Dengue Hemorragic Fever

Created by: Ambar Mauliani P Fadhillah M Yanuar Ita Aprilia Nina Sari Suminda Class: 2B Polytechnic of health Bandung

Presenter and chapter

definition Nina sari suminda pathofisiology etiologi Rosa kurniasih clinical manifestation epidemiology Ita aprilia clasification diagnostic test

Ambar mauliani P
preventable test

disease caused by the dengue virus

Dengue Hemmorragic Fever(DH)

classified as a type of virus arbovirus

entered into the human body through a mosquito bite aides aigepty (females)

Dengue infection Antibody formation Reinfection Augmentation of virus multipication Increased vascular permeability Plasma leakge Hypovolemia Shock Dissminated intravascular coagulation Severe bleeding Death

Main causes: - dengue virus belonging albovirus Main vectors: Aedes aegypti.

Aedes albopictus

Continue...
The existence of vector-related proficiency level: accommodate the habits of clean water for daily needs. Poor environmental sanitation. Provision of clean water is scarce.

Epidemiology
Dengue is found in tropical and subtropis. 1968-2009 indonesia as the country with the highest cases DHF in Southeast Asia DHF has become a public health problem for 41 years. since 1968 an increase in the spread of DHF 2002-2009 in Maluku Province no cases of dengue cases

Continue
Province DKI Jakarta NTT Cases 313 cases out of 100,000 population 8 cases out of 100,000 population

Sex Man Women

Percent (%) 53,78% 46,23%

Clinical manifestation
1. Incubation period there is a latency period lasting 4-5 days followed by fever 2. Fever Fever occurs suddenly lasts for 2-7 days and then down to normal temperature or lower

3. Bleeding Bleeding usually occurs on the second day of fever and usually occurs in the skin, and can be either positive tourniquet test.

4. Hepatomegaly

5. Shock (shock) Shock usually occurs at the beginning of the third day since the pain sufferer.

6. Other Clinical Symptom Severe abdominal pain often indicates the occurrence of gastrointestinal bleeding and shock

1. Degree 1 fever without bleeding, tourniquet test +, trombocytopenia, and hemoconcentration

Classification

2. Degree 2 fever with bleeding in skin or elsewhere

3. Degree 3 there is circulatory failure, rapid and weak pulse, low blood pressure, restleness, cyanosis on mouth, and nose 4. Degree 4 Severe shock with no palpable pulse and blood pressure cant be measured

Diagnostic test
1. Torniquet test test)
In DBD test usually gives a definite positive result with 20 petechiae or more

2. rumpel leede (RL

there is 10 dots in circle

3. Hematocrit Level increase in hematokcrit of 20% or more.

4. Number of Platelet decrease in palatets count (trombocytopenia)

Preventable of DHF
1. Environment replacing drain/water storage at least once a week.

2. Biological Using fish-eating larvae and bacteria.

3. Chemical Using Fogging