Tuesday, September 7, 2010

Dengue Oh Dengue...


  • Dengue is a dynamic disease and presented in three phases - febrile phase, critical phase and recovery phase.
  • Clinical deterioration often occurs in the critical phase and is marked by plasma leakage and rising haemotocrit (HCT).
  • Look out for warning signs which may indicate severe dengue or high possibility of rapid progression or shock.
  • Recognition of shock in its early stage and prompt fluid resuscitation with close monitoring of fluid adjustment will give a good clinical outcome.
  • There is no evidence to support prophylactic use of platelet transfusion.

WARNING SIGNS FOR DENGUE


Warning signs (either one) indicate referral for admission eventhough platelet is normal
  • Abdominal pain or tenderness
  • Persistent vomiting
  • Clinical fluid accumulation (pleural effusion/ascites)
  • Mucosal bleed
  • Restlessness or lethargy
  • Liver enlargement >2 cm
  • Laboratory : Increase in HCT concurrent with rapid decrease in platelet
You can download the electronic version for Malaysia CPG Guideline for Dengue 2010 2nd edition http://www.moh.gov.my/
or http://www.acadmed.org.my/

No comments: