Get the free Dengue Case Report Form. A case report form on Dengue for public health units.

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Case name: ......................................................................................... First nameSurnameDOB ......../......../........ Notification ID: .............................

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How to fill out dengue case report form

01

To fill out a dengue case report form, follow the steps below:

02

Start by entering the patient's personal information, such as name, age, and contact details.

03

Record the date of onset of symptoms and the date of diagnosis.

04

Provide details about the patient's medical history, including any underlying conditions or medications they are currently taking.

05

Document the symptoms experienced by the patient, such as fever, headache, muscle pain, and rash.

06

Indicate any laboratory test results that were performed and highlight any abnormal findings.

07

Include information about the dengue diagnostic tests conducted, such as NS1 antigen test or IgM antibody test.

08

Note the treatment provided to the patient, including medications prescribed and any supportive care given.

09

Mention any complications or adverse events that occur during the course of the illness.

10

Finally, ensure all sections of the form are completed accurately and review for any errors before submitting the report.

Who needs dengue case report form?

01

Dengue case report forms are required by healthcare professionals, such as doctors, nurses, and medical researchers.

02

Public health authorities and organizations also utilize these forms to track and monitor dengue cases in a particular region or country.

03

Furthermore, laboratories and diagnostic centers may need this form to report confirmed cases of dengue to the relevant authorities.

04

Overall, anyone involved in the detection, treatment, and surveillance of dengue cases should use the dengue case report form.

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What is dengue case report form?

Dengue case report form is a document used to report cases of dengue fever to health authorities.

Who is required to file dengue case report form?

Healthcare providers, hospitals, and laboratories are required to file dengue case report forms.

How to fill out dengue case report form?

The dengue case report form must be filled out with information such as patient demographics, symptoms, lab results, and date of onset of symptoms.

What is the purpose of dengue case report form?

The purpose of the dengue case report form is to track and monitor cases of dengue fever for public health purposes.

What information must be reported on dengue case report form?

Information that must be reported on the dengue case report form includes patient demographics, symptoms, lab results, and date of onset of symptoms.

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