Dengue

Question 1

Etiologic agent of dengue

Answer 1

Dengue Virus
-members of the genus Flavivirus and family Flaviviridae

Four serotypes:
DENV-1
DENV-2
DENV-3
DENV-4

Question 2

Vectors of dengue

Answer 2

Aedes aegypti
Aedes albopictus

Question 3

Epidemiology of dengue

Answer 3

“Iceberg” or pyramid phenomenon - base of pyramid, most cases are symptomless followed by DF, DHF, DSS

Question 4

Transmission of dengue

Answer 4

the female Ae. aegypti must bite an infected human during the viraemic phase of the illness that manifests two days before the onset of fever and lasts 4-5 days after onset of fever

Question 5

Clinical course of dengue

Answer 5

Question 6

Dengue case definition based on Severity

Answer 6

Question 7

Dengue warning signs

Answer 7

Question 8

Stepwise approach to
management of dengue

Answer 8

Question 9

Clinical and laboratory criteria for patients who can be treated at home

Answer 9

Question 10

Criteria for admission

Answer 10

Question 11

Parameters and Frequency of Monitoring in Different Phases of Dengue Illness

Answer 11

Question 12

Monitoring labs in different phases of dengue

Answer 12

Question 13

Dengue with warning signs action plan

Answer 13

Question 14

Dengue management in compensated shock

Answer 14

Question 15

Dengue management in decompensated shock

Answer 15

Question 16

Management of bleeding in dengue

Answer 16

Question 17

Management of UGIB in dengue

Answer 17

Question 18

Indications for ICU management in Dengue

Answer 18

1. Recurrent or persistent shock
2. Requirement for respiratory support (non-invasive and invasive ventilation)
3. Significant bleeding
4. Encephalopathy or encephalitis

Question 19

Discharge criteria

Answer 19

1. Afebrile for 48 hours.
2. Improved general condition
3. Improved appetite
4. Stable hematocrit
5. Rising platelet count
6. No dyspnea or respiratory distress from pleural effusion or ascites
7. Resolved bleeding episodes
8. Resolution/recovery of organ dysfunction