Dengue Fever (DF), Dengue Haemorregic Fever (DHF) and Dengue Shock Syndrome (DSS)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a. Age: More than 18 years and less than 65 years b. Evidence of Dengue by Dengue NS1/Dengue IgM positive c. Any one of the following warning signs: abdominal pain or tenderness, persistent vomiting, clinical fluid accumulation (not due to any other causes), evidenced by Ultrasound of the Chest and whole abdomen, mucosal bleeding, lethargy, liver enlargement >2 cm, rising of hematocrit (>20% of baseline) concurrent with a rapid decline in platelet. (defined by National guideline 2019 ) d. Platelet count: below 1,00,000/mm3
Exclusion criteria
Exclusion criteria: a. Known Pregnancy. b. Patients with severe dengue (Category-3) and dengue shock syndrome c. Abnormal liver function test. d. SGPT >5 times of upper limit e. Mild Dengue fever patient without warning signs (defined by National guideline 2019 ) f. Ascites due to another disease, eg- CLD, CKD, Disseminated TB, Malignancy. g. Pleural Effusion due to other causes, eg- TB, Malignancy, CLD, CKD. h. Thrombocytopenia caused by other factor such as Severe Aplastic Anemia (SAA), Chronic Liver Disease (CLD), and Immune- thrombocytopenia (ITP). i. History of portal vein thrombosis. j. Patients infected with HCV, HBV, chronic liver disease (Drug-induced, alcohol-induced). k. Patients with any history of receiving immunosuppressive therapy. l. Patients with any severe comorbidity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Proportion of patients considered recovered (i.e platelet count above 150×10^9/L) [Day 4 – 7] 2.Mean platelet count [ Day 4 – 7] | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The proportion of patients with the manifestation of fluid leakage. [Day 4 – 7] 2. Severity of fluid leakage (Hematocrit (HCT) monitoring). [Day 4 – 7] | — |
Countries
Bangladesh
Contacts
Professor