Table 4 Diagnostic trajectories of hospitalized patients meeting study-specific VHF suspect case criteria
| Â | Patient A | Patient B | Patient C | Patient D | Patient E | Patient F |
|---|---|---|---|---|---|---|
Residence | Rural | Rural | Rural | Urban | Urban | Urban |
Symptoms upon admission | Bloody Diarrhoea, Oedema, Weight Loss, Weakness | Bloody Diarrhoea, Weight Loss, Cough, Chest Pain | Bloody Diarrhoea, Vomit, Epigastric Pain, Weakness | Haematuria, Fever, Weakness, Epigastric Pain, Weight Loss | Bloody Diarrhoea, Hematemesis, Dizziness, Fever, Weakness | Bloody Diarrhoea, Hematemesis, Dizziness, Fever, Headache, Epigastric Pain |
Measured Temperature °C upon admission | 38.5 | 39.5 | 39.3 | 39.0 | 38.5 | 38.2 |
Rapid Malaria Test upon admission | Negative | Not tested | Not tested | Negative | Negative | Negative |
Preliminary Diagnosis upon admission | Malaria, Gastrointestinal Infection/Typhoid Fever | HIV/AIDS, Pulmonary Tuberculosis | Gastrointestinal Infection/Typhoid Fever, Gastro-duodenal Ulcer | Malaria, Gastrointestinal Infection/Typhoid Fever | Gastrointestinal Infection/Typhoid Fever, Gastro-duodenal Ulcer, Anaemia | Gastro-duodenal Ulcer, Anaemia |
Emergency Treatment | Ampicillin, Metronidazole, Zinc | Ampicillin, Ringer’s Lactate | Ampicillin, Ceftriaxone, Omeprazole, Paracetamol, Ringer Lactate | Ceftriaxone, Omeprazole, Paracetamol | none | Ampicillin, Omeprazole, Paracetamol, Ringer Lactate |
Service | Paediatrics | Internal Medicine | Internal Medicine | Internal Medicine | Internal Medicine | Internal Medicine |
Amount of Days Hospitalized | 2 | 3 | 5 | 3 | 4 | 5 |
Diagnostic Tests demanded during Hospitalization | Haemoglobin, Glycaemia, Widal, Thick Blood Smear, Blood Type | Haemoglobin, Glycaemia, Chest X-Ray | Haemoglobin, Glycaemia, Widal, Stool Parasitology | Haemoglobin, Glycaemia, Widal | Haemoglobin, Glycaemia, Widal, Thick Blood Smear, Blood Type | Haemoglobin, Glycaemia, Widal, Stool Parasitology, Blood Type |
Diagnostic Results obtained | Haemoglobin, Glycaemia, Thick Blood Smear (negative), Blood Type | Haemoglobin, Glycaemia | Haemoglobin, Glycaemia | Haemoglobin, Glycaemia | Haemoglobin, Glycaemia, Blood Type | Haemoglobin, Glycaemia, Blood Type |
Diagnostic Results not obtained | Widal | Chest X-Ray | Widal, Stool Parasitology | Widal | Widal, Thick Blood Smear | Widal, Stool Parasitology |
Definite Diagnosis | None | HIV/AIDS (not Laboratory confirmed) | Gastrointestinal Infection, Cholecystitis | None | Gastrointestinal Infection/Typhoid Fever, Anaemia | Gastro-duodenal Ulcer, Anaemia |
Discharge Reason | Self-discharge | Self-discharge | Improved Health | Self-discharge | Improved Health | Improved Health |