Platelet and mean platelet volume kinetics in adult patients with sepsis.

Abstract:

:The aims of this study were to evaluate the kinetics of platelet counts and mean platelet volume (MPV) in adults with sepsis and to determine whether the responses are infection-specific. This retrospective cohort study included patients admitted to a tertiary-care teaching hospital with microbiologically proven nosocomial sepsis between January 2006 and January 2011. Platelet counts and MPV measurements were examined daily for 5 days after the onset of sepsis. During the study period, 151 of the 214 sepsis episodes were associated with thrombocytopenia. Gram-positive microorganisms were the most frequently isolated. The decrease in platelet counts was statistically significant for the first 3 days of sepsis in Gram-positive septic patients, for 4 days in Gram-negative septic patients and for all 5 days in fungal septic patients (p < 0.001). The increase in MPV values was statistically significant for the first 3 days of sepsis in Gram-positive septic patients and for all 5 days in the other groups (p < 0.001). We conclude that fungal sepsis has a stronger association with thrombocytopenia and increased MPV.

journal_name

Platelets

journal_title

Platelets

authors

Aydemir H,Piskin N,Akduman D,Kokturk F,Aktas E

doi

10.3109/09537104.2012.701027

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

331-5

issue

4

eissn

0953-7104

issn

1369-1635

journal_volume

26

pub_type

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