SavedAdd your journal

Journals / Turkish Journal of Hematology / 2014 / Cilt: 31 - Sayı: 1

Polikliniğe Başvuran Ateşli Çocuklarda Bakteriyel Enfeksiyonu Belirlemek için CRP Düzeyi ve Lökosit Popülasyonu

Leukocyte Populations and C-Reactive Protein as Predictors of Bacterial Infections in Febrile Outpatient Children

ZÜHRE KAYA
Aynur KÜÇÜKCONGAR
DOĞUŞ VURALLI KARAOĞLAN
HAMDİ CİHAN EMEKSİZ
Türkiz GÜRSEL
Pages
49–55
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results:The mean CRP, neutrophil and immature granulocyte (IG) values were significantly higher in bacterial infections than in viral infections and controls (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Infections remain the major cause of unnecessary antibiotic use in pediatric outpatient settings.
📊
Key Findings & Data:The purpose of the study was to evaluate leukocyte populations and CRP level to predict bacterial infections in febrile outpatient children.Materials and Methods:The values of CBC by Cell-DYn 4000 autoanalyzer and serum CRP levels were evaluated in 120 febrile patients with documented infections (n:74 bacterial, n:46 viral) and 22 healthy controls.
💡
Conclusion & Impact:Results:The mean CRP, neutrophil and immature granulocyte (IG) values were significantly higher in bacterial infections than in viral infections and controls (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Infections remain the major cause of unnecessary antibiotic use in pediatric outpatient settings. Complete blood count (CBC) is the essential test in the diagnosis of infections. C-reactive protein (CRP) is also useful for assessment of young children with serious bacterial infections. The purpose of the study was to evaluate leukocyte populations and CRP level to predict bacterial infections in febrile outpatient children.Materials and Methods:The values of CBC by Cell-DYn 4000 autoanalyzer and serum CRP levels were evaluated in 120 febrile patients with documented infections (n:74 bacterial, n:46 viral) and 22 healthy controls. Results:The mean CRP, neutrophil and immature granulocyte (IG) values were significantly higher in bacterial infections than in viral infections and controls (p

Özet

Amaç:Enfeksiyonlar pediatri polikliniklerinde gereksiz antibiyotik kullanımının en önemli nedeni olmaya devam etmektedir. Tam kan sayımı (CBC) enfeksiyonların tanısında kullanılan önemli bir testtir. C-reaktif protein (CRP) ise ciddi bakteriyel enfeksiyonu olan küçük çocukların değerlendirilmesinde yararlıdır. Bu çalışmanın amacı polikliniğe başvuran ateşli çocuklarda bakteriyel enfeksiyonu ayırdetmede CRP düzeyi ve lökosit popülasyonunun önemini değerlendirmektir. Gereç ve Yöntemler:Polikliniğe başvuran 120 ateşli çocukta Cell-DYn 4000 ile analiz edilen CBC değerleri ile CRP düzeyi, 74 bakteriyel, 46 viral ve 22 kontrol grubunda değerlendirildi. Bulgular: Ortalama CRP, nötrofil ve immature granulosit (IG) değerleri bakteriyel enfeksiyonlarda, viral enfeksiyon ve kontrol grubuna göre anlamlı yüksekti (p

🔖

Cite This Article

KAYA, Z., KÜÇÜKCONGAR, A., KARAOĞLAN, D. V., EMEKSİZ, H. C., GÜRSEL, T. (2014). Polikliniğe Başvuran Ateşli Çocuklarda Bakteriyel Enfeksiyonu Belirlemek için CRP Düzeyi ve Lökosit Popülasyonu. Turkish Journal of Hematology, Cilt: 31 - Sayı: 1, 49–55. https://ajindex.com/articles/413302

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Dosh SA, Hickner JM, Mainous AG, Ebell MH. Predictors of antibiotic prescribing for nonspecific upper respiratory infections, acute bronchitis, and acute sinusitis. An UPRNet Study. J Fam Pract 2000;49:407-414
  2. Mangione-Smith R, Elliott MN, Stivers T, McDonald L, Heritage J, McGlynn EA. Racial/Ethnic variation in parent expectations for antibiotics: implications for Public Health Campaigns. Pediatrics 2004;113:385-394
  3. Mangione-Smith R, Elliott MN, Stivers T, McDonald LL, Heritage J. Ruling out the need for antibiotics: are we sending the right message? Arch Pediatr Adolesc Med 2006;160:945-952
  4. Linder JA, Schnipper JL, Tsurikova R, Volk LA, Middleton B. Self reported familiarity with acute respiratory infection quidelines and antibiotic prescribing in primary care. Int J Qual Health Care 2010;22:469-475
  5. Lorrot M, Moulin F, Coste J, Ravilly S, Guerin S, Lebon P, Lacombe C, Raymond J, Bohuon C, Gendrel D. Procalcitonin in pediatric emergencies: comparison with C-reactive protein, interleukin 6 and interferon alpha in the differentation between bacterial and viral infections. Presse Med 2000;29:128-134
  6. Putto A, Ruuskanen O, Meurman O, Ekblad H, Korvenranta H, Mertsola J, Peltola H, Sarkkinen H, Vijanen MK, Halonen P. C-reactive protein in the evaluation of febrile illness. Arch Dis Child 1986;61:24-29
  7. Isaacman DJ, Burke BL. Utility of the serum C-reactive protein for detection of occult bacterial infection in children. Arch Pediatr Adolesc Med 2002;156:905-909
  8. Al-Gwaiz LA, Babay HH. The diagnostic value of absolute neutrophil count, band count and morphologic changes of neutrophils in predicting bacterial infections. Med Princ Pract 2007;16:344-347
  9. Peltola V, Toikka P, Irjala K, Mertsola J, Ruuskanen O. Discrepancy between total white blood cell counts and serum C-reactive protein levels in febrile children. Scand J Infect Dis 2007;39:560-565. 10.Isaacman DJ, Shults J, Gross TK, Davis PH, Harper M. Predictors of bacteriemia in febrile children 3 to 36 months of age. Pediatrics 2000;106:977-982
  10. Pulliam PN, Attia MW, Cronan KM. C-reactive protein in febrile children 1 to 36 months of age with clinically undetectable serious bacterial infection. Pediatrics 2001;108:1275-1279
  11. Pratt A, Attia MW. Duration of fever and markers of serious bacterial infection in young febrile children. Pediatr Int 2007;49:31-35. 13.Chan YK, Tsai MH, Huang DC, Zheng ZH, Hung KD. Leukocyte nucleus segmentation and nucleus lobe counting. BMC Bio