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

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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 languageEnglish
Pages (from-to)684-691
Number of pages8
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume74
Issue number4
Publication statusPublished - Apr 2006
Externally publishedYes

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ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases

Cite this

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.