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What are the guidelines for treating dengue?

Answer

The guidelines for treating dengue, as per the PAHO/WHO 2022 recommendations, encompass several aspects of patient management:

Severity assessment

Setting of care

  • Hospitalization should be considered for patients with warning signs, meeting criteria for severe disease, or those with conditions such as oral intolerance, difficulty breathing, narrowing pulse pressure, arterial hypotension, acute renal failure, prolonged capillary refill time, pregnancy, or coagulopathy

Fluid resuscitation

Antipyretics

Corticosteroids and IVIG

In conclusion, effective management of dengue involves careful assessment for warning signs, determination of the appropriate setting of care, initiation of appropriate fluid resuscitation, use of recommended antipyretics, and avoidance of interventions that may worsen outcomes, such as corticosteroids and immunoglobulins. Adhering to these guidelines as per the PAHO/WHO 2022 recommendations is essential for optimal patient care and reducing the risk of progression to severe disease.

References

1

Dengue

Medical management

Guidelines

Antipyretics

Pathway
PAHO/.../WHO 2022