ISTH Interim Guidance on Recognition and Management of Coagulopathy in COVID-19

Write By: admin Published In: ROOT Created Date: 2020-04-20 Hits: 334 Comment: 0

As the world continues the battle against the COVID-19 infections and the number of people hospitalized with severe infections increases, we would like to advise you of the interim guidelines recently released by the International Society of Thrombosis and Haemostasis (ISTH) on how health care professionals may manage bleeding disorders associated with COVID-19.  While the majority of hospitalized patients initially present with single organ failure/respiratory failure, some patients progress to more systemic disease and multiple organ failure.  The development of bleeding disorders has been found to be a marker of significantly poor prognosis in these patients.

ISTH is recommending the monitoring the following coagulation parameters in assessing the prognosis in COVID-19 patients requiring hospitalisation:

 

·       Prothrombin time (PT)

·       D-dimer, markedly increased D-dimer is associated with high mortality in COVID-19 patients

·       Fibrinogen

·       Platelet Count

 

The guidance further states “inhibiting thrombin generation may have benefit in reducing mortality.”  “The only widely available treatment in this respect is prophylactic dose low molecular weight heparin (LMWH) which should be considered in all patients (including non-critically ill) who require hospital admission for COVID-19 infection.”

 

As a supplier of routine and specialty coagulation reagents and test kits, we offer the following products for meeting the ISTH guidance:

 

·       QuikCoag™ PT-HS for measuring Prothrombin Time

·       DIMERTEST® Latex for measuring D-dimer

·       IMUCLONE™ D-dimer ELISA for measuring D-dimer

·       QuikCoag™ Fibrinogen Kit

·       ACTICHROME® Heparin (Anti-FXa) for monitoring LMW heparin levels

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