Summary Brunner & Suddarth's Textbook of Medical-surgical Nursing - MBBS3110 (MBBS3110)

Handbook for Clinical
Management of Dengue

,WHO Library Cataloguing-in-Publication Data

Handbook for clinical management of dengue.

1.Dengue – therapy. 2.Dengue – diagnosis. 3.Clinical medicine. 4.Handbooks. I.World
Health Organization.

ISBN 978 92 4 150471 3 (NLM classification: WC 528)




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Cover photographs were provided by Dr Thomas Scott and Dr Raman Velayudhan.

,Handbook for clinical management
of dengue

, Contents
Foreword .............................................................................................................................. v

Methodology........................................................................................................................ vi

Acknowledgements ............................................................................................................. vi

Abbreviations ...................................................................................................................... vii

1.
Overview, differential diagnosis and dengue diagnostics ............................................. 1

1.1
Overview and course of dengue illness ................................................................. 1

1.1.1
Febrile phase .................................................................................................. 2

1.1.2
Critical phase .................................................................................................. 2

1.1.3
Recovery phase.............................................................................................. 3

1.1.4
Severe dengue ............................................................................................... 4

1.1.5
References ..................................................................................................... 6

1.2
Dengue case classification .................................................................................... 7

1.2.1
Development of the revised dengue case classification ................................. 7

1.2.2
References ..................................................................................................... 9

1.2.3 Differential diagnoses of dengue ....................................................................... 10

1.2.4 References......................................................................................................... 13

1.3
Dengue diagnostics for clinicians ........................................................................ 15

1.3.1
References ................................................................................................... 20

2.
Recommendations for clinical management ............................................................... 22

2.1
A stepwise approach to the management of dengue .......................................... 22

2.1.1
Step I – Overall assessment......................................................................... 22

2.1.2
Step II – Diagnosis, assessment of disease phase and severity ................. 23

2.1.3
Step III – Disease notification and management decision (Groups A–C) .... 23

2.2
Treatment according to Groups A–C (1).............................................................. 25

2.2.1
Group A ........................................................................................................ 25

2.2.2
Group B ........................................................................................................ 26

2.2.3
Group C ........................................................................................................ 27

2.2.4
References ................................................................................................... 38

2.3
Complications and intensive care management .................................................. 39

2.3.1
Acute respiratory distress and failure ........................................................... 43


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