This group includes those with warning signs, co-morbid conditions or social situations where adequate home care cannot be ensured. Those without warning signs should be treated with oral fluids or just enough fluids to ensure good perfusion and should be monitored closely.
Choice of intravenous fluids.
Most studies on the role of different fluids in the treatment of dengue infection found no difference in terms of recovery from shock or outcome, although colloids have been reported to provide the most rapid normalisation of the haematocrit and restoration of the cardiac index, without adverse effects.The current WHO guidelines recommend the use of either isotonic crystalloid or colloid fluids for the treatment of hypotensive shock.