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Child kept in observation for dengue. Given Emeset and Apacillin. Does she need to stay in hospital?

Dr, My daughter who is 10 years admitted in a Hospital for the observation of Dengu fever ... how she was affected by gastric through outside the doctors are saying, they need to see for 3 full days on observation. for 2 days my child count is 1.1 Lac please guide me, whether i need to continue with the treatment of keeping my child for more than 3 days in Hospital. They are giving a dosage of emeset 2ml injection along with Apacillin 500 mg sodium powder with rantac...
Asked On : Sun, 18 Nov 2012
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Pediatrician, Neonatology 's  Response
Dengue is a fever caused by Dengue virus that is transmitted by Aedes mosquito bite. Usually dengue is a mild fever with less symptoms. But, there is a sever form of Dengue called Dengue hemorrhagic fever (DHF) which occurs in second time attack or re-infection of dengue.The danger of the disease is that it can cause derangement of blood coagulation mechanism by affecting platelet. That is why platelet count should be monitored. Symptoms are like mild to high fever, body ache, headache, skin rashes. Children often shows gastroenteritis like symptoms - nausea, vomiting, diarrhea. Close monitoring of the child is necessary to detect the early symptoms of DHF. No specific treatment is available for dengue, only symptom wise treatment and Platelet transfusion (if platelet count drops) are necessary.

Emeset is an anti-emetic (anti - vomiting) medicine. It has Injection, syrup and tablet forms. If your child has no severe vomiting symptoms, she can be given oral syrup or tablet. Ask your doctor for it.
Rantac - is used to treat acidity available in both oral syrup, tablet and injection forms.
Apacillin is a Beta lactum antibiotic(like penicillin) medicine. However, it has no role to treat Dengue which is a virus. Probably, your child has another infection (gastroenteritis ?), for which it is given.

Platelet count in blood needs to be monitored in dengue patients and special monitoring is necessary if the count falls below 1 lac / cu mm of blood. As your child has a higher count, she is in safe zone. Ask your doctor if she can be switched to all oral medicines.

If she is taking oral foods well and she has no symptoms as I mentioned, you can take her home with oral medicines. But remember, close monitoring is necessary to detect the early symptoms of DHF. Repeat platelet count at a pathology lab after 3 days of previous report.

I just tried to explain you the situation. Your pediatrician, who has examined your child, is the best person to decide next treatment plans. Please get his/her opinion about it.

Answered: Sun, 18 Nov 2012
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