The tolerability and efficacy of oral isotonic solution versus plain water in dengue patients: A randomized clinical trial

Background: Plasma leakage plays an important role in dengue infection, and this condition can lead to hemoconcentration, hypovolemia, and shock. Fluid replacement is the main treatment for dengue. There is a lack of evidence to support certain oral fluid therapy as a treatment for dengue patients....

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Main Authors: Leonard Nainggolan, Saptawati Bardosono, Ermita I Ibrahim Ilyas
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Journal of Community Medicine
Subjects:
Online Access:http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2018;volume=43;issue=1;spage=29;epage=33;aulast=Nainggolan
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author Leonard Nainggolan
Saptawati Bardosono
Ermita I Ibrahim Ilyas
author_facet Leonard Nainggolan
Saptawati Bardosono
Ermita I Ibrahim Ilyas
author_sort Leonard Nainggolan
collection DOAJ
description Background: Plasma leakage plays an important role in dengue infection, and this condition can lead to hemoconcentration, hypovolemia, and shock. Fluid replacement is the main treatment for dengue. There is a lack of evidence to support certain oral fluid therapy as a treatment for dengue patients. Objectives: The objective of this study is to evaluate tolerability and efficacy of oral isotonic solution (OIS) compared to plain water as a fluid replacement in dengue patients. Materials and Methods: A randomized, clinical trial with single-blinded groups was conducted to compare tolerability and efficacy of OIS and plain water in dengue patients. We evaluated gastrointestinal disturbances (nausea, vomiting, and bloating), body temperature, mean arterial pressure (MAP), fluid balance, hematocrit, Na+, and K+ levels. Data were analyzed with SPSS 20.0, and figures were made with GraphPad Prism version 5.01. Results: Twenty four subjects were included and divided equally into two groups. Our results showed that there are no significant differences but indicate several noteworthy trends. The intervention group (OIS) experienced less nausea, less vomiting, had positive fluid balance and higher MAP, and became afebrile faster compared to the control group (plain water). Conclusion: Although not statistically significant, this study shows the trend that OIS is well-tolerated and effective for dengue patients compared to plain water.
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spelling doaj.art-e541fc15cae044ae898a0de2651b70f32022-12-22T02:04:04ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812018-01-01431293310.4103/ijcm.IJCM_377_16The tolerability and efficacy of oral isotonic solution versus plain water in dengue patients: A randomized clinical trialLeonard NainggolanSaptawati BardosonoErmita I Ibrahim IlyasBackground: Plasma leakage plays an important role in dengue infection, and this condition can lead to hemoconcentration, hypovolemia, and shock. Fluid replacement is the main treatment for dengue. There is a lack of evidence to support certain oral fluid therapy as a treatment for dengue patients. Objectives: The objective of this study is to evaluate tolerability and efficacy of oral isotonic solution (OIS) compared to plain water as a fluid replacement in dengue patients. Materials and Methods: A randomized, clinical trial with single-blinded groups was conducted to compare tolerability and efficacy of OIS and plain water in dengue patients. We evaluated gastrointestinal disturbances (nausea, vomiting, and bloating), body temperature, mean arterial pressure (MAP), fluid balance, hematocrit, Na+, and K+ levels. Data were analyzed with SPSS 20.0, and figures were made with GraphPad Prism version 5.01. Results: Twenty four subjects were included and divided equally into two groups. Our results showed that there are no significant differences but indicate several noteworthy trends. The intervention group (OIS) experienced less nausea, less vomiting, had positive fluid balance and higher MAP, and became afebrile faster compared to the control group (plain water). Conclusion: Although not statistically significant, this study shows the trend that OIS is well-tolerated and effective for dengue patients compared to plain water.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2018;volume=43;issue=1;spage=29;epage=33;aulast=NainggolanDengueoral fluid therapyoral isotonic solutionplain waterrandomized clinical trial
spellingShingle Leonard Nainggolan
Saptawati Bardosono
Ermita I Ibrahim Ilyas
The tolerability and efficacy of oral isotonic solution versus plain water in dengue patients: A randomized clinical trial
Indian Journal of Community Medicine
Dengue
oral fluid therapy
oral isotonic solution
plain water
randomized clinical trial
title The tolerability and efficacy of oral isotonic solution versus plain water in dengue patients: A randomized clinical trial
title_full The tolerability and efficacy of oral isotonic solution versus plain water in dengue patients: A randomized clinical trial
title_fullStr The tolerability and efficacy of oral isotonic solution versus plain water in dengue patients: A randomized clinical trial
title_full_unstemmed The tolerability and efficacy of oral isotonic solution versus plain water in dengue patients: A randomized clinical trial
title_short The tolerability and efficacy of oral isotonic solution versus plain water in dengue patients: A randomized clinical trial
title_sort tolerability and efficacy of oral isotonic solution versus plain water in dengue patients a randomized clinical trial
topic Dengue
oral fluid therapy
oral isotonic solution
plain water
randomized clinical trial
url http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2018;volume=43;issue=1;spage=29;epage=33;aulast=Nainggolan
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