dengue management model demonstrates safety, feasibility, and resource efficiency. With structured patient selection and monitoring protocols, DOM significantly reduces hospital bed occupancy while offering a scalable solution for dengue-endemic regions.http://www.sciencedirect.com/science/article/pii/S1477893925000882DengueOutpatientSingaporeIntravenous fluidsHospital admission |
| spellingShingle | Jinghao Nicholas Ngiam Matthew Chung Yi Koh Brenda Mae Alferez Salada Dale Fisher Sophia Archuleta Jolene Ee Ling Oon Redefining outpatient dengue management 18 years on: lessons from a national tertiary centre Travel Medicine and Infectious Disease Dengue Outpatient Singapore Intravenous fluids Hospital admission |
| title | Redefining outpatient dengue management 18 years on: lessons from a national tertiary centre |
| title_full | Redefining outpatient dengue management 18 years on: lessons from a national tertiary centre |
| title_fullStr | Redefining outpatient dengue management 18 years on: lessons from a national tertiary centre |
| title_full_unstemmed | Redefining outpatient dengue management 18 years on: lessons from a national tertiary centre |
| title_short | Redefining outpatient dengue management 18 years on: lessons from a national tertiary centre |
| title_sort | redefining outpatient dengue management 18 years on lessons from a national tertiary centre |
| topic | Dengue Outpatient Singapore Intravenous fluids Hospital admission |
| url | http://www.sciencedirect.com/science/article/pii/S1477893925000882 |
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