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Unnecessary platelet transfusion raises complications in dengue patients

New Delhi: unnecessary platelet transfusion cause “damage” and puts patients with dengue “at risk” of developing complications such as sepsis, health experts say


The national capital is to deal with rising cases of vector-borne disease in the city, which has claimed at least 19 lives and affecting more than 1,300 people.

In patients with dengue, platelet count recorded a fall, and if not replenished, it can lead to death.

“It is crucial that the public is educated about the fact that platelet transfusion is not the only solution and is not necessary in most cases of dengue,” cardiologist and president-elect of the Medical Association of India Dr. KK Aggarwal said.

Heart Care Foundation of India (HCFI) and IMA out jointly a webcast on the subject of platelet transfusion.

platelet is one of the main components of blood that is affected by dengue and its normal value is between 1.5 to 4.5 lakh.

Addressing the webcast, Dr. NK Bhatia, said Medical Mission Director Jan Jagruti Blood Bank, “unnecessary transfusions cause more damage and puts the patient at risk for complications such as sepsis, acute lung injury related transfusion, transfusion associated circulatory overload, alloimmunization and transfusion reactions and anaphylactic allergic “.

“Transfusion should only be done if the platelet count of a person is less than 10,000, and he or she has active bleeding,” he said.

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The platelet count below 20,000 and can cause bleeding complications such as dengue cases haemmorrhagic.

Aggarwal also HCFI president said a majority of people are not aware that most dengue cases are “preventable and manageable.”

“The risk of complications is less than 1 percent of cases of dengue and if the public knows the warning signs, all dengue deaths can be avoided. It is, however, a myth that all patients with dengue require platelet transfusion, “he was quoted in a statement.

Aggrawal also stated that “platelet counts acquired by the machine readings are not reliable, and a discrepancy of up to 40,000 can be found.”

Recently, the first of this clinical study type had claimed that a platelet transfusion or deferred for patients suffering from “severe dengue” if the percentage of regenerated platelets young blood is greater than or equal may not be necessary to a cut mark.

The study was conducted by Sir Ganga Ram Hospital here in dengue patients 50 adults with platelet count less than 100,000 / mm cubic, who were admitted there last year.

Typical symptoms of dengue include fever, vomiting, headache, nausea, pain behind the eyes and severe joint and muscle pain.

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