Dengue CPG Quick Reference Malaysia: What the Official QR Cards Contain

Beside each full dengue CPG, Malaysia’s Ministry of Health publishes a shorter document clinicians actually keep at the ward desk: the Quick Reference (QR) — a condensed card carrying the guideline’s decision tables. Malaysia’s two dengue guidelines, the Adults (Revised 3rd Edition) and Children (2nd Edition) documents, each have this short form [cpg-dengue-malaysia-current]. This page explains what the QR condenses, why it is designed that way, and — carefully — what a family can legitimately take from it.

What the quick reference condenses

A full CPG runs to dozens of pages of evidence-graded recommendations; the QR compresses it to the operational core:

QR sectionWhat it gives the clinician
Diagnostic criteria & testingwhen to suspect and test for dengue at first contact
Severity triagesorting suspected cases: no warning signs / warning signs / severe
Phase management summaryfebrile, critical and recovery phases with fluid guidance
Warning signs cardthe escalation triggers that convert outpatient to inpatient
Discharge criteriawhen a recovering patient is safe to go home

The design logic is speed: the QR exists because dengue’s dangerous window is fast, and a clinician at 2am needs the escalation criteria on one page, not inside a 60-page document. For the patient-facing version of that phase logic, see dengue phase.

The one card every family should internalise

Of everything the QR compresses, the family-relevant slice is the warning-signs card — because it is the piece that converts directly into household action. The severe-dengue warning signs, which typically appear as fever subsides: severe abdominal pain, persistent vomiting, rapid breathing, bleeding gums or nose, blood in vomit or stool, fatigue, restlessness, pale and cold skin [who-dengue-severe-signs]. Any one of those is a hospital-now instruction, identical in intent whether it comes from a WHO page or a ward wall.

Everything else in the QR — fluid charts, haematocrit thresholds, admission criteria — assumes clinical tools a home does not have, and should stay in clinical hands. A family reading the QR for management decisions is reading a cockpit checklist for the passenger seat.

Where the QR documents live

Official copies are published through the MOH CPG portal alongside their parent guidelines [cpg-dengue-malaysia-current] — search “dengue” in the clinical practice guidelines listing for both the adults’ and children’s documents and their QR versions. As always with clinical documents: prefer the official portal over re-hosted PDFs, which drift out of date.

The rest of the CPG cluster

Baca juga: hub kawalan nyamuk · dengue phase · dengue CPG Malaysia

Compliance note: educational description of public clinical documents; no management advice beyond clinic routing, no product adjacency, no disease claims [act290-dengue-claims-ban].

Soalan Lazim / FAQ

What is the 'QR' in dengue CPG materials?

It stands for Quick Reference — the condensed summary card MOH publishes alongside each full CPG, carrying the decision tables clinicians pin at the desk.

Can I use the quick reference to manage dengue at home?

No. It assumes clinical tools — lab counts, fluid charts, trained assessment. The family-safe takeaway is the warning-sign list and the phase logic, not the fluid tables.

Which quick references exist for dengue in Malaysia?

One for the adults' CPG and one for the children's CPG — matching the two current guidelines (Adults Revised 3rd Edition; Children 2nd Edition).