ASSESSMENT OF STRUCTURED TEACHING PROGRAMME ON LEVEL OF KNOWLEDGE AND KNOWLEDGE ON PRACTICE REGARDING MANAGEMENT OF DENGUE AMONG MIDDLE AGED WOMEN

Abstract

Dengue fever follows both primary and secondary infections, and is most frequently encountered in adults and older children. Onset of symptoms is characterized by a biphasic, high-grade fever lasting for 3 days to 1 week. Severe headache (mainly retrobulbar), lassitude, myalgia and painful joint, metallic taste, apetite loss, diarrhea, vomiting, and stomachache are the other reported manifestations. Dengue is also known as breakbone fever because of the associated myalgia and pain in joints.  patients with DF, 50–82% report with a peculiar cutaneous rash.The initial rash is the result of capillary dilatation, and presents as a transient facial flushing erythema, typically occuring before or during the first 1–2 days of fever. The second rash is seen at 3 days to 1 week following the fever, and presents as a asymptomatic maculopapular or morbilliform eruption. Sometimes, individual lesions may merge and present as widespread confluent erythematous areas with pinpoint bleeding spots and rounded islands of sparing, giving a typical appearance of “white islands in a sea of red. The cutaneous rash is usually asymptomatic, and pruritis is reported only in 16-27% cases.Bleeding episodes are infrequently seen in DF, although epistaxis and gingival bleeding, substantial menstruation, petechiae/purpura, and gastrointestinal tract (GIT) hemorrhage can occur.