CONTROL OF ORAL BLEEDING IN A HOSPITAL ENVIRONMENT FOR PATIENTS WITH YELLOW FEVER: PROTOCOL PROPOSAL

Abstract

Objective: The objective of this study was to provide basic information about yellow fever (YF) and to suggest specific dental care protocols in a hospital environment for these patients. There are still no published studies on dental treatment and oral bleeding control in patients with YF, nor are there reliable parameters of laboratory tests for the care of these patients. Study Design: We searched for articles with the key words: "yellow fever"; "symptoms" and "yellow fever"; and "clinical manifestation" on the PubMed platform between 2000 and 2018. Results: Eight articles were found, but no relation was found regarding dental behavior and YF. Conclusion: Patients with YF may present hemorrhagic pictures with involvement in the oral cavity. If an intervention is necessary, an evaluation of the laboratory tests should be carried out in an attempt to define the risk of bleeding. By correlation, we used hemostasis protocols defined in the literature for patients at risk of bleeding, based on local hemostatic means, with tranexamic acid being the most used. The understanding of pathology and local hemostatic means are fundamental for the reduction of hemorrhagic intercurrences. Objective: The objective of this study was to provide basic information about yellow fever (YF) and to suggest specific dental care protocols in a hospital environment for these patients. There are still no published studies on dental treatment and oral bleeding control in patients with YF, nor are there reliable parameters of laboratory tests for the care of these patients. Study Design: We searched for articles with the key words: "yellow fever"; "symptoms" and "yellow fever"; and "clinical manifestation" on the PubMed platform between 2000 and 2018. Results: Eight articles were found, but no relation was found regarding dental behavior and YF. Conclusion: Patients with YF may present hemorrhagic pictures with involvement in the oral cavity. If an intervention is necessary, an evaluation of the laboratory tests should be carried out in an attempt to define the risk of bleeding. By correlation, we used hemostasis protocols defined in the literature for patients at risk of bleeding, based on local hemostatic means, with tranexamic acid being the most used. The understanding of pathology and local hemostatic means are fundamental for the reduction of hemorrhagic intercurrences.