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

Thanh Hung Nguyen; Trong Lan Nguyen; Huan Yao Lei; Yee Shin Lin; Bich Lien Le; Kao Jean Huang; Chiou Feng Lin; Quang Ha Do; Vu Thi Que Huong; Thi My Lam; Trai Ming Yeh; Jyh Hsiung Huang; Ching Chuan Liu; Scott B. Halstead

doi:10.4269/ajtmh.2006.74.684

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

Thanh Hung Nguyen, Trong Lan Nguyen, Huan Yao Lei, Yee Shin Lin, Bich Lien Le, Kao Jean Huang, Chiou Feng Lin, Quang Ha Do, Vu Thi Que Huong, Thi My Lam, Trai Ming Yeh, Jyh Hsiung Huang, Ching Chuan Liu, Scott B. Halstead

Research output: Contribution to journal › Article › peer-review

35 Citations (Scopus)

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.

Original language	English
Pages (from-to)	684-691
Number of pages	8
Journal	American Journal of Tropical Medicine and Hygiene
Volume	74
Issue number	4
DOIs	https://doi.org/10.4269/ajtmh.2006.74.684
Publication status	Published - 2006 Apr

All Science Journal Classification (ASJC) codes

Infectious Diseases
Virology
Parasitology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.4269/ajtmh.2006.74.684

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Nguyen, T. H., Nguyen, T. L., Lei, H. Y., Lin, Y. S., Le, B. L., Huang, K. J., Lin, C. F., Do, Q. H., Huong, V. T. Q., Lam, T. M., Yeh, T. M., Huang, J. H., Liu, C. C., & Halstead, S. B. (2006). Volume replacement in infants with dengue hemorrhagic fever/dengue shock syndrome. American Journal of Tropical Medicine and Hygiene, 74(4), 684-691. https://doi.org/10.4269/ajtmh.2006.74.684

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title = "Volume replacement in infants with dengue hemorrhagic fever/dengue shock syndrome",

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.",

author = "Nguyen, {Thanh Hung} and Nguyen, {Trong Lan} and Lei, {Huan Yao} and Lin, {Yee Shin} and Le, {Bich Lien} and Huang, {Kao Jean} and Lin, {Chiou Feng} and Do, {Quang Ha} and Huong, {Vu Thi Que} and Lam, {Thi My} and Yeh, {Trai Ming} and Huang, {Jyh Hsiung} and Liu, {Ching Chuan} and Halstead, {Scott B.}",

year = "2006",

month = apr,

doi = "10.4269/ajtmh.2006.74.684",

language = "English",

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AU - Nguyen, Thanh Hung

AU - Nguyen, Trong Lan

AU - Lei, Huan Yao

AU - Lin, Yee Shin

AU - Le, Bich Lien

AU - Huang, Kao Jean

AU - Lin, Chiou Feng

AU - Do, Quang Ha

AU - Huong, Vu Thi Que

AU - Lam, Thi My

AU - Yeh, Trai Ming

AU - Huang, Jyh Hsiung

AU - Liu, Ching Chuan

AU - Halstead, Scott B.

PY - 2006/4

Y1 - 2006/4

N2 - 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.

AB - 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.

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

Abstract

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