2023-05-20 11:01:00
Rama Hospital found an “obese child” infected with severe dengue fever. More treatment in the crisis room Advise to maintain good health control the weight not to exceed
Date 20 May 2023 Dr. Rojanee Lertboonrean, M.D. Pediatrician in Critical Care Medicine Department of Pediatrics Faculty of Medicine, Ramathibodi Hospital, Mahidol University, said that now the Pediatric Intensive Care Unit, Ramathibodi Hospital, there are increasing numbers of obese pediatric patients with severe dengue fever symptoms. Part of the main reason comes from the beginning of the season, which is the natural outbreak of this disease. The symptoms will start to get worse after 3-5 days after the fever is reduced.
Rojanee, M.D. He continued that while obese children were more at risk of severe dengue infection than normal children. due to inflammation of the body that may be more severe than normal children and more difficult to observe It was also found that in the blood collection for examination. Or provide rehydration therapy in times of crisis, such as giving appropriate amounts of saline and intravenous drugs. more difficult than normal children It needs to be done by a professional.
Rojanee, M.D. Said that usually in treating pediatric patients found with dengue fever who are healthy. The pediatrician will give medication according to the symptoms, such as antipyretics, mineral water to reduce dehydration. and let parents watch the symptoms at home first in the first period Then make an appointment to follow up on the symptoms hospital for blood testing that there will be a chance of bleeding or shock or not again on days when the fever lasts longer than 3-5 days or if after the fever subsides The patient has exhaustion, can’t eat, has little urine output. or bleeding symptoms such as nosebleeds there is a spot of blood on the skin Vomiting blood or black stools
Rojanee, M.D. Said that when the symptoms worsen pediatrician team Ready to deal with the situation 24 hours a day. In the past, we have tried to produce innovations in the detection of dengue, such as urine testing as an alternative for pediatric patients with limited blood draws.
Rojanee, M.D. Said that the dengue vaccine is getting closer to the truth. After not long ago Mahidol University has announced the success of the invention of 4 strains of dengue vaccine in the same needle. So that it can be injected in children under 9 years old, which will give immunity for up to 5 years, which is currently in the process of testing before entering the production process so that it can be used safely in the future
Rojanee, M.D. Said that there is still a debate about the age range of the risk group. This may affect the push for a policy to establish dengue vaccination as a basic vaccine for Thai people in the future. Because at present, it is found that the age of the dengue outbreak is not at a young age like in the past. But it is becoming more common in patients during early adulthood.
“Eliminating the root cause of the problem is to prevent being bitten by Aedes aegypti as a carrier of the disease. Most importantly, always keep your body healthy. Especially at risk groups that are children. Should be careful not to be overweight until obese. It will increase the risk of severe conditions when infected with dengue fever.” Rojanee, M.D. say
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