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.

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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
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article

Dengue Fever: An Updated Review article for Physicians, Nursing, and Clinical Laboratory Professionals.

Thekra Alqahtani, Sultan Mansour Aldeghaither, Elham mohmmed hassan Khormi, Nadia Mohammed Hassan Khormi et al.
Saudi Journal of Medicine and Public Health
Mosquito-borne diseases and control
article

Dengue Fever: An Updated Review article for Physicians, Nursing, and Clinical Laboratory Professionals.

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
article en

Abstract

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.

Saudi Journal of Medicine and Public HealthVol. 1(1)
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)
Openalex Percentile: Top 58%
Mosquito-borne diseases and control
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