The objective of the bulletin is to disseminate updated information on the current status of dengue feverdengue haemorrhagic fever infection, changing epidemiological patterns, new attempted control strategies, clinical management. It is a caused by a flavivirus with four distinct serotypes dv1, dv2, dv3, and dv4. Country office for india, world health organization. This document includes the new concepts on fluid management of dengue haemorrhagic fever patients and replaces the existing national guidelines on clinical management of dengue fever dengue haemorrhagic fever published by epidemiology unit ministry of health in 2005. Dengue management dos and donts x dont use corticosteroids. Diagnosis and management of dengue fever in children. Environmental management, which includes any activities that involve environmental modification, environmental manipulation and changes to human behaviour have been used to mitigate the risk of dengue. We evaluated the clinical course and disease outcome of. Preventive and control measures that would involve health education and strongly advocating the implementation of 4s, recognition of disease, case finding and reporting for cases in the community. In january 2000, we instituted a protocol for aggressive management of children with dengue shock syndrome. Your doctor will likely ask about your medical and travel history. Dengue infection is a systemic and dynamic disease. Guidelines for the management of patients with severe.
The queensland dengue management plan is issued under the authority of the queensland chief health officer. The guidelines consider this continents experiences and are evidencebased at the highest scientific level. Clinical manifestations and management of denguedhfdss. This disease used to be called breakbone fever because it sometimes causes severe joint and muscle pain that feels like bones are breaking. Figure 4 treatment flowchart for cases of suspected severe dengue in children and. Case definition a probable case is an acute febrile illness with 2 or more following features. They are not indicated and can increase the risk of gi bleeding, hyperglycemia, and. Primary infection usually results in milder illness, while more severe disease occurs in cases of repeated infection with different serotypes. The rapidly expanding global footprint of dengue is a public health challenge with an economic burden. Clinical practice guidelines of denguedengue hemorrhagic fever management for asian economic community, kalayanarooj s, vangveeravong m, vatcharasaevee v eds, bangkok medical publisher, bangkok 2014. Pdf clinical manifestations and management of denguedhfdss. Recent advances in dengue pathogenesis and clinical management. Dengue fever is the most prevalent mosquito borne viral disease in south and southeast asia.
National guidelines for clinical management of dengue fever. From 2009 through 20, a cohort of 496 children admitted with clinically suspected dengue at a tertiary care hospital in jakarta, indonesia in, was followed until discharge. Describe the epidemiology and clinical spectrum of dengue viral infections. Managing a dengue infection with severe thrombocytopenia is a challenge especially when complicated by other comorbidities. Integrated management strategy for dengue prevention and. The first dhf outbreak was reported from the philippines in 1953. Dengue guidelines for diagnosis, treatment, prevention and control dengue guidelines for diagnosis, treatment, prevention and control new edition neglected tropical diseases ntd tdr world health organization hivaids, tuberculosis and malaria htm 20, avenue appia world health organization 1211 geneva 27.
Clinical course and management of dengue in children. We will include any studies that include intervention through environmental management for dengue control, involving environmental modification, environmental manipulation and changes to human behaviour. Guidelines for dengue fever and dengue haemorrhagic fever. Layered upon this are the benefits that careful clinical management can have in preventing or treating the life. This extensive clinical experience in management of dengue cases at qsnich and consultations with clinicians who are encountering unfamiliar outbreaks of severe dengue have led to the identification of several common themes for improvement of dengue case management to achieve sustained reductions in the cfr.
Pdf dengue is one of the most important mosquitoborne viral illnesses. The term dhf suggests that hemorrhage is the cardinal manifestation of severe dengue. Patients should be advised to stay well hydrated and to avoid aspirin acetylsalicylic acid, aspirincontaining drugs, and other nonsteroidal antiinflammatory drugs such as ibuprofen because of their anticoagulant properties. Dengue viral infection the most rapidly spreading mosquitoborne viral disease in the world dengue virus. Dengue fever df is the fastest emerging arboviral infection spread by aedes aegypti. The rapidly expanding global footprint of dengue is a public health challenge with a high economic burden. It clearly noted the deficiency in the competence of clinicians in clinical diagnosis and management of dengue and recommended that the. Dengue prevention and control in the americas imsdengue in collaboration with its member countries in order to tackle the disease through these six components. Dengue is found in tropical and subtropical regions around the world, predominantly in urban and semiurban areas. Describe three ways in which the dengue virus is transmitted. Clinical practice guidelines of denguedengue hemorrhagic.
Dengue clinical case management course dccm dengue cdc. Aggressive management of dengue shock syndrome may. The united states has experienced local outbreaks of dengue in hawaii 2015, near the texasmexico border 20, and in florida. The integrated management strategy for dengue prevention and control in the region of the americas imsdengue updates the methodological working model that the countries of the region have been deploying and strengthening over the last 10 years. Health experts have known about dengue fever for more than 200 years. In this paper clinical manifestations and management of denguedhfdss are summarized. Dengue is endemic in asia, southeast asia, several southern and central pacific countries and the americas. Fever should be controlled with acetaminophen and tepid sponge baths. The who regional office for southeast asia publish the annual dengue bulletin. The four s drive implemented by the department of health corresponds to.
Guidelines on management of dengue fever and dengue haemorrhagic fever in adults external link opens in a new window. The who regional office for southeast asia publish dengue. Open access protocol environmental management for dengue. At the conclusion of the session, the participant will be able to. Download dengue guideline 2018 for sigh symptoms, investigations and treatment of dengue. Appropriate management of the burden of dengue is hindered by several issues,including. Who currently estimates that 50100 million dengue infections may be occurring worldwide each year.
Course is designed to increase knowledge and develop competency in the management of patients suspected of infection with dengue virus. Dengue hemorrhagic fever and its nursing management. A comprehensive search will be performed in electronic. Guidelines on management of dengue fever in children and. Dengue fever is common in tropical areas, so take extra precautions if you travel somewhere with this type of climate. Clinical management of dengue dengue haemorrhagic fever 41 6. Dengue hemorrhagic fever nursing considerations and nursing care management. In addition, some patients with severe illness requiring. As the death toll is rising day by day yet, the city corporation is taking not enough precautions lately. Except for 2017, florida has reported locallytransmitted cases of dengue annually between 2010 2018. Dengue fever is an infectious disease carried by mosquitoes and caused by any of four related dengue viruses. This acute febrile illness can be a deadly infection in cases of severe manifestation, causing dengue hemorrhagic shock. To meet the challenge of preventing or minimising dengue outbreaks in queensland, queensland health in collaboration with local government and other key stakeholders have developed the queensland dengue management plan 20152020 dmp. They are not indicated and can increase the risk of gi bleeding, hyperglycemia, and immunosuppression.
To describe the epidemiology, clinical features and treatment of dengue fever and dengue shock syndrome. Ltsaroshdengue derived from swahili ki denga pepo 2. Headache retro orbital pain myalgia arthralgia nausea vomiting rash heamorrhagic manifestation supportive serology a confirmed case is with virus isolation, demonstration. The disease is caused by dengue viruses that have four serotypes. Guidelines for diagnosis, treatment, prevention and control by the world health organization who in 20091, the need to provide more training to healthcare workers in this area has become increasingly evident. It has a wide clinical spectrum ranging from flu like illness to severe dengue which could be fatal. Dengue shock syndrome is a leading cause of mortality among indian children. Guidelines on management of df dhf in adults epidemiology unit. How is dengue diagnosed and treated during pregnancy. Medical officers handbook for clinical management of dengue introduction dengue is a major public health concerns globally, a common cause of illness seen in primary care settings in tropical and subtropical countries. For a disease that is so complex in its manifestations, management is relatively simple, inexpensive and very effective in saving lives as long.
The objective of the bulletin is to disseminate updated information on the current status of dengue fever dengue haemorrhagic fever infection, changing epidemiological patterns, new attempted control strategies, clinical management. Diagnosing dengue fever can be difficult, because its signs and symptoms can be easily confused with those of other diseases such as malaria, leptospirosis and typhoid fever. Singledose methylprednisolone showed no mortality benefit in the treatment of dengue shock syndrome in a prospective, randomized, doubleblind, placebocontrolled trial. Evaluation of the ns1 rapid test and the who dengue classification schemes for use as bedside diagnosis of acute dengue fever in adults. Recognize when to consider dengue in the differential diagnosis of acute fever. Pahowho presents this second edition to countries and territories of the americas at a time when other arboviral diseases chikungunya and zika have been introduced into the region. The objective of this study was to compare outcomes duration of ventilation, pediatric intensive care unit stay, incidence of acute respiratory distress syndrome, and intensive care unit and hospital. Dengue and dengue haemorrhagic fever introduction dengue is a mosquitoborne infection, which in recent years has become a major international public health concern. Management of severe dengue requires careful attention to fluid management and proactive treatment of hemorrhage. Patients with dengue who present with any one of the following clinical. Be sure to describe international trips in detail, including the countries you visited and the dates. Dengue is a febrile illness that can have a fatal outcome in severe cases.
Medical officers handbook for clinical management of. It is expected to be used in the clinical management of dengue infection in sri lanka. Dengue is a selflimited, systemic viral infection transmitted between humans by mosquitoes. Dengue and dengue hemorrhagic fever, 2nd ed, gubler dg, ooi ee, vasudeva s, farrar j eds, cab international, oxfordshire, uk 2014. Pdf the endemic area for dengue fever extends over 60 countries, and approximately 2. Den1, den2,den3, and den4 family flaviviridae genus flavivirus single stranded rna virus asian genotypes of den2 and den3. It is endemic in more than 100 countries of africa, america, eastern mediterranean, southeast asia and western pacific. X dont give platelet transfusions for a low platelet count. Discuss the diagnosis and management of this common tropical illness. Dengue fever is a virus transmitted to humans through bites from the aedes mosquito, a daybiting mosquito. These guidelines were developed based on the best available evidence at the time of writing. These guidelines were developed based on the best available evidence at the.
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