Prevalence, patterns, and factors associated with bleeding tendencies in dengue
Introduction: The pattern of bleeding tendencies in dengue and its corellation with platelet count and other factors requires clarification. Methodology: A retrospective study on bleeding tendencies in adults with dengue and platelet counts of less than 100,000 per mm3 was conducted. Factors associ...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Journal of Infection in Developing Countries
2015-01-01
|
| Series: | Journal of Infection in Developing Countries |
| Subjects: | |
| Online Access: | https://jidc.org/index.php/journal/article/view/5031 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849313625586532352 |
|---|---|
| author | Emmanuel Bhaskar Gopalan Sowmya Swathy Moorthy Varun Sundar |
| author_facet | Emmanuel Bhaskar Gopalan Sowmya Swathy Moorthy Varun Sundar |
| author_sort | Emmanuel Bhaskar |
| collection | DOAJ |
| description | Introduction: The pattern of bleeding tendencies in dengue and its corellation with platelet count and other factors requires clarification.
Methodology: A retrospective study on bleeding tendencies in adults with dengue and platelet counts of less than 100,000 per mm3 was conducted. Factors associated with bleeding were analyzed. The study cohort were grouped as dengue with severe thrombocytopenia when platelet count was < 50,000/mm3 and as dengue with moderate thrombocytopenia if platelet count was 50,000–100,000/mm3
Results: A total of 638 patients formed the study cohort. A 24.1% prevalence of bleeding tendencies was observed. Prior anti-platelet drug intake, platelet count of < 70,000/mm3, international normalized ratio > 2.0, and partial thromboplastin time > 60 seconds were associated with bleeding. Esophagogastroduodenoscopy was found to identify structural gastroduodenal lesions when dengue was complicated by hematemesis or melena.
Conclusions: The results of this study suggest that bleeding complications in dengue can occur at platelet counts of up to 70,000/mm3, and that prior anti-platelet drug intake increases bleeding risk. Evaluation of hematemesis or melena in dengue with esophagogastroduodenoscopy is beneficial.
|
| format | Article |
| id | doaj-art-21a2f5ec0aa14d1fbfdac53fee534491 |
| institution | Kabale University |
| issn | 1972-2680 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-21a2f5ec0aa14d1fbfdac53fee5344912025-08-20T03:52:42ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802015-01-0190110.3855/jidc.5031Prevalence, patterns, and factors associated with bleeding tendencies in dengueEmmanuel Bhaskar0Gopalan Sowmya1Swathy Moorthy2Varun Sundar3Sri Ramachandra Medical College and Research Institute, Chennai, IndiaSri Ramachandra Medical College and Research Institute, Chennai, IndiaSri Ramachandra Medical College and Research Institute, Chennai, IndiaSri Ramachandra Medical College and Research Institute, Chennai, IndiaIntroduction: The pattern of bleeding tendencies in dengue and its corellation with platelet count and other factors requires clarification. Methodology: A retrospective study on bleeding tendencies in adults with dengue and platelet counts of less than 100,000 per mm3 was conducted. Factors associated with bleeding were analyzed. The study cohort were grouped as dengue with severe thrombocytopenia when platelet count was < 50,000/mm3 and as dengue with moderate thrombocytopenia if platelet count was 50,000–100,000/mm3 Results: A total of 638 patients formed the study cohort. A 24.1% prevalence of bleeding tendencies was observed. Prior anti-platelet drug intake, platelet count of < 70,000/mm3, international normalized ratio > 2.0, and partial thromboplastin time > 60 seconds were associated with bleeding. Esophagogastroduodenoscopy was found to identify structural gastroduodenal lesions when dengue was complicated by hematemesis or melena. Conclusions: The results of this study suggest that bleeding complications in dengue can occur at platelet counts of up to 70,000/mm3, and that prior anti-platelet drug intake increases bleeding risk. Evaluation of hematemesis or melena in dengue with esophagogastroduodenoscopy is beneficial. https://jidc.org/index.php/journal/article/view/5031denguethrombocytopeniableedingprevalence |
| spellingShingle | Emmanuel Bhaskar Gopalan Sowmya Swathy Moorthy Varun Sundar Prevalence, patterns, and factors associated with bleeding tendencies in dengue Journal of Infection in Developing Countries dengue thrombocytopenia bleeding prevalence |
| title | Prevalence, patterns, and factors associated with bleeding tendencies in dengue |
| title_full | Prevalence, patterns, and factors associated with bleeding tendencies in dengue |
| title_fullStr | Prevalence, patterns, and factors associated with bleeding tendencies in dengue |
| title_full_unstemmed | Prevalence, patterns, and factors associated with bleeding tendencies in dengue |
| title_short | Prevalence, patterns, and factors associated with bleeding tendencies in dengue |
| title_sort | prevalence patterns and factors associated with bleeding tendencies in dengue |
| topic | dengue thrombocytopenia bleeding prevalence |
| url | https://jidc.org/index.php/journal/article/view/5031 |
| work_keys_str_mv | AT emmanuelbhaskar prevalencepatternsandfactorsassociatedwithbleedingtendenciesindengue AT gopalansowmya prevalencepatternsandfactorsassociatedwithbleedingtendenciesindengue AT swathymoorthy prevalencepatternsandfactorsassociatedwithbleedingtendenciesindengue AT varunsundar prevalencepatternsandfactorsassociatedwithbleedingtendenciesindengue |