A stepwise approach to the management of dengue

Step I. Overall assessment

I.1 History, including information on symptoms, past medical and family history

I.2 Physical examination, including full physical and mental assessment

I.3 Investigation, including routine laboratory and dengue-specific laboratory

Step II. Diagnosis

II.1 Assessment of disease phase and severity

Step III. Management

III.1 Disease notification

III.2 Management decisions. Depending on the clinical manifestations and other circumstances. Patients may:

¾ Be sent home

¾ Be referred for in-hospital management

¾ Require emergency treatment and urgent referral