Collection of Blood serum sample of suspected Dengue patients Examine all these samples with the...
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Transcript of Collection of Blood serum sample of suspected Dengue patients Examine all these samples with the...
Laboratory diagnosis & Treatment of Dengue at PHC
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162 119 1134 55 69 33 48 44 19 6 7 3
Serum Sample Collected From PHCDengue Positive
Collection of Blood serum sample of suspected Dengue patients
Examine all these samples with the help of B.J.Medical College & N.I.V.
190 patients treated in PHC
3 patients referred for Platelet
Performance of district in lab. diagnosis & treatment
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Treatment Protocol
Tourniquet test and BP taken
Screening for symptom send by MPW
Suspected pt IgG,Igm,NS1 test done
-ve pt T/t OPD
+ve pt shift to PHC by
Ambulance
PHC Kunjirwadi Isolation ward IPD
Put IV Line by intra-cath & sample taken for platelet count by Pvt. lab
Tourniquet test and BP taken
IV RL 6ml /kg/hr Started
Tourniquet test and BP taken/every hrs. for first 4 hrs
Pt. GC.improve start IV RL 3ml /kg/hr Started
Daily Monitoring of pt. platelet count done (SOS)
Discharge after 3 day
Yash Laad, 7 yrs. Male, child, Theur Dengue +vePlatelet count: Dt. 20.9.13 – 82,000 Dt.21.9.13 – 1,19,000 Dt. 22.9.13 – 1,24,000Dt.23.9.13 – 1,61,000 Discharge : 24th Sep. 2013
Critical patient treated at P.H.C.
Kajal Amar Chavan, 12 yrs. Female, Theur Dengue +vePlatelet count: Dt. 24.9.13 – 90,000 Dt.25.9.13 – 98,000 Dt. 26.9.13 – 1,02,000Dt.27.9.13 – 1,40,000 Dt. 28.9.13 – 1,62,000 Discharge : 29th Sep. 2013
Critical patient treated at P.H.C.
Date No.of Cases.
Source Lab Report Area
23.07.2013 1 Private NS1 +ve, IgM -ve,IgG -ve Jadhav Vasti.
03.08.2013 4 Private NS1 +ve, IgM -ve,IgG -ve Alif nagar. TheurGaon
06.08.2013 1 Private NS1 -ve, IgM +ve,IgG -ve Chavan Vasti.
08.08.2013 1 Private NS1 -ve, IgM +ve,IgG -ve Jadhav Vasti.
10.08.2013 1 Private NS1 +ve, IgM -ve,IgG -ve TheurGaon .
23.08.2013 2 Private NS1 +ve, IgM -ve,IgG -ve D Type Colony.
28.08.2013 2 Private NS1 +ve, IgM -ve,IgG -ve Sakharam nagar, Bank Col.
30.08.2013 2 Private NS1 +ve, IgM -ve,IgG -ve Jadhav Vasti. Sakharam nagar,
Date wise Dengue Case Reported.
Date No. of Cases.
Source Lab Report Area
04.09.2013 1 Private NS1-ve, IgM -ve,IgG +ve Theur Gaon.
05.09.2013 3 PHC Dengue IgM +ve (BJ) Chavan Vasti ,D Type Col.
07.09.2013 1 Private NS1-ve, IgM -ve,IgG +ve Sakharam nagar,
09.09.2013 3 PHC Dengue IgM +ve (BJ) Theur Gaon , D Type col.
12.09.2013 1 Private NS1+ve, IgM -ve,IgG -ve Kakade Mala.
17.09.2013 11 NIV Dengue IgM +ve (4) + Dengue IgM Indeterminate (7)
Sakharam nagar, Chavan Vasti .
18.09.2013 2 PHC NS1+ve, IgM -ve,IgG -ve Datta nagar.
20.09.2013 2 PHC NS1+ve, IgM -ve,IgG -ve Theur Gaon
Date wise Dengue Case Reported.
Date No.of Cases.
Source Lab Report Area
23.09.2013 1 PHC NS1+ve, IgM -ve,IgG -ve Theur Gaon.
24.09.2013 2 PHC NS1+ve, IgM -ve,IgG -ve Theur Gaon.
25.09.2013 1 PHC NS1+ve, IgM -ve,IgG -ve Chavan Vasti.
27.09.2013 1 PHC NS1+ve, IgM -ve,IgG -ve Theur Gaon .
30.09.2013 1 PHC NS1+ve, IgM -ve,IgG -ve Theur Gaon .
Total 44
Date wise Dengue Case Reported.
23.07.2013
03.08.2013
06.08.2013
08.08.2013
10.08.2013
23.08.2013
28.08.2013
30.08.2013
04.09.2013
05.09.2013
07.09.2013
09.09.2013
12.09.2013
17.09.2013
18.09.2013
20.09.2013
23.09.2013
24.09.2013
25.09.2013
27.09.2013
30.09.20130
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Cases
Field activity stated
Dengue Diagnose Cases
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Cost effectiveness
1. Dengue kit – Rs10,000/-2. IV set/ intra cath - Rs
2500/-3. Lab out sourcing –
Rs.5000/- 4. Torch /Stationery –
Rs.2000/-5. POL – Rs.3000/- _________________ Total Rs 22500/-
1. Fuel for fogging machine – 12,000/-
Rs (6 *5*400)2. Handbill -- 2000/-
________________________ Total Rs. 14000/-
PHC Exp. Gram Panchayat Exp.
Total Treated pt. 40Exp. per patient Rs.20,000/- (tentative)40* 20000 = Total Rs.8 Lacs.
Total Exp. 22500+14000= 36500/-
Total savings
Rs.7,63,500/-
Fogging.
Breeding Places
Indian Express Dt. 13.10.2013
Appreciation by Media
No Referral ----------------- No Death
THANKS