Page 365 - 2021 IDMT Digital
P. 365

DENGUE
          Introduction:
            •  'HQJXH DQG PDODULD DUH WKH WZR PRVW FRPPRQ DQG LPSRUWDQW YHFWRU ERUQH GLVHDVHV RI
               KXPDQV
            •  'HQJXH LV GXH WR D IODYLYLUXV WUDQVPLWWHG E\ WKH ELWH RI WKH $HGHV PRVTXLWR
            •  $Q HVWLPDWHG        PLOOLRQ FDVHV RI GHQJXH IHYHU RFFXU HDFK \HDU ZLWK QXPEHUV
               JURZLQJ LQ ERWK GHQJXH IHYHU DQG GHQJXH KHPRUUKDJLF IHYHU
            •  6LQFH WKH     V  FDVHV KDYH EHHQ UHSRUWHG IURP *XDP  3XHUWR 5LFR  6DPRD  WKH 86
               9LUJLQ ,VODQGV  WKH 7; 0H[LFR ERUGHU DQG LQ .H\ :HVW  )/
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  6XGGHQ RQVHW RI KLJK IHYHU  FKLOOV  VHYHUH P\DOJLDV DQG DUWKUDOJLDV  ³EUHDNERQH
                    IHYHU´   KHDGDFKH  VRUH WKURDW DQG GHSUHVVLRQ
                 o  %LSKDVLF IHYHU FXUYH  LQLWLDOO\     GD\V  UHPLVVLRQ  IHZ KRXUV WR   GD\V  VHFRQG
                    SKDVH     GD\V
                 o  5DVK
                 o  +HPRUUKDJLF IRUP KDV DEGRPLQDO SDLQ  HSLVWD[LV  HFFK\PRVLV
          Objective:
            •  3K\VLFDO ([DP
                 o  %LSKDVLF UDVK  HYDQHVFHQW  WKHQ PDFXORSDSXODU  VFDUODWLQLIRUP  PRUELOLIRUP  RU
                    SHWHFKLDO FKDQJHV IURP H[WUHPLWLHV WR WRUVR
                 o  0DUNHG ZHDNQHVV  IDFLDO SDOORU  GLDSKRUHVLV  FLUFXPRUDO F\DQRVLV
                 o  2PLQRXV H[DP ILQGLQJV
                       ƒ  3HWHFKLDH  SXUSXUD  FRQIXVLRQ DQG PHQWDO VWDWXV FKDQJHV
                       ƒ  1DUURZ SXOVH SUHVVXUH  K\SRWHQVLRQ
          Assessment:
            •  'LIIHUHQWLDO
                 o  'HQJXH HHPRUUKDJLF )HYHU  SHWHFKLDH  SXUSXUD  FRQIXVLRQ DQG PHQWDO VWDWXV
                    FKDQJHV DUH VLJQV
                 o  'HQJXH 6KRFN 6\QGURPH  QDUURZ SXOVH SUHVVXUH  K\SRWHQVLRQ
                 o  Measles  FRU\]D  UHVSLUDWRU\ V\PSWRPV PRUH SURPLQHQW  GLVFUHWH UDVK
          Plan:
            •  ,QWHQVH VXSSRUWLYH FDUH
            •  8VH DFHWDPLQRSKHQ UDWKHU WKDQ 16$,'s IRU DQDOJHVLD DQG IHYHU
            •  )DWDOLWLHV DUH UDUH
            •  &RQYDOHVFHQFH LV VORZ
            •  3UHSDUH IRU $&/6 LQWHUYHQWLRQ



















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