Document Detail


Transfusion requirements in patients with dengue hemorrhagic fever.
MedLine Citation:
PMID:  11023057     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dengue viruses are endemic in Thailand and Southeast Asian countries. A retrospective study of 175 patients with dengue virus infection admitted at the Department of Pediatrics, Ramathibodi Hospital in 1997 was carried out. Fifteen and 160 patients were clinically diagnosed with dengue fever and dengue hemorrhagic fever (DHF), respectively. DHF was commonly found in patients whose ages ranged from 10 to 14 years. The mean body weight was at the 54th percentile for age. In the management, 10.6% of patients with DHF required blood component therapy which included platelet concentrate (64.7%) in patients who exhibited active bleeding, packed red cells (47%) in patients who exhibited a rapid drop in the hematocrit and fresh frozen plasma (29.4%) in patients with circulatory failure who did not respond to intravenous fluid. The transfusion requirement was significantly correlated with the occurrence of bleeding (p < 0.008) and bleeding in the gastrointestinal tract (p < 0.0001) but not correlated with the number of platelet counts (p = 0.207). As a result, physicians in charge should be aware of the transfusion requirement and communicate this to the blood bank in advance for the preparation of appropriate blood components.
Authors:
A Chuansumrit; V Phimolthares; P Tardtong; C Tapaneya-Olarn; W Tapaneya-Olarn; P Kowsathit; T Chantarojsiri
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Southeast Asian journal of tropical medicine and public health     Volume:  31     ISSN:  0125-1562     ISO Abbreviation:  Southeast Asian J. Trop. Med. Public Health     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2001-01-04     Completed Date:  2001-01-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0266303     Medline TA:  Southeast Asian J Trop Med Public Health     Country:  THAILAND    
Other Details:
Languages:  eng     Pagination:  10-4     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. raajs@mahidol.ac.th
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Blood Transfusion*
Child
Child, Preschool
Dengue Hemorrhagic Fever / blood,  complications,  therapy*
Female
Gastrointestinal Hemorrhage / etiology,  therapy
Hemorrhage / etiology,  therapy
Humans
Infant
Male
Platelet Count
Retrospective Studies

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