According to the Ministry of Health, it is currently the peak of the epidemic season dengue (DHF), the number of cases has continuously increased in many provinces and cities in recent weeks, mainly in the South and some provinces and cities in the Central region.
Associate Professor-Dr Luong Ngoc Khue, Director of the Department of Medical Examination and Treatment (Ministry of Health), said that this year, the number of severe dengue cases increased rapidly, much higher than the same period two years ago. More children died from dengue than adults, while in previous years more adults died.
The dengue patient is being actively resuscitated and dialysis at the Hospital for Tropical Diseases in Ho Chi Minh City – Photo: Hai Yen
According to experts, according to the treatment guidelines of the Ministry of Health, some of the following symptoms need to be taken immediately to a health facility, including:
Bleeding (red dots or spots on the skin; bleeding from the nose or gums; vomiting blood; black stools; Heavy menstrual bleeding/vaginal bleeding);
– Continuous vomiting;
– severe abdominal pain;
– lethargy, confusion or convulsions;
– Blue-violet, cold and damp hands and feet;
– Shortness of breath
At a national training session on strengthening dengue treatment recently held by the Ministry of Health, Doctor Nguyen Minh Tien, deputy director of the City Children’s Hospital (HCMC), said the diagnosis and classification of dengue fever very important in the beginning.
From the actual treatment, the expert emphasized that medical staff who need to differentiate acute Covid-19, typhus, encephalitis, septic shock, etc. must always think of patients with dengue when they have symptoms. fever, so as not to skip early treatment time.
Dengue symptoms such as subcutaneous haemorrhage, vomiting blood, blood in urine… Indication for hospitalization in case of shock, warning signs, rapid decrease in platelets <100k/microL, overweight and obese children, Pregnant women, underlying medical conditions…
For outpatient treatment, for children with fever above 38.5 degrees Celsius, use paracetamol 10-15 mg/kg/time, use 3-4 times/day, cool with warm water when fever is high.
Besides, the patient should drink a lot of water, easy to digest liquid food and avoid red, black brown food (to avoid confusion with hemorrhage). The doctor instructs the child to take care of the child at home, and advises to re-examine when the child has symptoms.
Assoc. Prof. Dr. Pham Van Quang, Head of the Intensive Care Unit against Poisons, Children’s Hospital 1 (HCMC), examining children with severe dengue shock – Photo: Hai Yen
“Currently, there is a situation of patients being hospitalized late, causing death. Days 4 – 5 (from the date of fever) is the most dangerous period of dengue. Therefore, early diagnosis is very important because Not all patients with dengue have symptoms such as a rash.Parents should not be subjective when their children experience the above symptoms, it is necessary to take the child to a medical facility for examination, timely diagnosis and treatment. treatment “- Doctor Tien recommended.
Assoc. Prof. Luong Ngoc Khue also noted that dengue patients should not receive fluids unless indicated. Medical facilities must comply with instructions to switch from macromolecular solution to electrolyte solution when the patient is in shock.
The Ministry of Health also requires medical examination and treatment facilities to strengthen and maintain the operation of the “DHF treatment group” and the “DHF epidemic prevention and control hotline” at medical examination and treatment units to have can regularly consult, exchange information about expertise, request support when necessary.
According to the Ministry of Health, when suffering from dengue and self-treating at home, patients should not take acetylsalicylic acid (aspirin), mefenemic acid (ponstan), ibuprofen or other non-steroidal anti-inflammatory agents (NSAIDs) or other drugs. steroids. If you have taken this medicine, the patient needs to see a doctor for an examination. The patient does not need to take antibiotics.