Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Dengue Disease

Dengue Disease Healt H Updates by Trina M. Girimont, ARNP, COHN-S high as 10% without rapid disease rec- Dengue is currently the world’s most rapidly spreading mosquito-borne illness. ognition and treatment. No pharmacologic or curative n July 13, 2010, the Centers asymptomatic (CDC, 2010a). The bite agents or vaccine exists for dengue, for Disease Control and Pre- from one infected mosquito can result DHF, or DSS. Rest, hydration, moni- Ovention (CDC) estimated that in infection. Dengue infection should toring of urine output, and antipyretic 5% of Key West, Florida, residents be considered when evaluating any in- medications with avoidance of aspi- had recent exposure to dengue (CDC, dividual with febrile illness who lives in rin and nonsteroidal anti-ina fl mma - 2010b). Dengue is caused by one of or has traveled to a tropical or subtropi- tory agents, which may increase risk four distinct, but related, viruses trans- cal area within the past 2 weeks. The in- of hemorrhage, are recommended for mitted between humans via female fection usually has three phases: febrile, mild to moderate symptoms. Manage- Aedes aegypti and Aedes albopictus critical, and recovery (WHO, 2009b). ment of DSS can be complex. mosquitoes, present in tropical and DHF is characterized by the acute Primary prevention of dengue subtropical areas (World Health Or- onset of u fl -like symptoms 3 to 14 days centers on protection from insect bites. ganization [WHO], 2009b). Infected after a bite. The febrile phase includes a Vessels or objects (e.g., planters, buck- humans are the main carriers and high temperature (> 38.3°C) and pos- ets, barrels, drainage gutters) contain- multipliers of the virus; all age groups sibly frontal headache, facial u fl shing, ing standing water should be emptied are susceptible to infection. Dengue is arthralgias, myalgias, retro-orbital pain, to limit mosquito breeding areas. currently the most rapidly spreading rash, nausea, anorexia, and bone pain. Employees who live or work in or mosquito-borne illness, causing an A positive tourniquet test increases the travel to areas where dengue is prevalent estimated 50 to 100 million infections likelihood of dengue (WHO, 2009b). should avoid the outdoors during daylight and 26,000 deaths annually (WHO, Den fi itive diagnosis requires detection hours, when A. aegypti and A. albopictus 2009a, 2009b). Dengue is the leading of dengue-specic fi antibodies or isola - activity is high. Accommodations with cause of acute febrile illnesses among tion of the virus (CDC, 2010b). Hemor- screens or air conditioning should be con- U.S. travelers returning from South rhagic manifestations, including petechi- sidered whenever possible. Clothing must America, Asia, and the Caribbean ae, hematomas, epistaxis, and gingival cover exposed skin. Insecticides such as (CDC, 2010b). These travelers are of- bleeding, are usually mild. Febrile phase DEET or Picardin must be used accord- ten infectious on returning home and symptoms usually begin to decrease af- ing to manufacturer instructions. Insecti- therefore capable of transmitting the ter 6 to 7 days, but weakness and malaise cide-treated clothing and materials (i.e., disease. Due to concerns over poten- may persist for several weeks. bed netting, window screens, curtains) tial transmission of dengue via blood DHF and DSS are potential life- are encouraged (WHO, 2009b). transfusion, it was deemed a nation- threatening sequelae to dengue. DHF ally notia fi ble disease in 2010 (CDC, critical phase begins 24 to 48 hours af- REfEREncEs Centers for Disease Control and Prevention. 2010c). ter fever subsides and is den fi ed by four (2010a). Dengue and dengue hemorrhagic Dengue infection with any of the criteria: (1) fever or recent fever lasting fever: Information for healthcare practitio- four serotypes can produce the full con- 2 to 7 days; (2) any hemorrhagic sign ners. Retrieved from www.cdc.gov/Dengue/ tinuum of illness, ranging from mild, or symptom; (3) thrombocytopenia; resources/Dengue&DHF%20Information% 20for%20Health%20Care%20Practitioners_ nonspecic fi symptoms, to classic den - and (4) evidence of increased vascular 2009.pdf gue fever, to the most serious forms of permeability (CDC, 2010a). Persis- Centers for Disease Control and Prevention. the infection—dengue hemorrhagic fe- tent vomiting, severe abdominal pain, (2010b). Locally acquired dengue fever: Key ver (DHF) and dengue shock syndrome and difc fi ulty breathing may develop. West, Florida 2009-2010. Morbidity and (DSS). Up to half of all infections are Swings in body temperature (hypo- to Mortality Weekly Report, 59, 577-581. Centers for Disease Control and Prevention. hyperthermia) and mental status chang- (2010c). Nationally notia fi ble diseases 2010 . ABOUT THE AUTHOR es may occur. Severe hemorrhagic Retrieved from www.cdc.gov/ncphi/disss/ Ms. Girimont is Director, Occupational Health symptoms may progress to vaginal or nndss/phs/files/NNDSS_history_spread- Services, Shands HealthCare, Gainesville, FL. intracranial bleeding. In mild to moder- sheet_2010_for_web_Final.pdf The author discloses that she has no significant financial interests in any product or class of World Health Organization. (2009a). Dengue ate DHF cases, symptoms will begin to products discussed directly or indirectly in this and dengue hemorrhaegic fever fact sheet. dissipate once the fever subsides. activity, including research support. Retrieved from www.who.int/mediacentre/ DSS is den fi ed as any case meet - Address correspondence to Trina M. Girimont, factsheets/fs117/en ARNP, COHN-S, Occupational Health Services, ing the four criteria with circulatory World Health Organization. (2009b). Dengue: Shands HealthCare, Box 100337, 1600 SW Ar- failure and symptoms of cold, clammy Guidelines for diagnosis, treatment, preven- cher Road, Gainesville, FL 32610-0337. E-mail: tion, and control. Geneva, Switzerland: Au- girimt@shands.ufl.edu. skin, hypotension, and widening pulse thor. pressure. The mortality rate can be as Copyright © American Association of Occupational Health Nurses, Inc. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png AAOHN Journal SAGE

Dengue Disease

AAOHN Journal , Volume 58 (10): 1 – Oct 1, 2010

Loading next page...
 
/lp/sage/dengue-disease-vURnUj6mTI

References (0)

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
SAGE
Copyright
© 2010 American Association of Occupational Health Nurses
ISSN
0891-0162
eISSN
2165-0969
DOI
10.1177/216507991005801007
Publisher site
See Article on Publisher Site

Abstract

Healt H Updates by Trina M. Girimont, ARNP, COHN-S high as 10% without rapid disease rec- Dengue is currently the world’s most rapidly spreading mosquito-borne illness. ognition and treatment. No pharmacologic or curative n July 13, 2010, the Centers asymptomatic (CDC, 2010a). The bite agents or vaccine exists for dengue, for Disease Control and Pre- from one infected mosquito can result DHF, or DSS. Rest, hydration, moni- Ovention (CDC) estimated that in infection. Dengue infection should toring of urine output, and antipyretic 5% of Key West, Florida, residents be considered when evaluating any in- medications with avoidance of aspi- had recent exposure to dengue (CDC, dividual with febrile illness who lives in rin and nonsteroidal anti-ina fl mma - 2010b). Dengue is caused by one of or has traveled to a tropical or subtropi- tory agents, which may increase risk four distinct, but related, viruses trans- cal area within the past 2 weeks. The in- of hemorrhage, are recommended for mitted between humans via female fection usually has three phases: febrile, mild to moderate symptoms. Manage- Aedes aegypti and Aedes albopictus critical, and recovery (WHO, 2009b). ment of DSS can be complex. mosquitoes, present in tropical and DHF is characterized by the acute Primary prevention of dengue subtropical areas (World Health Or- onset of u fl -like symptoms 3 to 14 days centers on protection from insect bites. ganization [WHO], 2009b). Infected after a bite. The febrile phase includes a Vessels or objects (e.g., planters, buck- humans are the main carriers and high temperature (> 38.3°C) and pos- ets, barrels, drainage gutters) contain- multipliers of the virus; all age groups sibly frontal headache, facial u fl shing, ing standing water should be emptied are susceptible to infection. Dengue is arthralgias, myalgias, retro-orbital pain, to limit mosquito breeding areas. currently the most rapidly spreading rash, nausea, anorexia, and bone pain. Employees who live or work in or mosquito-borne illness, causing an A positive tourniquet test increases the travel to areas where dengue is prevalent estimated 50 to 100 million infections likelihood of dengue (WHO, 2009b). should avoid the outdoors during daylight and 26,000 deaths annually (WHO, Den fi itive diagnosis requires detection hours, when A. aegypti and A. albopictus 2009a, 2009b). Dengue is the leading of dengue-specic fi antibodies or isola - activity is high. Accommodations with cause of acute febrile illnesses among tion of the virus (CDC, 2010b). Hemor- screens or air conditioning should be con- U.S. travelers returning from South rhagic manifestations, including petechi- sidered whenever possible. Clothing must America, Asia, and the Caribbean ae, hematomas, epistaxis, and gingival cover exposed skin. Insecticides such as (CDC, 2010b). These travelers are of- bleeding, are usually mild. Febrile phase DEET or Picardin must be used accord- ten infectious on returning home and symptoms usually begin to decrease af- ing to manufacturer instructions. Insecti- therefore capable of transmitting the ter 6 to 7 days, but weakness and malaise cide-treated clothing and materials (i.e., disease. Due to concerns over poten- may persist for several weeks. bed netting, window screens, curtains) tial transmission of dengue via blood DHF and DSS are potential life- are encouraged (WHO, 2009b). transfusion, it was deemed a nation- threatening sequelae to dengue. DHF ally notia fi ble disease in 2010 (CDC, critical phase begins 24 to 48 hours af- REfEREncEs Centers for Disease Control and Prevention. 2010c). ter fever subsides and is den fi ed by four (2010a). Dengue and dengue hemorrhagic Dengue infection with any of the criteria: (1) fever or recent fever lasting fever: Information for healthcare practitio- four serotypes can produce the full con- 2 to 7 days; (2) any hemorrhagic sign ners. Retrieved from www.cdc.gov/Dengue/ tinuum of illness, ranging from mild, or symptom; (3) thrombocytopenia; resources/Dengue&DHF%20Information% 20for%20Health%20Care%20Practitioners_ nonspecic fi symptoms, to classic den - and (4) evidence of increased vascular 2009.pdf gue fever, to the most serious forms of permeability (CDC, 2010a). Persis- Centers for Disease Control and Prevention. the infection—dengue hemorrhagic fe- tent vomiting, severe abdominal pain, (2010b). Locally acquired dengue fever: Key ver (DHF) and dengue shock syndrome and difc fi ulty breathing may develop. West, Florida 2009-2010. Morbidity and (DSS). Up to half of all infections are Swings in body temperature (hypo- to Mortality Weekly Report, 59, 577-581. Centers for Disease Control and Prevention. hyperthermia) and mental status chang- (2010c). Nationally notia fi ble diseases 2010 . ABOUT THE AUTHOR es may occur. Severe hemorrhagic Retrieved from www.cdc.gov/ncphi/disss/ Ms. Girimont is Director, Occupational Health symptoms may progress to vaginal or nndss/phs/files/NNDSS_history_spread- Services, Shands HealthCare, Gainesville, FL. intracranial bleeding. In mild to moder- sheet_2010_for_web_Final.pdf The author discloses that she has no significant financial interests in any product or class of World Health Organization. (2009a). Dengue ate DHF cases, symptoms will begin to products discussed directly or indirectly in this and dengue hemorrhaegic fever fact sheet. dissipate once the fever subsides. activity, including research support. Retrieved from www.who.int/mediacentre/ DSS is den fi ed as any case meet - Address correspondence to Trina M. Girimont, factsheets/fs117/en ARNP, COHN-S, Occupational Health Services, ing the four criteria with circulatory World Health Organization. (2009b). Dengue: Shands HealthCare, Box 100337, 1600 SW Ar- failure and symptoms of cold, clammy Guidelines for diagnosis, treatment, preven- cher Road, Gainesville, FL 32610-0337. E-mail: tion, and control. Geneva, Switzerland: Au- girimt@shands.ufl.edu. skin, hypotension, and widening pulse thor. pressure. The mortality rate can be as Copyright © American Association of Occupational Health Nurses, Inc.

Journal

AAOHN JournalSAGE

Published: Oct 1, 2010

There are no references for this article.