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dc.contributor.authorTeik, Oon Chong
dc.coverage.spatialNew DelhiEN
dc.date.accessioned2015-04-28T11:48:06Z
dc.date.available2015-04-28T11:48:06Z
dc.date.issued2001-12
dc.identifier.issn0250-8362
dc.identifier.urihttp://www.who.int/iris/handle/10665/163637
dc.descriptionDengue Bulletin. 2001 Dec; 25: 45-49.EN
dc.description.abstractA guide to the medical management of dengue for reducing its case-fatality rate as experienced in Singapore is furnished. The mortality from dengue in Singapore is low and most cases recover uneventfully. However, complacency and under-estimation of the disease does occur. It is important to recognize the symptoms of severity and understand the patho-physiology that leads to dengue shock syndrome (‎DSS)‎. A protocol giving indications of platelet transfusion will guide appropriate usage. Patients should be informed prior to platelet transfusion as to its possible dangers. In our experience, with good initial appropriate support in a stable patient, platelet transfusion is seldom needed till the platelets fall below 10,000/mm3. DSS is reversible if appropriately treated with fluids and plasma infusion to reverse the osmotic permeability gradient due to hypoalbumenaemia. Severe pulmonary oedema causes adult respiratory distress syndrome (‎ARDS)‎. The lung effusions and hypotension must be differentiated from other causes of shock and pulmonary oedema. Correction of acid-base balance and internal bleeding if present, recognition and appropriate treatment of septicaemia and pneumonia, and avoiding fluid overload usually result in recovery. Nosocomial and mycoplasma pneumonias, not uncommonly, complicate severe ARDS. Fatalities are often from these unrecognized infections.EN
dc.language.isoenEN
dc.publisherWHO Regional Office for South-East AsiaEN
dc.subjectDengueEN
dc.subjectDengue Hemorrhagic FeverEN
dc.subjectDengue Shock SyndromeEN
dc.subjectManagementEN
dc.titleA guide to DHF/DSS management - the Singapore experience.EN
dc.typeJournal / periodical articlesEN


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