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Platelet Transfusions in Children with Dengue Hemorrhagic Fever

Description

In general platelet transfusions are not needed in a child with dengue hemorrhagic fever. Pothagregada et al list indications for platelet transfusions in bleeding children. The authors are from Indira Gandhi Medical College and Research Institute and Jawaharlal Institute of Postgraduate Medical Education and Research in Puducherry, India.


Patient selection: child with dengue fever who is bleeding

 

Indications for platelet transfusions:

(1) severe spontaneous bleeding

(2) severe thrombocytopenia (< 50,000 per µL)

(3) shock (severe dengue fever)

 

Mild to moderate bleeding alone is not an indication for platelet transfusions, especially when the platelet count is normal or only mildly decreased.


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