Dengue Fever In Children Aged 8 Years?
hello, I have an 8-year-old niece who has dengue fever shocked with bleeding, in the hospital given ceftriaxone antibiotics, does my niece really need to be given antibiotics? because DHF itself is a virus infection not a bacterium, thanks for the answer.
Hello Mia Utami,
It is very true that dengue fever is a disease caused by dengue virus infection. This virus infection is transmitted through the bite of the Aedes Aegypti mosquito. Symptoms of dengue hemorrhagic fever vary in degree from mild to dengue shock conditions. Symptoms of dengue hemorrhagic fever include:
Acute fever 3-7 days, body temperature can be very high up to 40oC Heartburn Pain behind the eyeball Nausea vomiting Diarrhea Spontaneous bleeding: red spots on the skin, bleeding gums, nosebleeds, gastrointestinal bleeding (vomiting blood, black bowel / blood) Blood pressure, until bleeding in the blood vessels of the brain that can be life threatening Decreased appetite Shortness of breath (due to fluid flowing out into the lining of the lungs) and other signs of tissue swelling Dengue shock: cold feet, urinating does not come out, decreased consciousness, etc. Enforcement diagnosis of dengue hemorrhagic fever is through laboratory tests of blood namely decreased platelets and leukocytes. Can be added with immunological examinations (IgG, IgM, NS1, etc.). Like most viral infections, dengue infection is also self limiting (can heal itself without specific drugs). The main treatment is fluid therapy (drinking, infusion) to replace the volume of fluid that is expected to come out of the blood vessels, administering heat-reducing drugs, reducing nausea, nutritional therapy, and so on. Antibiotics are usually intended to prevent secondary infections that may be caused during treatment in hospital (especially in severe conditions, leukocytes / white blood in patients with dengue fever is very low so it will be susceptible to secondary infections by bacteria in the hospital) or if the doctor suspect a bacterial infection that occurs simultaneously with dengue infection that is experienced by your niece. If you are still confused, you can ask directly to the doctor who treats your niece.
To prevent dengue infection, practice always 3M plus. Close water reservoirs, bury used goods, drain the bathtub regularly, and sprinkle ABATE powder in water reservoirs. Use mosquito repellant if necessary. Plant a home garden with mosquito repellent plants such as lavender, lemongrass, mint, chicken droppings, etc.
Thus the explanation from me, may be useful.