Predictive value of thrombocytopenia for bloodstream infection in patients with sepsis and septic shock.
World J Crit Care Med
; 13(1): 88540, 2024 Mar 09.
Article
in En
| MEDLINE
| ID: mdl-38633475
ABSTRACT
BACKGROUND:
Thrombocytopenia is common in patients with sepsis and septic shock.AIM:
To analyse the decrease in the number of platelets for predicting bloodstream infection in patients with sepsis and septic shock in the intensive care unit.METHODS:
A retrospective analysis of patients admitted with sepsis and septic shock in Xingtai People Hospital was revisited. Patient population characteristics and laboratory data were collected for analysis.RESULTS:
The study group consisted of 85 (39%) inpatients with bloodstream infection, and the control group consisted of 133 (61%) with negative results or contamination. The percentage decline in platelet counts (PPCs) in patients positive for pathogens [57.1 (41.3-74.6)] was distinctly higher than that in the control group [18.2 (5.1-43.1)] (P < 0.001), whereas the PPCs were not significantly different among those with gram-positive bacteraemia, gram-negative bacteraemia, and fungal infection. Using receiver operating characteristic curves, the area under the curve of the platelet drop rate was 0.839 (95%CI 0.783-0.895).CONCLUSION:
The percentage decline in platelet counts is sensitive in predicting bloodstream infection in patients with sepsis and septic shock. However, it cannot identify gram-positive bacteraemia, gram-negative bacteraemia, and fungal infection.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
World J Crit Care Med
Year:
2024
Document type:
Article
Affiliation country: