ABC in Dengue FeverManagement. Important in ETU and OPD doctors- early identification of red flags
Channel: SHRI Knowledge Academy
Date: 2021-09-08

Dengue is one of the epidemics in Sri Lanka. here the lecture on Dengue in OPD/ETU Setup During COVID - 19 Pandemic - Dr. Ananda Wijewickrama
00:00 Dengue fever
10:00 how to manage Dengue fever
20:00 problems in management
30:00 Important points

Dengue fever is a mosquito-borne tropical disease caused by the dengue virus.[1] Symptoms typically begin three to fourteen days after infection.[2] These may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin rash.[1][2] Recovery generally takes two to seven days.[1] In a small proportion of cases, the disease develops into a more severe dengue hemorrhagic fever, resulting in bleeding, low levels of blood platelets and blood plasma leakage, or into dengue shock syndrome, where dangerously low blood pressure occurs.[1][2]

Dengue is spread by several species of female mosquitoes of the Aedes genus, principally Aedes aegypti.[1][2] The virus has five serotypes;[7][8] infection with one type usually gives lifelong immunity to that type, but only short-term immunity to the others.[1] Subsequent infection with a different type increases the risk of severe complications.[1] A number of tests are available to confirm the diagnosis including detecting antibodies to the virus or its RNA.[2]

A vaccine for dengue fever has been approved and is commercially available in a number of countries.[4][9] As of 2018, the vaccine is only recommended in individuals who have been previously infected, or in populations with a high rate of prior infection by age nine.[10][5] Other methods of prevention include reducing mosquito habitat and limiting exposure to bites.[1] This may be done by getting rid of or covering standing water and wearing clothing that covers much of the body.[1] Treatment of acute dengue is supportive and includes giving fluid either by mouth or intravenously for mild or moderate disease.[2] For more severe cases, blood transfusion may be required.[2] Paracetamol (acetaminophen) is recommended instead of nonsteroidal anti-inflammatory drugs (NSAIDs) for fever reduction and pain relief in dengue due to an increased risk of bleeding from NSAID use.[2][11][12]

The earliest descriptions of an outbreak date from 1779.[13] Its viral cause and spread were understood by the early 20th century.[14] Dengue has become a global problem since the Second World War and is common in more than 120 countries, mainly in Southeast Asia, South Asia and South America.[5][15][13] About 390 million people are infected a year, about half a million require hospital admission,[1] and approximately 40,000 die.[5][6] In 2019 a significant increase in the number of cases was seen.[16] Apart from eliminating the mosquitos, work is ongoing for medication targeted directly at the virus.[17] It is classified as a neglected tropical disease.[18]

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Please watch: "Importance of Clinical Audits in hospital quality improvement. " 
https://www.youtube.com/watch?v=I6jF1JIsIWY
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