Neonatal Thrombocytopenia: Diagnostic Approach and Platelet Transfusion Guideline

Neonatal thrombocytopenia, defined as platelet counts of less than 150,000/µL, is a frequent hematologic abnormality in neonatal period. Differential diagnosis of neonatal thrombocytopenia may be challenging to pediatric hematologists and neonatologists because neonatal thrombocytopenia is associate...

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Main Authors: Ji Sook Kim, Ji Yoon Kim
Format: Article
Language:English
Published: The Korean Society of Pediatric Hematology-Oncology 2019-10-01
Series:Clinical Pediatric Hematology-Oncology
Subjects:
Online Access:https://doi.org/10.15264/cpho.2019.26.2.67
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author Ji Sook Kim
Ji Yoon Kim
author_facet Ji Sook Kim
Ji Yoon Kim
author_sort Ji Sook Kim
collection DOAJ
description Neonatal thrombocytopenia, defined as platelet counts of less than 150,000/µL, is a frequent hematologic abnormality in neonatal period. Differential diagnosis of neonatal thrombocytopenia may be challenging to pediatric hematologists and neonatologists because neonatal thrombocytopenia is associated with diverse maternal or neonatal clinical conditions. An accurate diagnosis for neonatal thrombocytopenia will lead to appropriate evaluation and management. Platelet transfusion is the primary management of neonatal thrombocytopenia. Most thrombocytopenic newborns received platelet concentrates to prevent major hemorrhage or treat ongoing bleeding according to institutional policy. However, scientific evidences for benefit and consistent guideline for platelet transfusion in neonates are lacking, further investigation to establish the standard recommendation for platelet transfusion is needed. This article reviewed the diagnostic approach and current guideline for platelet transfusion management for neonatal thrombocytopenia.
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spelling doaj.art-764748246ee24ca1bd71f829d4767c112022-12-21T23:07:26ZengThe Korean Society of Pediatric Hematology-OncologyClinical Pediatric Hematology-Oncology2233-52502019-10-01262677610.15264/cpho.2019.26.2.67cpho.2019.26.2.67Neonatal Thrombocytopenia: Diagnostic Approach and Platelet Transfusion GuidelineJi Sook Kim0Ji Yoon Kim1Department of Pediatrics, School of Medicine, Kyungpook National University, Daegu, KoreaDepartment of Pediatrics, School of Medicine, Kyungpook National University, Daegu, KoreaNeonatal thrombocytopenia, defined as platelet counts of less than 150,000/µL, is a frequent hematologic abnormality in neonatal period. Differential diagnosis of neonatal thrombocytopenia may be challenging to pediatric hematologists and neonatologists because neonatal thrombocytopenia is associated with diverse maternal or neonatal clinical conditions. An accurate diagnosis for neonatal thrombocytopenia will lead to appropriate evaluation and management. Platelet transfusion is the primary management of neonatal thrombocytopenia. Most thrombocytopenic newborns received platelet concentrates to prevent major hemorrhage or treat ongoing bleeding according to institutional policy. However, scientific evidences for benefit and consistent guideline for platelet transfusion in neonates are lacking, further investigation to establish the standard recommendation for platelet transfusion is needed. This article reviewed the diagnostic approach and current guideline for platelet transfusion management for neonatal thrombocytopenia.https://doi.org/10.15264/cpho.2019.26.2.67neonateinfantthrombocytopeniaplateletstransfusion
spellingShingle Ji Sook Kim
Ji Yoon Kim
Neonatal Thrombocytopenia: Diagnostic Approach and Platelet Transfusion Guideline
Clinical Pediatric Hematology-Oncology
neonate
infant
thrombocytopenia
platelets
transfusion
title Neonatal Thrombocytopenia: Diagnostic Approach and Platelet Transfusion Guideline
title_full Neonatal Thrombocytopenia: Diagnostic Approach and Platelet Transfusion Guideline
title_fullStr Neonatal Thrombocytopenia: Diagnostic Approach and Platelet Transfusion Guideline
title_full_unstemmed Neonatal Thrombocytopenia: Diagnostic Approach and Platelet Transfusion Guideline
title_short Neonatal Thrombocytopenia: Diagnostic Approach and Platelet Transfusion Guideline
title_sort neonatal thrombocytopenia diagnostic approach and platelet transfusion guideline
topic neonate
infant
thrombocytopenia
platelets
transfusion
url https://doi.org/10.15264/cpho.2019.26.2.67
work_keys_str_mv AT jisookkim neonatalthrombocytopeniadiagnosticapproachandplatelettransfusionguideline
AT jiyoonkim neonatalthrombocytopeniadiagnosticapproachandplatelettransfusionguideline