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Do not panic if platelets are low in dengue, doctors are giving these reasons

Highlights:

  • Sharp increase in dengue cases in many states of the country
  • Patients are taken to the hospital due to low platelets
  • Doctors say low platelet count does not indicate severity of dengue
  • It is advised to report immediately if fever or other symptoms persist for more than 2 days

At present, dengue is wreaking havoc in many states of the country. Many hospitals are full of dengue patients. Due to which the demand for platelets has also increased at present. Platelets play an important role in clotting and bleeding, along with leukocytes and blood cells. Platelet counts are usually 1.5 to 4 million per microliter. According to doctors, platelets are destroyed rapidly in dengue and the process of formation of new platelets slows down, due to which there is a shortage of platelets in the person’s body.

Patients want to be admitted to hospice even when they are not needed due to low platelets

According to doctors, low platelets and internal bleeding or rashes at the time of transfusion (transfusion of one man’s blood into another) are more important for patients to avoid preventive transfusions. Senior Consultant at Dr. Apollo Hospitals in Pulmonary and Critical Care. Rajesh Chawla said that even though the dengue cases are not alarming, the patients still demand hospitalization and the main reason behind this is the low platelet count.

This has been revealed in a study by AMSO

Delhi AIIMS had published a report in 2016 in the Open Forum on Infusion of Diseases which stated that despite normal platelet count, 10 per cent of the patients were found to have bleeding, which was fatal. On the other hand, 15% of patients had a platelet count of 10,000/mm3, which is considered very low, although they did not show any bleeding. The report was published on the basis of analysis of clinical and laboratory data of 369 dengue patients admitted to AIIMS between August 2015 and November 2015.

There is a risk of infection at the time of transfusion

Dr. Jyoti Kotwal, Chairman, Department of Hematology, Sir Ganga Ram Hospital, Delhi said that the risk of infection or infection is high while donating blood. Platelet transfusion is not needed much in our hospital. We first perform a platelet abrasion test to determine whether the patient requires a platelet transfusion. This test counts newly formed platelets, which more accurately reflects the severity of dengue.

Patients should not delay investigation

While the Director of Internal Medicine, Ram Saket Hospital, Delhi, Dr. According to Rommel Tiku, a 20,000 low platelet count, shortness of breath, internal bleeding and rashes are serious signs of dengue, and require immediate hospitalization or treatment. He said that most patients recover with supportive therapy. And it is very important to take plenty of water or fluids. At the same time, he said that patients should not delay in the investigation. As we have seen, patients wait 5-6 days at home even if they have fever, and are later hospitalized with severe symptoms. He advised that if fever and other symptoms persist for 2 days, the patient should be tested immediately so that he can get timely treatment and diagnosis.

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