DENGUE

1. MANAGEMENT
INDICATION OF HOSPITALIZATION
• Presence of warning signs.
• Infants
• Children with co-morbid factors (diabetes, renal failure, immune compromised state,
hemoglobinopathies and obesity)
• Social factors - living far from health facilities, transport issues.

2. The THREE major priorities of managing hospitalized patient with dengue in the critical
phase are:
A - Replacement of plasma losses.
B - Early recognition and treatment of hemorrhage.
C - Prevention of fluid overload

5. APPROACH TO
SEVERE DENGUE
AND
REFRACTORY
SHOCK

6. Discharge of child with dengue
Patients with dengue hemorrhagic fever or dengue shock syndrome may be discharged
from the hospital when they meet the following criteria:
• Afebrile for 24 hours without antipyretics
• Good appetite, clinically improved condition
• Adequate urine output
• Stable hematocrit level
• At least 48 hours since recovery from shock
• No respiratory distress
• Platelet count greater than 50,000 cells/μL