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Laboratory diagnosis & Treatment of Dengue at PHC. Performance of district in lab. diagnosis & treatment. ftYgk ifj”kn iq.ks izkFkfed vkjksX; dsanz dqathjokMh rk-gosyh ft -iq.ks. MsaX;w lkFk FksmQj. izLrkouk. o= Rri_k ldkG fn-15-9-2013 jksthph ckreh.
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Treatment Protocol PHC Kunjirwadi Isolation ward IPD SC Theur OPD By MO 24 hr Put IV Line by intra-cath& sample taken for platelet count by Pvt. lab Screening for symptom send by MPW Tourniquet test and BP taken Tourniquet test and BP taken IV RL 6ml /kg/hr Started Suspected pt IgG,Igm,NS1 test done Tourniquet test and BP taken/every hrs. for first 4 hrs Pt. GC.improvestart IV RL 3ml /kg/hr Started -vept T/t OPD +vept shift to PHC by Ambulance Daily Monitoring of pt. platelet count done (SOS) Discharge after 3 day
Critical patient treated at P.H.C. YashLaad, 7 yrs. Male, child, Theur Dengue +ve Platelet count: Dt. 20.9.13 – 82,000 Dt.21.9.13 – 1,19,000 Dt. 22.9.13 – 1,24,000 Dt.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 +ve Platelet count: Dt. 24.9.13 – 90,000 Dt.25.9.13 – 98,000 Dt. 26.9.13 – 1,02,000 Dt.27.9.13 – 1,40,000 Dt. 28.9.13 – 1,62,000 Discharge : 29th Sep. 2013
Dengue Diagnose Cases Field activity stated
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Cost effectiveness PHC Exp. Gram PanchayatExp. • Dengue kit – Rs10,000/- • IV set/ intra cath-Rs2500/- • Lab out sourcing – Rs.5000/- • Torch /Stationery –Rs.2000/- • POL – Rs.3000/- • _________________ • Total Rs22500/- • Fuel for fogging machine – 12,000/- • Rs(6 *5*400) • Handbill -- 2000/- • ________________________ • Total Rs. 14000/- Total Exp. 22500+14000= 36500/- Total Treated pt. 40 Exp. per patient Rs.20,000/- (tentative) 40* 20000 = Total Rs.8 Lacs. Total savings Rs.7,63,500/-
Appreciation by Media Indian Express Dt. 13.10.2013
No Referral ----------------- No Death THANKS