Laboratory diagnosis & Treatment of Dengue at PHC

Jun-13

Jul-1

3

Aug-13

Sep-13

Oct-13

Nov-13

Dec-13

Jan-14

Feb-14

Mar-1

40

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4

428

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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