Dengue Guidelines for Diagnosis, Treatment, Prevention and by World Health Organization

By World Health Organization

This re-creation has been produced to make commonly on hand to overall healthiness practitioners, laboratory body of workers, these desirous about vector keep watch over and different public health and wellbeing officers, a concise resource of knowledge of globally relevance on dengue. the tips supply up-to-date useful details at the medical administration and supply of scientific providers; vector administration and supply of vector keep watch over prone; laboratory prognosis and diagnostic exams; 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 special particular information at the a number of professional components with regards to dengue can be found from different assets in WHO and in other places, a few of that are brought up within the references.This booklet is meant to give a contribution to prevention and keep an eye on of the morbidity and mortality linked to dengue and to function an authoritative reference resource for medical experts and researchers. those guidance are usually not meant to exchange nationwide instructions yet to aid within the improvement of nationwide or nearby instructions. they're anticipated to stay legitimate for 5 years (until 2014), even if advancements in study may possibly swap their validity, considering many elements of the prevention and keep watch over of dengue are at present being investigated in numerous reviews. the information comprise the main updated details on the time of writing. in spite of the fact that, the result of experiences are being released on a regular basis and may be taken into consideration. to deal with this problem, the consultant can also be to be had on the web and should be up to date on a regular basis through WHO.

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Extra resources for Dengue Guidelines for Diagnosis, Treatment, Prevention and Control

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Yet a decrease in haematocrit together with stable haemodynamic status and adequate urine output indicates haemodilution and/or reabsorption of extravasated fluids, so in this case intravenous fluids must be discontinued immediately to avoid pulmonary oedema. Treatment of haemorrhagic complications Mucosal bleeding may occur in any patient with dengue but, if the patient remains stable with fluid resuscitation/replacement, it should be considered as minor. The bleeding usually improves rapidly during the recovery phase.

Effect of age on outcome of secondary dengue 2 infections. International Journal of Infectious Diseases, 2002, 6(2):118--124. 40. Wilder-Smith A, Wilson ME. Sentinel surveillance for dengue: international travellers (unpublished report). 41. Wilson ME. The traveler and emerging infections: sentinel, courier, transmitter. Journal of Applied Microbiology, 2003, 94:1S--11S. 42. Schwartz E. Seasonality, annual trends, and characteristics of dengue among ill returned travelers, 1997–2006. Emerging Infectious Diseases, 2008, 14(7).

If the condition improves, reduce the rate to 7–10 ml/kg/hr for 1–2 hours, then change back to crystalloid solution and reduce the rate of infusion as mentioned above. 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).

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