Initial Approach to Patients with Dengue in the Emergency Department
DOI:
https://doi.org/10.17533/udea.iatreia.325Keywords:
Disease Management, Severe Dengue, Transmission Period, Tropical Medicine, VirusAbstract
Introduction: Dengue is defined as an acute febrile illness of viral origin transmitted by vectors and is considered of high public health interest due to its rapid expansion and impact on health systems. According to the World Health Organization (WHO), cases have increased in recent years. In Colombia, for the year 2023, the National Surveillance System (SIVIGILA) reported 131,784 cases.
Objectives: Unifying recently published information, providing clinicians with an easily accessible guide for decision-making in the emergency setting, aimed at reducing the risk of complications and mortality in patients.
Methods: Topic review with information obtained from databases such as scientific journals, websites, among others
Conclusions: It was concluded that proper patient classification based on clinical severity should be performed to determine the appropriate level of surveillance and administration of intravenous fluids, along with adequate monitoring of vital signs and paraclinical parameters. The use of anti-inflammatory drugs is contraindicated, and the transfusion of blood products increases the risk of complications.
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