Approximately two thirds of the world population currently has a risk of dengue fever or DHF is often referred to which is the main vector mosquito Aedesaegyti. In fact, each year between 400000-1300000 reported dengue cases occurred. According to dr. Priambodo Wijisaksono SpPD KPTI from sub-tropical and infectious diseases section of / SMF Medicine FK-UGM/RSUP Dr Sardjito Yogyakarta, the incidence of dengue in the province for 10 years (1997-2006) ranged between 15-110/100.000 population with numbers deaths during the same period between 1-3%. Dengue is a viral infectious disease with systemic manifestations are varied.
Patients are able to drink, urinate at least every 6 hours and there were no warning signs, especially when his fever down, should be treated the road. Paracetamol is an option for symptomatic therapy. Do not use aspirin or ibuprofen. Patients should receive education about the disease and when to return immediately to the hospital.
According to Dr. Priambodo, some patients need hospitalization by strict supervision, especially supervision carried out during the critical phase. Including patients showed warning signs, have certain diseases or conditions that could complicate the evaluation and treatment of hemorrhagic fever or the presence of certain social factors. Patients without a warning sign that tidal able to drink enough fluids given isotonis intavena with maintenance doses. Also reminded of the importance of re-evaluation is always done, because in general the need of intravenous fluids only about 24-48 hours. Patients with warning signs that could indicate a significant increase in hematocrit given fluids started with a speed 5-7 ml / kg / hour for 1-2 hours, then lowered to 3-5 ml / kg / hour for 2-4 hours and descended again into 2 -3 ml / kg / h or lower depending on the clinical presentation.
No comments:
Post a Comment