World Health Organization recommendations on treatment settings (2009)

Dengue fever checklist

Criteria for home care: patients with probable dengue without warning signs patient is able to tolerate adequate oral fluid intake patient is able to pass urine every 6 hours Patient returned to hospital because any of the following occurred: lethargy, restlessness, confusion or seizures cold and clammy e tremities unable to pass urine for ! "#6 hours any sign of bleeding severe abdominal pain persistent vomiting trouble breathing

n!atient care: criteria for hos!ital admission to allo" for close monitoring patients with probable dengue with warning signs Probable dengue without warning signs Probable dengue with warning signs $ive in or travel to endemic area fever % & of the following nausea or vomiting rash aches and pains positive tourniquet test leukopenia patients with conditions such as: unable to stay hydrated by oral hydration patients with risk for more comple illness pregnant women infants elderly obesity diabetes mellitus kidney disease chronic hemolytic disease patients who live alone or patients without easy access to healthcare facilities abdominal pain or tenderness persistent vomiting fluid accumulation on physical e am mucosal bleeding lethargy or restlessness liver enlargement ! & cm increase in hematocrit with rapid decrease in platelet count

#a$orator%
probable dengue if platelet count '(),***+mm), white blood cell ,-./0 count 6,***+mm) and temperature ! )12" degrees

likely dengue if any platelet count '"),***+mm), -./ count 6,***+mm) and temperature )12" degrees platelet count '(),***+mm), -./ count ! 6,***+mm) and hematocrit "'2&3 platelet count ! '(),***+mm), lymphocyte count 45*+mm) and neutrophil count ",(**+mm)
6eference # P$o7 8egl 9rop :is &**5 ;ar '&<&,)0:e'(6