Dengue

 


Dengue (DENG-gey) fever is a mosquito-borne illness that occurs in tropical and subtropical areas of the world. Mild dengue fever causes a high fever and flu-like symptoms. The severe form of dengue fever, also called dengue hemorrhagic fever, can cause serious bleeding, a sudden drop in blood pressure (shock) and death.

Discovery of the Dengue Viruses
In 1943, Ren Kimura and Susumu Hotta first isolated the dengue virus. These two scientists were studying blood samples of patients taken during the 1943 dengue epidemic in Nagasaki, Japan.

family - Arbo-virus 1,2,3,4
most dangerious form of dengue type second.
vector - Aedes agypti in world most common species.
day time freely early morning and late afternoon.

INCUBATION PEROID :- 5 - 6 DAYS

MODE OF TRANSMISSION - 
 Dengue viruses are spread to people through the bites of infected Aedes species mosquitoes (Ae. aegypti or Ae. albopictus). These are the same types of mosquitoes that spread Zika and chikungunya viruses.

Symptoms of Dengue Fever

Symptoms, which usually begin four to six days after infection and last for up to 10 days, may include

DIAGNOSIS : - 
History collection 
physical examination
tourniquet test Petechiae < 10 sq inch - NEGATIVE.
                                   > 20 - POSITIVE 
Capillary refill pessure - 3 sec

MANAGEMENT : - 
D - daily monitoring  
E -  encourage fluid intake
N - note any danger warning sign
G - give paracetamol only 
U -  use mosquito net
E - early consultation with physician.

NURSING CARE : -
( Control and prevention )

  1. Use Mosquito Repellent
  2. Wear Protective Clothing
  3. Use mosquito deterrents
  4. Refrain from breeding grounds प्रजनन के मैदान से बचना चाहिए 
  5. Avoid smells that attract mosquitoes
  6. Make sure your home is well-lit
  7. Be knowledgeable about dengue fever

                                     

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