Dengue is an illness caused by a virus transmitted by a mosquito called as Aedes aegypti. Dengue can be mild, severe and fatal. It is highly prevalent in tropical countries because of the warm and humid climate which is favorable for the breeding of mosquito. It bites during daytime mostly early morning and late evenings. A collection of stagnant water promotes breeding and transmission of disease.
It can turn into ‘Dengue Haemorrhagic Fever’ which is characterized by bleeding and low platelet count. This needs prompt diagnosis and treatment to lower mortality.
Lab tests associated with Dengue diagnosis-
Usually, they are not needed as it is a clinical diagnosis. Dengue NS1 antigen and IgM antibody test can be done. Complete blood count is done to monitor the progress of the disease.
Treatment for Dengue –
No vaccine or medication available and treatment consists of supportive therapy
Fluid management to prevent dehydration. ORS, coconut water, shikanji, juice etc
Paracetamol for fever. Over the counter, drugs should be avoided. Do not take aspirin, ibuprofen etc
The Severe disease needs hospitalisation. Oxygen, IV fluids are given
Blood and platelet transfusion may be needed in some cases
Pregnancy with Dengue
It can lead to various complications like preterm delivery, low birth weight, miscarriage and can even be fatal. Dengue should be managed at tertiary care center as shock can occur. During the delivery lot of bleeding is expected, so blood and platelets are kept ready for transfusion. The risk of post partum hemorrhage is there and precautions are taken. A newborn is also monitored closely as the mother can transmit it to the baby.
Prevention of Dengue –
As no vaccine or medication available, hence prevention is the key.
Maintain clean and hygienic surroundings
Do not let water stagnate in and around your house
Avoid insect bite by using mosquito repellent, nets
Wear full sleeved cotton clothing
Stay in air conditioned rooms as mosquitoes do not thrive in cold areas.