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DENGUE FEVER Dr. Anita Lamichhane Deptt. Of pediatrics  Shaikh Zayed Hospital
Etiological Agent
Dengue virus  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dengue virus transmission  ,[object Object],[object Object],[object Object]
 
The vector-Aedes aegypti ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vector & its transmission ,[object Object],[object Object],[object Object],[object Object],Mosquito feeds/acquires virus Mosquito refeeds/transmits virus Viremia   Intrinsic incubation period Extrinsic incubation period Viremia
Replication & transmission of Dengue virus ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Vector  ,[object Object],[object Object],[object Object],[object Object]
Aedes aegypti  Mosquito life cycle  ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Aedes aegypti
Aedes albopictus
PATHOPHYSIOLOGY
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
CLINICAL MANIFESTATIONS
Four dengue clinical syndrome ,[object Object],[object Object],[object Object],[object Object]
Undifferentiated fever ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
DENGUE HEMORRHAGIC   FEVER
Dengue Hemorrhagic Fever ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
3 phases of DHF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Leakage phase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Convalescent phase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Criteria to label Dengue Hemorrhagic Fever
WHO case definition of DHF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Four grades of DHF ,[object Object],[object Object],[object Object],[object Object],[object Object]
Danger signs in Dengue Hemorrhagic Fever ,[object Object],[object Object],[object Object],[object Object]
Unusual presentation of Severe Dengue Fever ,[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors  ,[object Object],[object Object],[object Object],[object Object]
TOURNIQUET TEST
[object Object],[object Object],[object Object]
Positive Tourniquet Test ,[object Object],[object Object]
Dengue Shock Syndrome
Four criteria  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory tests in Dengue Fever ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment  ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mosquito barrier ,[object Object],[object Object]
Treatment of DHF & DSS ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for hospital discharge ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Return IMMEDIATELY to clinic or emergency department if ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dengue Vaccine ,[object Object],[object Object],[object Object]
PREVENTION
Vector control  ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prophylaxis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Why to control??/Purpose of control ,[object Object],[object Object]
Program to minimize the impact of epidemic ,[object Object],[object Object]
Common containers in which eggs develop into adult dengue mosquitoes:
Recent advances ,[object Object]
Key Message ,[object Object],[object Object],[object Object]

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Dengue fever