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Dengue
The document outlines information on dengue fever caused by its four serotypes, detailing clinical issues such as dehydration, organ impairment, and severity classifications. It discusses diagnostic methods, including PCR and serology tests, as well as management strategies ranging from home care to emergency treatments. Additionally, it emphasizes the importance of prevention measures to control mosquito populations.
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Dengue
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- 3. 1 2 34 5 6 7 8 9 10 40 C Dehydration Reabsorption Fluid overload Organ impairment Days Temperature Potential clinical issues Laboratory changes Serology & virology Hematocrit Platelets Viraemia IgM/IgG Febrile Critical Recovery Course of Dengue illness 4-10 days after mosquito bite Shock Bleeding
- 4. With warning signs Without Severe plasma leakage Severehemorrhage Severe organ damage Probable dengue Nausea, Vomiting Rash Aches/pain Tourniquet test + Warning signs Abd pain/tenderness Persistent vomiting Mucosal bleed Lethargy/Liver size↑ HCT↑∕Platelet↓ Severe Plasma leakage DSS Respiratory distress Severe bleeding Evaluated by clinicians Severe organ damage Liver: AST/ALT >=1000 CNS: consciousness↓ Dengue case classification by severity
- 5. PCR NS1 Antigen ELISA Rapid test ELISA Virus/Antigendetection ( 1-2 days ←fever→5-6 days) IgM for recent infection (3-6 days after fever onset) IgG for past dengue infection or secondary infection Dengue Diagnosis
- 6. Dengue without warning signs Dengue with warningsigns Severe Dengue Bed rest ↑Fluid intake Paracetamol as necessary Home care Hospital care Observation ↑Fluid intake/IV Monitor vital signs/I-O Monitor Hct 2-4 hrly Emergency + Hospital care Fluid resuscitation Monitor vital signs/I-O Monitor Hct hrly Blood transfusion as necessary Dengue Management
- 7. Clear blockagesTurn overcontainer Remove waterChange water in vase Adult Pupae Larvae Egg 2-7 days >4 days 2 days Dengue Prevention