Dengue
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Confirmed dengue infection (positive dengue NS1 antigen detection test or presence of dengue specific antibodies) 2. Informed written consent 3. Age: between 18-60 years 4. Duration of illness: less than 5 days 5. No evidence of vascular leak.
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. Known allergies to antihistamines 3. Individuals who are homeless 4. Dependency on alcohol or abuse drugs 5. Hepatic impairment defined as: no previously known liver disease, prolonged prothromin time of 4-6 seconds or more, INR of >1.5 6. Renal impairment defined as: hypertension and diabetes, GFR 30 mg/g , hereditary kidney disease, recurrent or extensive nephrolithiasis, urinary red cell casts, red blood cell count >20 per high power field, Consistent albuminuria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Proportion of individuals who are treated with rupatadine who develop fluid leakage. 2. Reduction in fluid leakage by 50% or more in those who are treated with rupatadine. Fluid accumulation will be assessed by a semi quantitative measure, with classification of ascites as minimal, mild, moderate, severe & massive by looking for the presence of fluid in five areas of the abdomen namely RUQ (perihepatic and morrison's pouch), LUQ (perisplenic), right paracolic gutter, left paracolic gutter and pelvis [Clinical assessments will be carried out at least 3 times a day until discharge. Laboratory assessments will be carried out at least 4 times a day until discharge.] | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Liver failure 2. Shock 3. Need for colloids 4. Need for blood transfusion 5. Duration of illness 6. Return of haematocrit to baseline [Clinical assessments will be carried out at least 3 times a day until discharge. Laboratory assessments will be carried out at least 4 times a day until discharge.] | — |
Countries
Sri Lanka
Contacts
Senior Lecturer