Unique characteristics of new complete blood count parameters, the Immature Platelet Fraction and the Immature Platelet Fraction Count, in dengue patients

The advanced platelet parameters Immature Platelet Fraction and Immature Platelet Fraction Count have been implemented in clinical practice as measures of thrombopoietic activity, mainly in hematologic disorders that cause thrombocytopenia. The purpose of this observational study was to examine thro...

Full description

Bibliographic Details
Main Authors: Ikkoh Yasuda, Nobuo Saito, Motoi Suzuki, Dorcas Valencia Umipig, Rontgene M. Solante, Ferdinand De Guzman, Ana Ria Sayo, Michio Yasunami, Nobuo Koizumi, Emi Kitashoji, Kentaro Sakashita, Chris Fook Sheng Ng, Chris Smith, Koya Ariyoshi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559939/?tool=EBI
_version_ 1818836415662784512
author Ikkoh Yasuda
Nobuo Saito
Motoi Suzuki
Dorcas Valencia Umipig
Rontgene M. Solante
Ferdinand De Guzman
Ana Ria Sayo
Michio Yasunami
Nobuo Koizumi
Emi Kitashoji
Kentaro Sakashita
Chris Fook Sheng Ng
Chris Smith
Koya Ariyoshi
author_facet Ikkoh Yasuda
Nobuo Saito
Motoi Suzuki
Dorcas Valencia Umipig
Rontgene M. Solante
Ferdinand De Guzman
Ana Ria Sayo
Michio Yasunami
Nobuo Koizumi
Emi Kitashoji
Kentaro Sakashita
Chris Fook Sheng Ng
Chris Smith
Koya Ariyoshi
author_sort Ikkoh Yasuda
collection DOAJ
description The advanced platelet parameters Immature Platelet Fraction and Immature Platelet Fraction Count have been implemented in clinical practice as measures of thrombopoietic activity, mainly in hematologic disorders that cause thrombocytopenia. The purpose of this observational study was to examine thrombopoiesis as reflected by these 2 new CBC parameters in patients infected with dengue. The study was conducted in infectious disease referral hospital in Metro Manila, the Philippines. We enrolled hospitalized patients at admission who were diagnosed with acute dengue or community acquired bacterial infection (CABI). Immature Platelet Fraction (IPF) and Immature Platelet Fraction Count were evaluated at admission and during hospitalization. A total of 606 patients were enrolled from May 1, 2017 to June 1, 2018. The participants consisted of 152 patients with dengue infection, 180 confirmed CABI, and 274 suspected CABI patients. At admission, the percent IPF (IPF%) of the patients with dengue was significantly higher than that of the confirmed CABI patients (median 3.7% versus 1.9%; p <0.001). In a time course evaluation, there was no significant difference of IPF% between the patients with dengue infection and the confirmed CABI patients in the febrile phase (median 1.9% versus 2.4%; p = 0.488), however, the IPF% of the patients with dengue infection increased to be significantly higher than that of the confirmed CABI patients in the critical phase (median 5.2% versus 2.2%; p <0.001). Our study elucidated the unique characteristics and time-course trends of IPF percent and number (IPF#) in the patients with dengue infection. IPF% and IPF# are potentially valuable parameters in dengue and further investigation is required for the optimal use in clinical practice.
first_indexed 2024-12-19T03:06:15Z
format Article
id doaj.art-78cc926f1f224daf975543ab8a259352
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-19T03:06:15Z
publishDate 2021-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-78cc926f1f224daf975543ab8a2593522022-12-21T20:38:06ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011611Unique characteristics of new complete blood count parameters, the Immature Platelet Fraction and the Immature Platelet Fraction Count, in dengue patientsIkkoh YasudaNobuo SaitoMotoi SuzukiDorcas Valencia UmipigRontgene M. SolanteFerdinand De GuzmanAna Ria SayoMichio YasunamiNobuo KoizumiEmi KitashojiKentaro SakashitaChris Fook Sheng NgChris SmithKoya AriyoshiThe advanced platelet parameters Immature Platelet Fraction and Immature Platelet Fraction Count have been implemented in clinical practice as measures of thrombopoietic activity, mainly in hematologic disorders that cause thrombocytopenia. The purpose of this observational study was to examine thrombopoiesis as reflected by these 2 new CBC parameters in patients infected with dengue. The study was conducted in infectious disease referral hospital in Metro Manila, the Philippines. We enrolled hospitalized patients at admission who were diagnosed with acute dengue or community acquired bacterial infection (CABI). Immature Platelet Fraction (IPF) and Immature Platelet Fraction Count were evaluated at admission and during hospitalization. A total of 606 patients were enrolled from May 1, 2017 to June 1, 2018. The participants consisted of 152 patients with dengue infection, 180 confirmed CABI, and 274 suspected CABI patients. At admission, the percent IPF (IPF%) of the patients with dengue was significantly higher than that of the confirmed CABI patients (median 3.7% versus 1.9%; p <0.001). In a time course evaluation, there was no significant difference of IPF% between the patients with dengue infection and the confirmed CABI patients in the febrile phase (median 1.9% versus 2.4%; p = 0.488), however, the IPF% of the patients with dengue infection increased to be significantly higher than that of the confirmed CABI patients in the critical phase (median 5.2% versus 2.2%; p <0.001). Our study elucidated the unique characteristics and time-course trends of IPF percent and number (IPF#) in the patients with dengue infection. IPF% and IPF# are potentially valuable parameters in dengue and further investigation is required for the optimal use in clinical practice.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559939/?tool=EBI
spellingShingle Ikkoh Yasuda
Nobuo Saito
Motoi Suzuki
Dorcas Valencia Umipig
Rontgene M. Solante
Ferdinand De Guzman
Ana Ria Sayo
Michio Yasunami
Nobuo Koizumi
Emi Kitashoji
Kentaro Sakashita
Chris Fook Sheng Ng
Chris Smith
Koya Ariyoshi
Unique characteristics of new complete blood count parameters, the Immature Platelet Fraction and the Immature Platelet Fraction Count, in dengue patients
PLoS ONE
title Unique characteristics of new complete blood count parameters, the Immature Platelet Fraction and the Immature Platelet Fraction Count, in dengue patients
title_full Unique characteristics of new complete blood count parameters, the Immature Platelet Fraction and the Immature Platelet Fraction Count, in dengue patients
title_fullStr Unique characteristics of new complete blood count parameters, the Immature Platelet Fraction and the Immature Platelet Fraction Count, in dengue patients
title_full_unstemmed Unique characteristics of new complete blood count parameters, the Immature Platelet Fraction and the Immature Platelet Fraction Count, in dengue patients
title_short Unique characteristics of new complete blood count parameters, the Immature Platelet Fraction and the Immature Platelet Fraction Count, in dengue patients
title_sort unique characteristics of new complete blood count parameters the immature platelet fraction and the immature platelet fraction count in dengue patients
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559939/?tool=EBI
work_keys_str_mv AT ikkohyasuda uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT nobuosaito uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT motoisuzuki uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT dorcasvalenciaumipig uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT rontgenemsolante uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT ferdinanddeguzman uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT anariasayo uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT michioyasunami uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT nobuokoizumi uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT emikitashoji uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT kentarosakashita uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT chrisfookshengng uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT chrissmith uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients
AT koyaariyoshi uniquecharacteristicsofnewcompletebloodcountparameterstheimmatureplateletfractionandtheimmatureplateletfractioncountindenguepatients