NEW DELHI: Indian Medical Association released dengue guidelines and said not to panic on Wednesday. The present serotype is less fatal than the one in 2013 said IMA.
Dr KK Aggarwal, honorary secretary general of IMA said that only suspected severe dengue cases needs medical attention and admission. Most can be managed as OPD care. IMA said no to platelet transfusion unless patient has active bleed and count less than 10,000.
Platelets counts by machine readings are no reliable and can have an error of upto 40,000.
The reliable test is haematocrit and not platelet count. Most cases can be manages without testing by only measuring difference between upper and lower blood pressure. The pulse pressure should be kept over 40 mm Hg.
IMA also appealed to the public not to panic and not to force doctors to admit unless it is important.
"Do not fill beds with patients not requiring admission. Make beds available for severe dengue cases," added Aggarwal.
Dr VK Monga and Dr RN Tandon from IMA said that most dengue patients can be managed with oral fluids.
* Additionally, hospitalization should be considered for patients who may have difficulties with outpatient follow-up or with timely self-referral should complications develop (eg, patients who live alone or who live far from a healthcare facility without a reliable means of transport)
— Blood replacement should be performed with 5 mL/kg of packed red blood cells (or 10 mL/kg whole blood)
Patients with dengue should be cautioned to maintain their fluid intake to avoid dehydration and to take paracetamol as needed for fevers and myalgias. Aspirin or nonsteroidal antiinflammatory agents should generally be avoided.