Dengue fever diagnosis, treatment, and prevention tips

Dengue fever has become endemic in many parts of India, with major outbreaks occurring approximately once or twice per decade. Reported case fatality rates for Southeast Asia are approximately 1%, but in India, Indonesia, and Myanmar, focal outbreaks away from urban areas have reported case-fatality rates of 3–5%.

mdCurrent Pearl: Successful diagnosis and treatment of patients with dengue fever results from sufficient community awareness and early healthcare seeking behavior.

Diagnosis and treatment:

  • A probable diagnosis of dengue fever in an endemic area is based on the findings of fever plus two of the following: nausea and vomiting, rash, generalized pains, low white blood cell count, positive tourniquet test, or any warning sign (abdominal pain, vomiting, liver enlargement, mucosal bleeding, high hematocrit with low platelets, lethargy or restlessness, clinical fluid accumulation).
  • Treatment for dengue focuses on fluid replacement and antipyretics for fever reduction.

A recently published study by Dr. Palanivel Chinnakali and coworkers from the Indira Gandhi Medical College and Research Institute suggests that general awareness of dengue fever by the Indian population is good; however, specific information related to disease symptoms, transmission, and prevention are lacking. The report concluded that efforts to increase patient awareness of dengue fever need to be implemented by healthcare personnel to ensure timely diagnosis and treatment and effective...

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This entry was posted in Infectious Disease, Primary Care and tagged , , , . Volume: .

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