What is the management of dengue fever?

There is no specific medicine to treat dengue infection. If you think you may have dengue fever, you should use pain relievers with acetaminophen and avoid medicines with aspirin, which could worsen bleeding. You should also rest, drink plenty of fluids, and see your doctor.

How do you manage dengue shock?

The main treatment for dengue shock syndrome is prompt, vigorous fluid therapy. Boluses of 20 ml/kg of 0.9% saline should be given every 15 minutes until the pulse pressure is at least 30 mmHg.

Which tablet is best for dengue fever?

Acetaminophen (paracetamol) is recommended for treatment of pain and fever. Aspirin, other salicylates, and nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided. Patients with dengue hemorrhagic fever or dengue shock syndrome may require intravenous volume replacement.

When should IV fluids be given in dengue?

Conclusions. Patients in critical phase of DHF required a higher volume of fluids from the 3rd day of fever and again on 5th to 7th day of fever.

Is there a dengue fever vaccine?

Overall, Dengvaxia protects children from dengue illness, hospitalizations, and severe dengue 8 out of 10 times (80%) in children who had dengue before vaccination. The vaccine protects against all four dengue virus types: dengue 1, 2, 3, and 4.

When should platelet be transfused in dengue?

Transfusion must only be done if a person’s platelet count is less than 10,000, and he has active bleeding. Most dengue cases are preventable and manageable. The risk of complications is in less than 1 per cent of dengue cases and if the public knows warning signals, all deaths from dengue can be avoided.

How can we control the critical phase of dengue?

respond to 2–3 boluses of isotonic saline should be given colloids instead of more saline. dropping with unstable vital signs or significant bleeding is apparent, immediately transfuse blood. febrile to avoid infecting mosquitoes that can infect others within 2 weeks. ▶ KILL all mosquitoes in house.

Is paracetamol good for dengue fever?

Paracetamol is recommended for dengue fever at dosing intervals of no less than 6 h. Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control: New Edition. Second, just like paracetamol, tramadol is also metabolised in the liver. Discovery and development of tramadol for the treatment of pain.

Are antibiotics given in dengue?

Antibiotics are not indicated in an uncomplicated dengue infection. However in patients with superimposed bacterial infection, use of an antibiotic is recommended. Dengue infection can cause significant leukopenia that theoratically can increase the risk of bacterial infection especially in hospitalized patients.