Volume replacement in infants with dengue hemorrhagic fever/dengue shock syndrome.

Authors:
  • TNTrong Lan Nguyen
    Trong Lan Nguyen
  • HLHuan-Yao Lei
    Huan-Yao Lei
  • YLYee-Shin Lin
    Yee-Shin Lin
  • BLBich Lien Le
    Bich Lien Le
  • KHKao-Jean Huang
    Kao-Jean Huang
  • CLChiou-Feng Lin
    Chiou-Feng Lin
  • QDQuang Ha Do
    Quang Ha Do
  • TVThi Que Huong Vu
    Thi Que Huong Vu
  • TLThi My Lam
    Thi My Lam
  • TYTrai-Ming Yeh
    Trai-Ming Yeh
  • JHJyh-Hsiung Huang
    Jyh-Hsiung Huang
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  • 1 April 2006
    • journal article
Abstract
Volume replacement was studied prospectively in 208 infants with dengue hemorrhagic fever/dengue shock syndrome (DHF/DSS). The mean volume of intravenous fluid used was 110.4 mL/kg administered over a mean period of 25.8 hours. The mean volumes of intravenous fluid replacement in infants with DSS was significantly higher than in those with non-shock DHF (129.8 mL/kg versus 102.1 mL/kg; P = 0.001). Patients with DSS had significantly higher proportional requirements for dextran and blood transfusions than non-shock infants. Recurrent shock, prolonged shock, and acute respiratory failure were recorded in 8, 6, and 13 patients, respectively. Four patients with DSS died of severe complications. Intravenous fluid replacement with special care to avoid fluid overload requires careful attention to established indications for use of colloidal solutions and blood transfusions. To improve case fatality rates, special efforts need to be directed to infants with DHF/DSS accompanied by severe complications.