Dengue fever management?

Dengue fever management?

• A. Hydration and supportive care
• B. Doxycycline
• C. Cetriaxone
• D. Avoid aspirin and NSAIDs

Answer: (D)

Dengue management centers on supportive care and preventing progression to severe disease, with a critical safety principle being to minimize bleeding risk. In dengue, marked thrombocytopenia and potential capillary leak mean that any medication affecting bleeding or platelet function should be avoided. Aspirin and other NSAIDs interfere with platelet aggregation and can worsen hemorrhagic manifestations, so they are avoided to reduce the risk of serious bleeding. If fever or pain is needed, acetaminophen is preferred, and fluid balance must be carefully monitored and managed to prevent shock. Hydration and supportive care are essential parts of dengue management, but the reason this option isn’t the best single choice is that it doesn’t address the specific bleed-risk issue that makes avoiding aspirin and NSAIDs paramount. Antibiotics have no role unless a bacterial coinfection is present.

Dengue management centers on supportive care and preventing progression to severe disease, with a critical safety principle being to minimize bleeding risk. In dengue, marked thrombocytopenia and potential capillary leak mean that any medication affecting bleeding or platelet function should be avoided. Aspirin and other NSAIDs interfere with platelet aggregation and can worsen hemorrhagic manifestations, so they are avoided to reduce the risk of serious bleeding. If fever or pain is needed, acetaminophen is preferred, and fluid balance must be carefully monitored and managed to prevent shock.

Hydration and supportive care are essential parts of dengue management, but the reason this option isn’t the best single choice is that it doesn’t address the specific bleed-risk issue that makes avoiding aspirin and NSAIDs paramount. Antibiotics have no role unless a bacterial coinfection is present.