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Prophylactic Platelets in Dengue: Survey Responses Highlight Lack of an Evidence Base

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Whitehorn, James, Roche, Romari Rodriguez, Guzman, Maria G, Martinez, Eric, Gomez, Wilmar Villamil, Nainggolan, Leonard, Laksono, Ida Safitri, Mishra, Ajay, Lum, Lucy, Faiz, Abul, Sall, Amadou, Dawurung, Joshua, Borges, Alvaro, Leo, Yee-Sin, Blumberg, Lucille, Bausch, Daniel G, Kroeger, Axel, Horstick, Olaf, Thwaites, Guy, Wertheim, Heiman, Larsson, Mattias, Hien, Tran Tinh, Peeling, Rosanna, Wills, Bridget, Simmons, Cameron and Farrar, Jeremy (2012) 'Prophylactic Platelets in Dengue: Survey Responses Highlight Lack of an Evidence Base'. PLoS Neglected Tropical Diseases, Vol 6, Issue 6, e1716.

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Abstract

Dengue is the most important arboviral infection of humans. Thrombocytopenia is frequently observed in the course of infection and haemorrhage may occur in severe disease. The degree of thrombocytopenia correlates with the severity of infection, and may contribute to the risk of haemorrhage. As a result of this prophylactic platelet transfusions are sometimes advocated for the prevention of haemorrhage. There is currently no evidence to support this practice, and platelet transfusions are costly and sometimes harmful. We conducted a global survey to assess the different approaches to the use of platelets in dengue. Respondents were all physicians involved with the treatment of patients with dengue. Respondents were asked that their answers reflected what they would do if they were the treating physician. We received responses from 306 physicians from 20 different countries. The heterogeneity of the responses highlights the variation in clinical practice and lack of an evidence base in this area and underscores the importance of prospective clinical trials to address this key question in the clinical management of patients with dengue.

Item Type: Article
Subjects: WB Practice of Medicine > Therapeutics > WB 356 Blood transfusion
WC Communicable Diseases > Virus Diseases > Infectious Mononucleosis. Arbovirus Infections > WC 528 Dengue
WH Hemic and Lymphatic Systems > Hematologic Diseases. Immunologic Factors. Blood Banks > WH 300 Blood platelets
Faculty: Department: Groups (2002 - 2012) > International Health Group
Digital Object Identifer (DOI): https://doi.org/10.1371/journal.pntd.0001716
Depositing User: Rachel Dominguez
Date Deposited: 05 Mar 2013 15:56
Last Modified: 06 Feb 2018 13:06
URI: https://archive.lstmed.ac.uk/id/eprint/3285

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