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Dengue Fever - Ministry of Health and Family welfare
Table of Contents
- Dengue Fever - Ministry of Health and Family welfare
- Dengue – NHS
- Handbook for clinical management of dengue – World health Association
- Symptoms and Warning Signs in Children – Dr. Hutomo Laksono Sp.A
- Understanding Severe Dengue: an Interview with Dr. Amelie Lambert, Infectious Disease Specialist
7.MANAGEMENT OF DENGUE FEVER 33-45
7.1 Triage of suspected dengue patients 33
- Initial assessment and categorization of patients based on severity.
7.2 Approach to clinical management 34
- General guidelines for managing dengue patients, including monitoring and supportive care.
7.3 Management of moderate and severe dengue 34
- Specific protocols for handling more severe cases, including fluid management and monitoring for complications.
7.4 Management of severe haemorrhage 42
- Strategies for managing severe bleeding, including blood transfusions and other interventions.
7.5 Management of convalescence phase 42
- Care and management during the recovery period to ensure complete recovery.
7.6 Management of complications 43
- Handling various complications that may arise during the course of the disease.
Dengue – NHS
Dengue
- Dengue, also known as dengue fever, is an infection spread by mosquitoes.
- It’s not usually serious and frequently enough gets better on its own.
- Some people get a more severe type of dengue,but this is rare.
- Check if you’re at risk of dengue.
- You can get dengue if you’re bitten by an infected mosquito.
- The mosquitoes that carry the dengue virus are most active during the day.
Handbook for clinical management of dengue – World health Association
This handbook has been produced to help health-care practitioners at all levels to manage dengue.
- Aspects of managing severe cases of dengue are also described for practitioners at higher levels of health care.
- Additional and more specific guidance on the various areas related to clinical management of dengue (from other sources in WHO and elsewhere) are cited in the reference sections.
[Source](https://www.who.int/publications/i/it…he DHF virus into the human bloodstream.
Symptoms and Warning Signs in Children – Dr. Hutomo Laksono Sp.A
- The DHF virus in children or adults generally first appeared accompanied by symptoms of fever that ups and downs in the range of 40 °C.
- Symptoms include nausea, vomiting, dizziness, loss of appetite, lethargy, fussiness, and continuous sleepiness in children.
- If the platelet rate does not decrease considerably but the blood thickness or hemoglobin is high, it indicates a critical period.
- Late or untreated cases may lead to shock syndrome,characterized by bleeding (red spots,bloody stools,nosebleeds,etc.).
- Parents should seek immediate medical attention if a child exhibits a fever fluctuating around 40°C, stomach pain, dizziness, and repeated vomiting.
Understanding Severe Dengue: an Interview with Dr. Amelie Lambert, Infectious Disease Specialist
In recent years, teh incidence of dengue fever has grown significantly, making it crucial for individuals and healthcare providers to understand its nuances, especially when it comes to severe cases. In this interview,we speak with Dr. Amelie Lambert,an esteemed infectious disease specialist,to delve deeper into the management and symptoms of severe dengue.
Managing Severe Dengue: A Detailed Outlook
Editor: Dr. Lambert, can you provide some insights into how healthcare professionals differentiate between mild and severe dengue cases upon initial assessment?
Dr. Lambert: Initially,healthcare providers categorize dengue patients based on the severity of symptoms and the urgency of medical attention needed. For exmaple, the World Health Organization (WHO) triage system is frequently enough utilized. A patient’s vital signs, neurological status, presence of plasma leakage, and type of fluid accumulation are critical for this initial assessment.It’s vital to identify those at risk of developing severe symptoms early to ensure proper management and intervention.
Clinical Management Protocols
Editor: What general guidelines do you recommend for the clinical management of dengue patients, including monitoring and supportive care?
Dr. Lambert: Clinical management involves a combination of supportive care and close monitoring. Key aspects include ensuring proper hydration, managing symptoms like fever and pain with paracetamol, avoiding aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) that may increase bleeding risk, and regularly monitoring the patient’s vital signs. For severe cases,fluid management is crucial,and close monitoring for signs of plasma leakage and hemorrhage is essential. The WHO handbook provides excellent detailed guidance for healthcare practitioners at various levels.
Handling More Severe Cases
Editor: Could you elaborate on the protocols specifically designed for managing severe dengue?
Dr. Lambert: For severe dengue, protocol focuses on rigorous fluid management to prevent plasma leakage and shock.This involves administering intravenous fluids to maintain adequate blood volume and vigilantly monitoring for signs of hemorrhage.Patients in critical condition might require intensive care, blood transfusions, and specialized interventions. Proper and timely intervention based on the patient’s condition is crucial to prevent complications and ensure recovery.
Managing Severe Hemorrhage
Editor: What strategies are employed to manage severe hemorrhage in dengue patients?
Dr. Lambert: Severe hemorrhage management includes immediate measures like fluid resuscitation to maintain blood pressure and replacing blood loss through transfusions.Close monitoring of coagulation profiles and platelet counts is essential. Properly trained healthcare providers should handle these severe cases, ensuring prompt intervention and preventing further complications.
Recovery Phase Management
Editor: How critically important is the management of the convalescence phase in ensuring full recovery from dengue?
Dr. Lambert: Proper management during the convalescence phase aids in ensuring the patient fully recovers from dengue. This includes adequate nutrition, hydration, and monitoring for any late-onset complications. Patients should be educated on recognizing any relapses and advised to seek immediate medical care if necessary.
Recognizing warning Signs in Children
Editor: Given the unique symptoms and seriousness in children, what are the warning signs parents should look for?
Dr. Lambert: In children, dengue symptoms like fever, nausea, vomiting, dizziness, and lethargy should be closely monitored. Parents should watch for decreases in platelet count and increased hemoglobin or blood thickness. Severe signs include bleeding from various parts of the body, like red spots, bloody stools, and nosebleeds. Immediate medical attention is critical if a child exhibits fever fluctuating around 40°C, stomach pain, dizziness, and repeated vomiting.
Concluding Remarks
Editor: Dr.Lambert, what are the main takeaways you would like parents and healthcare providers to understand about managing severe dengue?
dr. Lambert: Early and accurate diagnosis, proper supportive care, and vigilant monitoring are key to managing severe dengue effectively. Recognizing warning signs and timely intervention can significantly improve outcomes. Education for both healthcare providers and the public is essential to control dengue fever and manage severe cases promptly.
Thank you, Dr. Lambert, for sharing your expert insights into the management of severe dengue.
