Download Dengue Guidelines for Diagnosis, Treatment, Prevention and by World Health Organization PDF
By World Health Organization
This new version has been produced to make commonly on hand to wellbeing and fitness practitioners, laboratory team of workers, these concerned about vector keep watch over and different public overall healthiness officers, a concise resource of data of globally relevance on dengue. the tips supply up to date sensible details at the medical administration and supply of scientific prone; vector administration and supply of vector keep watch over companies; laboratory analysis and diagnostic assessments; and surveillance, emergency preparedness and reaction. taking a look forward, a few symptoms of latest and promising avenues of analysis also are defined. extra and extra designated particular advice at the quite a few expert components relating to dengue can be found from different assets in WHO and in other places, a few of that are pointed out within the references.This ebook is meant to give a contribution to prevention and keep watch over of the morbidity and mortality linked to dengue and to function an authoritative reference resource for medical experts and researchers. those instructions will not be meant to switch nationwide guidance yet to help within the improvement of nationwide or nearby instructions. they're anticipated to stay legitimate for 5 years (until 2014), even though advancements in study may well swap their validity, considering that many points of the prevention and keep an eye on of dengue are presently being investigated in a number of experiences. the information comprise the main updated details on the time of writing. in spite of the fact that, the result of reports are being released frequently and will be taken under consideration. to deal with this problem, the advisor is usually on hand on the web and may be up to date on a regular basis by means of WHO.
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Extra info for Dengue Guidelines for Diagnosis, Treatment, Prevention and Control
If the condition is still unstable, repeat the haematocrit after the second bolus. • If the haematocrit decreases compared to the previous value (<40% in children and adult females, <45% in adult males), this indicates bleeding and the need to cross-match and transfuse blood as soon as possible (see treatment for haemorrhagic complications). If the haematocrit increases compared to the previous value or remains very high (>50%), continue colloid solutions at 10–20 ml/kg as a third bolus over one hour.
Depending on the clinical manifestations and other circumstances, patients may: – be sent home (Group A); – be referred for in-hospital management (Group B); – require emergency treatment and urgent referral (Group C). 3 gives treatment recommendations for the groups A–C. 3 Referral centres Referral centres receiving severely ill dengue patients must be able to give prompt attention to referred cases. Beds should be made available to those patients who meet the admission criteria, even if elective cases have to be deferred.
YES NO If patient improves, reduce to 7–10 ml/kg/hr for 1–2 hours Then reduce further HCT = haematocrit Patients with hypotensive shock should be managed more vigorously. 3): • Initiate intravenous fluid resuscitation with crystalloid or colloid solution (if available) at 20 ml/kg as a bolus given over 15 minutes to bring the patient out of shock as quickly as possible. • If the patient’s condition improves, give a crystalloid/colloid infusion of 10 ml/ kg/hr for one hour. Then continue with crystalloid infusion and gradually reduce to 5–7 ml/kg/hr for 1–2 hours, then to 3–5 ml/kg/hr for 2–4 hours, and then 37 Dengue: Guidelines for diagnosis, treatment, prevention and control to 2–3 ml/kg/hr or less, which can be maintained for up to 24–48 hours (textbox H).