Keywords
Mensaje de texto
Dengue
Chagas
Intervención médica temprana
Médicos Public health
Text messaging
Dengue
Chagas
Early medical intervention
Physicians
How to Cite
Abstract
Introduction: Chagas and Dengue diseases generate a high cost due to complications and fatal cases due to failure in care. Objective: To evaluate the effectiveness of a communication strategy in the clinical care of patients with Dengue or Chagas for emergency physicians in rural areas. Methodology: A quasi-experimental study with general practitioners of local hospitals from Arauca (Colombia). Specific short messages were sent with information about initial care of patients with Dengue or Chagas. For control group, messages were sent with general public health recommendations. Clinical records of patients attended by participating physicians who consulted after the intervention were reviewed. A descriptive analysis was carried out and measure of effect was estimated with Relative Risk. P values <0.05 were considered statistically significant. Results: 37 general practitioners participated. The mean age was 26.5 years (±3.9) in professionals in intervention group (IG) and 30.5 (±7.5) in control group (CG). Higher compliance in recommendations about observation and hospitalization for population with comorbidities GI= 5 (100%); GC = 13 (100%) was observed. There were significant differences in hospitalization for Dengue cases with warning signs [IG= 8 (25.8%); CG= 24 (70.5%) p<0.001]. Dengue hospitalization with alarm signs showed a different behavior between the groups, obtaining a RR of 0.3 (IC95% 0.18-0.68). Conclusion: The study did not find large differences in the impact of the intervention. It is important to continue evaluating low-cost strategies to improve knowledge and adherence to guidelines and management protocols.
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