This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

management of dengue infection

Treatment for dengue fever is supportive.

  • there is no specific antiviral therapy available for dengue infection
  • adequate hydration (in dengue fever) and fluid replacement therapy (in dengue haemorrhagic fever and dengue shock syndrome) is the only recognised treatment

Early diagnosis and treatment will reduce the morbidity and mortality associated with the condition.
WHO has developed practical treatment plan based on the severity of the infection. Patients are divided into three groups according the clinical presentation:

  • group A patients – can be managed at home
    • patients without warning signs and
    • who are able to
      • to tolerate an adequate volume of oral fluids
      • to pass urine at least once every six hours
    • near normal blood counts and haematocrit

  • group B patients – require hospital admission
    • patients with warning signs
    • patients with co-existing conditions e.g – pregnancy, extremes of ages, obesity, diabetes, renal impairment, haemolytic disease
    • patients with poor social support e.g – living alone, living far from a medical facility without reliable transport
    • increasing haematocrit or a rapidly decreasing platelet count

  • group C patients – require emergency medical treatment
    • patients with severe dengue who are in the critical phase of the disease and have:
      • severe plasma leakage leading to dengue shock and/or fluid accumulation with respiratory distress
      • severe haemorrhages
      • severe organ impairment e.g – hepatic damage, renal impairment, caridomyopathy, encephalopathy (1,2)

Reference:


Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.