What precautions should be taken if a patient is admitted as a case of dengue and malaria in hospital setting. Is giving mosquito net to the patient desirable to prevent further spread?
Use insect repellent, wear long-sleeved shirts and long pants, and control mosquitoes inside and outside your home. Each year, an estimated 400 million people are infected with the dengue virus through the bites of infected mosquitoes. About 100 million get sick.
May we assume that this hospital is located in the area where the patient was originally infected? In this case, then yes, an insecticide-treated bed net is highly desirable to decrease the chance that hospital mosquitoes bite this patient, acquire the malaria parasite or dengue virus, and potentially transmit the infection to others. A bed net is also desirable to protect the patient from acquiring other mosquito-borne infections while in hospital, as well as for patient comfort. Note that malaria is transmitted by Anopheles mosquitoes, which tend to bite from dusk until early morning; dengue is transmitted by Aedes mosquitoes, which tend to bite during the day. So the time period when the patient should be protected by the net might vary according to the diseases present in the area.
Other precautions should include avoiding letting the infected patients serve as blood donors until they are cured. If possible, patients could use an effective mosquito repellent. The hospital should have screens on windows and doors, and use sterile single-use materials for injections.
Avoid getting further mosquito bites during the first week of illness. Virus may be circulating in the blood during this time, and therefore may transmit the virus to new uninfected mosquitoes, who may in turn infect other people. At present, the main method to control or prevent the transmission of dengue virus is to combat the mosquito vectors. The following link includes more information about that:
https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue
Make Isolation wards in hospital.
Provide mosquito net to patients
Windo and doors of the hospitals gates with mosquito net.
Larval surveillance should be done around one kilometer radius.
If needed fogging should apply in or out side the hospital.
Daily cleaning is necessary around and in the hospital.
Hospital staff should use mosquito repellent creams.
Always used disposable medical equipments for patients.
Provide medical facility according to the medical guideline fo case management.
Do proper investigation.
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