Relationship between age and peripheral white blood cell count in patients with sepsis

Objectives: Total white blood cells (WBCs) decrease slightly in the elderly. In response to an acute infection, the number of WBCs increases and in sepsis, the increase is very dramatic. There are some reports about the effects of increased number of WBCs as a predisposing factor of bacteremia. An a...

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Main Authors: Zohreh Aminzadeh, Elham Parsa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2011;volume=2;issue=4;spage=238;epage=242;aulast=Aminzadeh
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author Zohreh Aminzadeh
Elham Parsa
author_facet Zohreh Aminzadeh
Elham Parsa
author_sort Zohreh Aminzadeh
collection DOAJ
description Objectives: Total white blood cells (WBCs) decrease slightly in the elderly. In response to an acute infection, the number of WBCs increases and in sepsis, the increase is very dramatic. There are some reports about the effects of increased number of WBCs as a predisposing factor of bacteremia. An association between neutrophilia and eucopenia and increased mortality rate in the elderly has also been observed. We compared peripheral WBC counts in young and elderly patients with sepsis. Methods: A case-control study was carried out on 130 admitted patients who were divided into two groups based on age, ≥ 65 years (case group) and < 65 years (control group). All patients were hospitalized with the diagnosis of sepsis in two teaching hospitals in Tehran, Iran, 2001-2006. Results: Mean WBC counts at admission time were 17061.5 ± 14240.2 /μl in the case group and 13567.7 ± 9888.0 /ml in the control group. There were statistically significant associations between age and history of infection and history of hospitalization during the last month in the case group and also between age and source of infection (P < 0.05). Conclusions: The history of infection and the history of hospitalization during the last month with sepsis are important risk factors in elders.
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spelling doaj.art-98a5fcb9f9f5488ca176e8f96941d1a82022-12-22T02:20:28ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132011-01-0124238242Relationship between age and peripheral white blood cell count in patients with sepsisZohreh AminzadehElham ParsaObjectives: Total white blood cells (WBCs) decrease slightly in the elderly. In response to an acute infection, the number of WBCs increases and in sepsis, the increase is very dramatic. There are some reports about the effects of increased number of WBCs as a predisposing factor of bacteremia. An association between neutrophilia and eucopenia and increased mortality rate in the elderly has also been observed. We compared peripheral WBC counts in young and elderly patients with sepsis. Methods: A case-control study was carried out on 130 admitted patients who were divided into two groups based on age, ≥ 65 years (case group) and < 65 years (control group). All patients were hospitalized with the diagnosis of sepsis in two teaching hospitals in Tehran, Iran, 2001-2006. Results: Mean WBC counts at admission time were 17061.5 ± 14240.2 /μl in the case group and 13567.7 ± 9888.0 /ml in the control group. There were statistically significant associations between age and history of infection and history of hospitalization during the last month in the case group and also between age and source of infection (P < 0.05). Conclusions: The history of infection and the history of hospitalization during the last month with sepsis are important risk factors in elders.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2011;volume=2;issue=4;spage=238;epage=242;aulast=AminzadehSepsisLeukocytosisElderly
spellingShingle Zohreh Aminzadeh
Elham Parsa
Relationship between age and peripheral white blood cell count in patients with sepsis
International Journal of Preventive Medicine
Sepsis
Leukocytosis
Elderly
title Relationship between age and peripheral white blood cell count in patients with sepsis
title_full Relationship between age and peripheral white blood cell count in patients with sepsis
title_fullStr Relationship between age and peripheral white blood cell count in patients with sepsis
title_full_unstemmed Relationship between age and peripheral white blood cell count in patients with sepsis
title_short Relationship between age and peripheral white blood cell count in patients with sepsis
title_sort relationship between age and peripheral white blood cell count in patients with sepsis
topic Sepsis
Leukocytosis
Elderly
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2011;volume=2;issue=4;spage=238;epage=242;aulast=Aminzadeh
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