Dengue Fever: An Updated Review article for Physicians, Nursing, and Clinical Laboratory Professionals.
Background: Dengue is a high-impact arboviral disease transmitted by Aedes aegypti and Aedes albopictus, with clinical severity ranging from self-limited fever to plasma leakage, hemorrhage, and shock. Global expansion reflects urbanization, climate variability, and mobility. Aim: To provide an updated, practice-focused synthesis for physicians, nursing, and clinical laboratory professionals spanning pathophysiology, phased recognition, diagnostics, management, and prevention. Methods: Narrative integration of current clinical frameworks: febrile–critical–recovery staging; early laboratory patterns (leukopenia, thrombocytopenia, transaminitis); confirmatory testing (NS1, PCR, serology); risk stratification; supportive care algorithms; vector control and vaccination. Results: Early identification of warning signs around defervescence and judicious fluid stewardship reduce severe outcomes; transfusion decisions are driven by clinical bleeding rather than platelet thresholds. NS1/PCR confirm early infection; serology assists later but may cross-react with other flaviviruses. Multidisciplinary coordination (clinical, nursing, laboratory) improves triage, monitoring, and prevention. Vector control (source reduction, biological and chemical methods) plus context-sensitive vaccination (CYD-TDV) complement clinical care. Conclusion: Outcomes hinge on timely diagnosis, phase-appropriate fluids, vigilant monitoring, and integrated public-health measures. Team-based pathways and laboratory–clinic alignment are pivotal to lowering mortality (~1% with optimal support) and epidemic burden.
Authors
- Thekra Alqahtani
- Sultan Mansour Aldeghaither
- Elham mohmmed hassan Khormi
- Nadia Mohammed Hassan Khormi
- Nisrin Hamzah M ALkhaibari
- Mahmoud Awad Al sulami
- Rahaf ali salem Alshehri
- ALbandari sulaiman A AL nafisah
- Ebtesam Khaled ALhadi
- Arwa Ibrahem Saleh Moqbel
- Amira Nasser Aljaber
- Asma Mohammed Hassan Khormi
Institutions
- Ministry of Health (IQ)
- Prince Mohammed bin Abdulaziz Hospital (SA)
- Ministry of Health (SA)
- Ministry of Health (SI)
- Ministry of Health (AE)
- Primary Health Care (QA)
- Ministry of Health (BW)
- Ministry of Health (VN)
- King Fahad Central Hospital (SA)
- Ministry of Health (BH)
- Ministry of Health (MZ)
Publication Details
- Journal
- Saudi Journal of Medicine and Public Health
- Published
- 2024-12-31
- DOI
- https://doi.org/10.64483/jmph-100
- Primary Topic
- Mosquito-borne diseases and control
- Type
- article
- Field-Weighted Citation Impact
- 0.00