Treatment For Dengue

Treatment For Dengue
Delhi :Dengue is a self-limited disease. There is no antiviral treatment available for Dengue fever as such. It has taken several lives and every year, it puts many people on the hospital beds. However, with recent developments in medical sciences, this disease has become an easily curable one. Certain measures need to be adopted for the Dengue fever otherwise it can prove to be a deadly disease. You should know what the symptoms of Dengue are so you can prevent it from happening. Like any other disease, Dengue also has its own treatment and procedures.

1. Precautions for Dengue
• Do not let water stand in one place for a very long period of time. Stagnant water can easily help the Dengue mosquito breed and reproduce.
• Change your cooler water on a daily.
• Do not let the water stand in pots.
• Remain in well-screened or air-conditioned places.
• Eliminate the mosquito vector using the indoor sprays.
• Wear N,N-diethyl-3-methylbenzamide (DEET), which contains a mosquito repellent.

2. Symptoms of Dengue
A person infected with Dengue will have the following symptoms:
• Fever
• Severe headache
• Vomiting
• Bleeding due to decrease in platelet count * This happens when the dengue has reached a high level of penetration. This situation should be avoided and cured before it starts.
• Rashes
• Fatigue and dizziness

3. Treatment
• Successful management of Severe Dengue requires careful attention to the fluid management and proactive treatment of haemorrhage.
• Admission to an intensive care unit is suggested for patients with Dengue Shock Syndrome. Patients may need a central intravenous line for volume replacement, an arterial line for accurate blood pressure monitoring and frequent blood tests.
• Intravascular volume deficits should be corrected with isotonic fluids such as Ringer lactate solution.
• If the patient does not improve after the infusion of a plasma expander, blood loss should be considered.
• Patients with internal or gastrointestinal bleeding may require transfusion, and patients with coagulopathy may require fresh frozen plasma.
• After patients with dehydration are stabilised, they usually require intravenous fluids for no more than 24 to 48 hours. At this time, the patients re-absorb extravagated fluids and are at a risk of volume overload if intravenous fluids are continued. Do not interpret a falling haematocrit value in a clinically improving patient as a sign of internal bleeding.
Patients who are resuscitated from shock rapidly recover. Patients with Dengue Haemorrhagic Fever or Dengue Shock Syndrome may be discharged from the hospital when they meet the following criteria:
• Afebrile for 24 hours without antipyretics.
• Good appetite and clinically improved condition.
• Adequate urine output.
• Stable haematocrit level.
• At least 48 hours since recovery from shock.
• No respiratory distress.
• Platelet count greater than 50,000 cells/μL.

4. Diet and Activity
No specific diet is necessary for the patients with Dengue fever.
• Patients who are able to tolerate oral fluids should be encouraged to drink oral rehydration solution, fruit juices and water to prevent dehydration from fever, lack of oral intake or vomiting.
• Return of appetite after Dengue Haemorrhagic Fever or Dengue Shock Syndrome is a sign of recovery.
• Bed rest is recommended for patients with Symptomatic Dengue Fever, Dengue Haemorrhagic Fever, or Dengue Shock Syndrome. Permit the patient to gradually resume their previous activities, especially during the long period of convalescence.