Feb 16, 2018 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. These guidelines were developed based on the best available evidence at the time of writing. Dengue haemorrhagic fever has caused many a young life to be lost in the country in the recent past. Dengue serotype 2 epidemic, townsville, queensland, 19921993 dengue et dengue hemorragique. Dengue fever is a mosquitoborne tropical disease caused by the dengue virus. In 1996, the first major epidemics of dengue haemorrhagic fever dhf andor dengue shock syndrome dss occurred near delhi and lucknow in uttar pradesh and thereafter the virus started spreading across india. This has clearly helped reduce the mortality due to dengue. Live in travel to endemic area plus fever and two of the following. Epidemic dengue and dengue hemorrhagic fever the ongoing resurgence of aedes aegypti in the americas abetted by poor mosquito control, urbanization, and increased air travelhas led to dengue hyperendemicity, more frequent dengue epidemics, and the emergence of.
Evolving herbal formulations in management of dengue fever. Nausea and vomiting rash aches and pains headache, eye pain, muscle ache or joint pain warning signs tourniquet test positive leukopenia normal vital signs dengue management dos and donts hemodynamic assessment age estimated weight normal heart rate. Dengue fever is common in tropical areas, so take extra precautions if you travel somewhere with this type of climate. Pdf 2019 4 th edition guideline for management of dengue. This increase is believed to be to be due to multiple factors. It has a wide clinical spectrum ranging from flu like illness to severe dengue which could be fatal. Platelet transfusions do not decrease the risk of severe bleeding and may instead lead to fluid overload and. For those who develop severe dengue, close observation and frequent monitoring in an intensive care unit may be required. The term dhf suggests that hemorrhage is the cardinal manifestation of severe dengue. Common name of the disease is breakbone fever haddi tod bukhar hdi taod baukar. In this paper clinical manifestations and management of denguedhfdss are summarized. To describe the epidemiology, clinical features and treatment of dengue fever and dengue shock syndrome. The incidence of dengue has multiplied many times over the last five. Discuss the diagnosis and management of this common tropical illness.
Despite the substantial limitations at that time in the laboratory diagnosis of viral diseases and confounding outbreaks of other mosquitoborne illnesses such as chikungunya, the essential features of dengue hemorrhagic fever dhf and dengue shock syndrome dss were identified, and the major principles for appropriate management were defined. In addition, some patients with severe illness requiring. Dengue is a febrile illness that can have a fatal outcome in severe cases. Viral studies sent on admission reveal an acutephase dengue virus. Who better environmental management for control of dengue. 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. Dengue management dos and donts x dont use corticosteroids. Pathophysiology and management of dengue hemorrhagic fever.
Infants and young children may have a nonspecific febrile illness with rash. Control the fever give acetaminophen every 6 hours maximum 4 doses per day. Guidelines on management of df dhf in adults epidemiology unit. Do not give ibuprofen, aspirin, or aspirin containing drugs. Dengue is an infection caused by one of four dengue viruses in the family flaviviridae. While infection by one serotype produces lifelong immunity against re. In 1950s, during dengue epidemic in the philippines and thailand, a severe form, known as dengue hemorrhagic fever, was first recognized, and has become a leading cause of death among children in asian and latin american countries. Dengue fever, an updated approach for management fever.
Other diseases caused by flaviviruses include yellow fever, japanese encephalitis and murray valley encephalitis. Dengue pronounced dengee fever is a painful, debilitating mosquitoborne disease caused by any one of four closely related dengue viruses. Dengue feverdengue haemorrhagic fever is an acute viral disease having the potential of causing, large scale outbreaks. Describe the epidemiology and clinical spectrum of dengue viral infections. National guidelines for clinical management of dengue fever. Comprehensive guidelines for prevention and control of dengue and dengue haemorrhagic fever vii dengue fever is the fastest emerging arboviral infection spread by aedes mosquitoes with major public health consequences in over 100 tropical and subtropical countries in southeast asia, the western pacific and south and central america. New scientific insights into dengue vector ecology and disease transmission patterns, together with more targeted use of environmental management strategies, may offer improved potential for combating dengue fever, the worlds fastest growing vectorborne disease. Dengue fever is an infectious disease carried by mosquitoes and caused by any of four related dengue viruses. To view the complete and current version, please refer to the dengue fever. In 2010 guidelines were developed on the management of dengue fever and dengue haemorrhagic fever in children and adolescents. Prof dr jagdish prasad, director general of health services. Dengue fever is a common mosquitoborne illness in many tropical and subtropical countries.
Diagnosis and management of dengue fever in children. Dengue fever is common in tropical areas, so take extra precautions if you travel somewhere with this type of. Health experts have known about dengue fever for more than 200 years. As the disease spreads to new geographical areas, the frequency of the outbreaks has increased along with a rapidly changing disease epidemiology. The leading dengue vaccine candidate, chimerivax sanofi pasteur, is a tetravalent formulation of attenuated yellow fever 17d vaccine strains expressing the dengue virus prm and e proteins. Dengue fever is a severe, flulike illness that affects infants, young children and adults, but seldom causes death. They are not indicated and can increase the risk of gi bleeding, hyperglycemia, and immunosuppression. Dengue fever, an updated approach for management free download as powerpoint presentation. In this paper clinical manifestations and management of dengue dhfdss are summarized. Supportive care with analgesics, fluid replacement, and bed rest is usually sufficient. The risk of dengue has shown an increase in recent years due to rapid, urbanization, life style changes and deficient water management including. There are four dengue virus denv types denv1, denv2, denv3, and denv4, all of which are capable of inducing severe disease dengue hemorrhagic fever dhfdengue shock syndrome dss. He is admitted with a diagnosis of sus pected dengue hemorrhagic fever. Those who have been infected with dengue virus, especially for the first time i.
Dengue fever is a mosquitoborne infection that causes severe flulike symptoms and can be fatal. Dengue fever dengue haemorrhagic fever is an acute viral disease having the potential of causing, large scale outbreaks. Dec 22, 2011 the disease is caused by dengue viruses that have four serotypes. Dengue fever is a virus transmitted to humans through bites from the aedes mosquito, a daybiting mosquito. There is no specific antiviral treatment currently available for dengue fever. Introduction dengue fever is caused by a virus belonging to the flaviviridae family. The disease is caused by dengue viruses that have four serotypes.
Nov 09, 2012 symptoms include fever, headache, muscle and joint pains, and a characteristic skin rash that is similar to measles. Fever should be controlled with acetaminophen and tepid sponge baths. Sponge patients skin with tepid water when temperature is high. These studies should be requested as soon as dhfdss is. In dengueendemic regions, suspected, probable, and confirmed cases of dengue infection should be reported to the relevant authorities as soon as possible. Dengue fever symptoms, diagnosis and treatment bmj best. Treatment of dengue fever article pdf available in infection and drug resistance 51. One study estimated that 50 million infections occur every year. Guidelines on management of dengue fever and dengue haemorrhagic fever in children and adolescents external link opens in a new window published by.
Nov 14, 2006 dengue infection is caused by any of four dengue virus serotypes. Normal vital signs dengue management dos and donts ideal. The viruses that cause dengue fever are related to those that. Guidelines for dengue fever and dengue haemorrhagic fever. These may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin rash. Dengue chapter 4 2020 yellow book travelers health cdc.
Your doctor will likely ask about your medical and travel history. Recognize when to consider dengue in the differential diagnosis of acute fever. According to the who 2011 case definition, dengue infection is suspected in a patient with high fever and two of the following signs or symptoms. Symptoms typically begin three to fourteen days after infection. 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. The world health organization who has provided a number of free publications about dengue. In dengue endemic regions, suspected, probable, and confirmed cases of dengue infection should be reported to the relevant authorities as soon as possible. Acetaminophen may be used to treat fever and relieve other. Since the second edition of dengue haemorrhagic fever. In india, dengue virus was first isolated in the year 1944 in kolkata from the serum samples of infected us soldiers. It is a caused by a flavivirus with four distinct serotypes dv1, dv2, dv3, and dv4.
The clinical features of dengue fever vary according to the age of the patient. Identify other diseases that can mimic dengue viral infections. Febrile patients should avoid mosquito bites to reduce risk of further transmission. Clinical manifestations and management of denguedhfdss. May 03, 2019 dengue fever is usually a selflimited illness. For a disease that is so complex in its manifestations, management is relatively simple, inexpensive and very effective in saving lives as long as correct and timely interventions are instituted.
Dengue infection is a systemic and dynamic disease. Dengue is a febrile illness caused by a flavivirus transmitted by aedes aegypti or aedes albopictus mosquitoes while taking a blood meal. Dengue infection is caused by any of four dengue virus serotypes. The clinical manifestations range from asymptomatic infection to undifferentiated fever, dengue fever and dengue hemorrhagic fever dhf. Release of the national guidelines for clinical management of dengue fever. It is expected to be used in the clinical management of dengue infection in sri lanka. A program for prevention and control of epidemic dengue. This disease used to be called breakbone fever because it sometimes causes severe joint and muscle pain that feels like bones are breaking. There are four dengue virus denv types denv1, denv2, denv3, and denv4, all of which are capable of inducing severe disease dengue hemorrhagic fever dhf dengue shock syndrome dss. Clinical practice guidelines of denguedengue hemorrhagic. Primary infection usually results in milder illness, while more severe disease occurs in cases of repeated infection with different serotypes. Prophylactic platelet transfusions in dengue patients are not.
Pdf the endemic area for dengue fever extends over 60 countries, and approximately 2. Dengue begins abruptly after an incubation period of 57 days range, 310 days, and the course follows 3 phases. Sep 15, 2015 the mortality rate for severe dengue fever is 0. In a small proportion of cases the disease develops into the lifethreatening dengue hemorrhagic fever, resulting in bleeding, low levels of blood platelets and blood plasma leakage, or into dengue shock syndrome, where. Be sure to describe international trips in detail, including the countries you visited and the dates.
1165 484 223 455 1074 595 1452 637 1237 907 564 710 927 1073 677 1567 1628 1081 772 747 63 682 393 1213 1170 516 1369 1288 687 369 263 586 960 514 3 581 441 1373 491 996