Treatment of dengue fever

There is no specific method to combat dengue fever. Treatment consists of overcoming the symptoms and preventing worsening of the viral infection.


Treatment of dengue fever

The doctor will advise the patient to do the following:

  • Drink plenty of fluids and get enough rest.
  • Take medicine to reduce fever to reduce fever. But avoid aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) because they can aggravate bleeding.

In addition to giving patients the various suggestions above, the doctor will also tell the patient and his parents about the signs of dehydration and advise them to always pay attention to the amount of urine that comes out.

If necessary, the patient will receive intravenous fluid intake. This fluid infusion will be accompanied by monitoring heart rate, pulse, blood pressure and the amount of urine that comes out.

Fever can subside after 3-7 days. However, this condition can be a critical step for patients. More serious symptoms can appear within the next 1-2 days. During this phase, the doctor will continue to monitor the patient's condition as long as his body temperature returns to normal.

Complications of Dengue Fever

 Untreated dengue can cause serious complications, such as dengue shock syndrome (DSS). In addition to the symptoms of dengue fever, DSS also raises symptoms such as:

  • Decreased blood pressure.
  • Student widening.
  • Irregular breathing.
  • Dry mouth.
  • His skin was wet and cold.
  • Low pulse rate.
  • The amount of urine decreases.

The direct death rate of DSS is around 1-2%. Conversely, if not treated immediately, DSS mortality can reach 40%. Therefore, it is important to seek immediate medical attention if you have symptoms of dengue fever.

Under extreme conditions, dengue can cause seizures, damage to the liver, heart, brain, and lungs, blood clots, shock, and death.

Prevention of dengue fever

 Dengue fever that causes dengue shock syndrome can be prevented by giving the dengue vaccine. This vaccine is given to children aged 9 to 16, 3 times with a distance of 6 months. This vaccine is not recommended for children under 9 years because it can increase the risk of severe dengue, especially in the 2-5 years age group.

Dengue vaccine contains 4 virus serotypes. Therefore, vaccines are still given to infected children. It's about training the child's immune system against various types of dengue virus.

In addition to vaccines, dengue can be prevented through PSN (eradication of mosquito breeding) activities. PSN is carried out in two nebulations or by nebulisation of the insecticide. The second fumigation will take place one week after the first, to kill mosquito larvae that cannot be destroyed during the first fumigation.

Another PSN method is to use 3M-Plus regularly, especially during the rainy season. Step 3M, namely:

  • Empty the water tank, such as a tub or toren, at least once a week.
  • Cover tightly the water tank.
  • Recycling items that can cause Aedes aegypti mosquitoes.

In addition, also do the Plus step to help prevention. Step Plus involves adjusting enough light at home, installing mosquito repellent cables in the house's ventilation, spreading larvicidal powder in water reservoirs that are difficult to drain, using mosquito nets while sleeping, planting mosquito repellent plants and stopping hanging clothes. Another way to prevent mosquito bites is to avoid areas that are infected.

Remember that mosquito bites can get into tight clothing. Therefore, it is advisable to wear loose clothing. As additional protection, use mosquito lotions, especially those containing N-diethylmetaloluamide (DEET). However, although this is quite effective, do not use DEET in infants under the age of 2 years.

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