PLATELET COUNT: A PROGNOSTIC INDICATOR IN EARLY DETECTION OF POST BURN SEPTICEMIA
Pushpa Ashok Kamble, Mayuri Khobragade Kamble, Ashok Tarachand Kamble, Pratik Abhishek*, Priyansh Pandey
ABSTRACT
Introduction: Sepsis remains major cause of death in burn patients. Once patient undergoes septicemia it can lead to SIRS followed by MODS with death as an ultimate effect. Burn patients can only be saved in early phases of septicemia which requires sensitive parameter to detect early septicemia. Platelets play an important role in severe hemostasis disorders and immune response impairments in burn patients. In the present study we have used platelet count as an indicator for detection of early septicemia. Material and methods: 66 patients of with 20% to 70% burns were included in a period of 2 years. Platelet count and other investigations were done on 1st, 3rd, 7th, 14th & 21st days. Results: Mean platelet count in survivors and non-survivors was 1.95 lac/c.mm - 2.25 lac/c.mm and 1.15 lac/c.mm - 1.98 lac/c. mm respectively. Discussion and conclusion: Rebound rise in platelet count on the subsequent post-burn days occurs in survivors while declining trend is maintained till the death of the patients in case of nonsurvivors. Platelet count on any post-burn day is not dependent on the extent of the burn injury but depends on sepsis in burns. The monitoring of the platelet count is of great importance during the resuscitation and care of severely burned patients.
Keywords: platelet, sepsis, septicaemia.
[Full Text Article]
[Download Certificate]
Impact Factor : 8.181 
