Findings of the Peripheral Blood Smear in Patient Suspected with Sepsis Admitted in Emergency Department
Iranian Journal of Emergency Medicine,
Vol. 6 No. 1 (2019),
23 February 2019
,
Page e2
https://doi.org/10.22037/ijem.v6i1.22292
Abstract
Introduction: Determination of good diagnostic tools is an issue of importance specially to differentiate between sepsis etiologies and improvement of prognosis. Hence our purpose was to determine the finding of the peripheral blood smear (PBS) in patients with suspected of sepsis and its association with the final diagnosis in the year 1396. Methods: In this cross-sectional comparative survey, 348 consecutive patients with suspected of sepsis admitted in emergency department of Shohaday-e-Tajrish Hospital were enrolled and the association of finding of the peripheral blood smear in patients with the final diagnosis in the year 1396 were determined. Results: The results in this study demonstrated that pneumonia and urinary tract infection were seen in 29% and 18.1%. Thrombocytopenia (p=0.000), thrombocytosis (p=0.032), and abnormal morphology (p=0.049) were related to final diagnosis. Conclusion: Totally, according to the obtained results it may be concluded that platelet count and PBS morphology are important related factors for sepsis.
- Diagnosis
- Emergency Service, Hospital
- Sepsis
- Peripheral blood smear
How to Cite
References
Stevenson EK, Rubenstein AR, Radin GT, Wiener RS, Walkey AJ. Two decades of mortality trends among patients with severe sepsis: a comparative meta-analysis. Critical care medicine. 2014;42(3):625-31.
Control CfD, Prevention. Making Healthcare Safer: Think Sepsis. Time Matters, August. 2016.
Vincent J-L, Opal SM, Marshall JC, Tracey KJ. Sepsis definitions: time for change. Lancet (London, England). 2013;381(9868):774-5.
Banez E. Hematologic response to acute inflammation: the band neutrophil revisited. Texas medicine. 1990;86(4):26-8.
Cavallazzi R, Bennin C-L, Hirani A, Gilbert C, Marik PE. Review of A Large Clinical Series: Is the Band Count Useful in the Diagnosis of Infection? An Accuracy Study in Critically Ill Patients. Journal of intensive care medicine. 2010;25(6):353-7.
Goyette RE, Key NS, Ely EW, editors. Hematologic changes in sepsis and their therapeutic implications. Seminars in respiratory and critical care medicine; 2004: Copyright© 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New ….
Mare TA, Treacher DF, Shankar-Hari M, Beale R, Lewis SM, Chambers DJ, et al. The diagnostic and prognostic significance of monitoring blood levels of immature neutrophils in patients with systemic inflammation. Critical Care. 2015;19(1).
Novosad SA, Sapiano MR, Grigg C, Lake J, Robyn M, Dumyati G, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morbidity and mortality weekly report. 2016;65(33):864-9.
Ikegaya S, Tai K, Shigemi H, Iwasaki H, Okada T, Ueda T. Fulminant candidemia diagnosed by prompt detection of pseudohyphae in a peripheral blood smear. The American journal of the medical sciences. 2012;343(5):419.
Lambert J, Fernandez N, Roy MF. Association of presence of band cells and toxic neutrophils with systemic inflammatory response syndrome and outcome in horses with acute disease. Journal of veterinary internal medicine. 2016;30(4):1284-92.
- Abstract Viewed: 6275 times
- PDF (فارسی) Downloaded: 377 times
- HTML (فارسی) Downloaded: 166 times