初级卫生保健和家庭护理的登革热病例管理：卫生专业人员和卫生保健工作者手册

For primary health care and Dengue casemanagement For primary health care and Dengue case management for primary health care and home-based care: Booklet for health professionals ISBN: 978-92-9022-127-2 © World Health Organization 2025 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike3.0 IGO licence(CC BY-NC-SA 3.0 IGO;https://creativecommons.org/licenses/by-nc-sa/ Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes,provided the work is appropriately cited, as indicated below. In any use of this work, there should be nosuggestion that WHO endorses any specific organization, products or services. The use of the WHO logois not permitted. If you adapt the work, then you must license your work under the same or equivalent Any mediation relating to disputes arising under the licence shall be conducted in accordance with Suggested citation.Dengue case management for primary health care and home-based care: Booklet forhealth professionals and health-care workers. New Delhi: World Health Organization, Regional Office for Cataloguing-in-Publication (CIP) data.CIP data are available at http://apps.who.int/iris. Sales, rights and licensing.To purchase WHO publications, see http://apps.who.int/bookorders. To submitrequests for commercial use and queries on rights and licensing, see http://www.who.int/about/licensing. Third-party materials.If you wish to reuse material from this work that is attributed to a third party, such astables, figures or images, it is your responsibility to determine whether permission is needed for that reuse General disclaimers.The designations employed and the presentation of the material in this publicationdo not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status The mention of specific companies or of certain manufacturers’ products does not imply that they areendorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. All reasonable precautions have been taken by WHO to verify the information contained in this publication.However, the published material is being distributed without warranty of any kind, either expressed or Printed in India Contents Foreword.......................................................................................................................................................................... iv Acknowledgement........................................................................................................................................................ v 2. Natural course of dengue illness........................................................................................................................... 5 Febrile phase (common in both DF and DHF).............................................................................................................. 7Critical/leakage phase (in DHF)......................................................................................................................................... 8 3. Diagnosis (initial assessment)................................................................................................................................ 11 4. Management of dengue patients in primary health care................................................................................ 15 i.Treatment of fever and medications......................................................................................................................... 17ii.Food intake and adequate rest................................................................................................................................... 18iii.Fluid intake.......................................................................................................................................................................... 18iv.Measurement of urine output...................................................................................................................................... 19v.Monitoring of recovery signs vs warning signs..................................................................................................... 20vi.Timely referral for specialized management.......................................................................................................... 20 Bibliography.................................................................................................................................................................... 25 Annexure 1. List of contributors................................................................................................................................. 26 Annexure 2. Monitoring chart for dengue fever corner at outpatient department (OPD).......................... 27 Foreword Dengue is one of the most pressing public health threats across theWHO South