Analysis Of Etiology And Influencing Factors Of Infectious Diseases With Thrombocytopenia

Objective:Through the discussion of the etiology and risk factors of prognosis in patients with infectious diseases with thrombocytopenia,it is helpful to reduce the mortality rate and improve the prognosis of patients with clinical diagnosis,treatment and prevention of complications.Methods:Clinical and laboratory data of 203 patients with infectious diseases with thrombocytopenia who were admitted to our hospital from January 2016 to July 2018were collected,and the causes,pathogens of infection,degree of thrombocytopenia and risk factors related to clinical prognosis were analyzed retrospectively.Results:The causes of infection are mainly multi-system infections,respiratory and urinary system infections.The most common pathogens are bacterial infections,followed by viral infections and mixed infections.Common bacteria are Gram-negative bacilli mainly composed of Klebsiella pneumoniae,Escherichia coli and Bowman's complex Acinetobacter aceti.The degree of thrombocytopenia is more common in I degree,and the IV degree is rare.The thrombocytopenia caused by the virus was more obvious than that caused by bacterial infection.The difference was statistically significant(P<0.05).Patients with age?65 years,with severe underlying disease,complications,and white blood cells?12×10~9/L had a poor prognosis compared with patients without the above conditions,and the difference was statistically significant(P<0.05).By logistic regression analysis showed that an independent risk factor for age?65 years,complications with a poor prognosis for infection with thrombocytopenia.Conclusion:Patients with infection-related thrombocytopenia are most common with multi-system infections and bacterial infections,but thrombocytopenia caused by viral infections is more pronounced than bacterial infections.Age and complications are risk factors for prognosis.