|
|
Changes and significance of levels of procalcitonin, C-reactive protein and prealbumin in children with bacterial infection |
LEI Yuan1 LIU Jing2 YANG Bo1▲ |
1. Department of Pediatrics, Changsha Fourth Hospital, Hu′nan Province, Changsha 410006, China;
2. Changsha Health Vocational College, Hu′nan Province, Changsha 410600, China |
|
|
Abstract Objective To analyze the changes and significance of procalcitonin (PCT), C-reactive protein (CRP) and prealbumin (PA) levels in children with bacterial infection. Methods A total of 120 children with infectious diseases treated in Changsha Fourth Hospital from March 2016 to March 2019 were analyzed retrospectively, included 60 cases in the bacterial infection group and 60 cases in the viral infection group. Meanwhile, 60 children who underwent physical examination in Changsha Fourth Hospital were selected as the control group. To test the levels of PCT, CRP and PA in the three groups. Results The positive rates of PCT, CRP and PA levels in the bacterial infection group and their combined detection were higher than those in the viral infection group and the control group, the differences were statistically significant (P<0.05). The positive rate of all indicators in the viral infection group was compared that in the control group, the difference was not statistically significant (P>0.05). Serum PCT and CRP levels in the bacterial infection group were higher than those in the viral infection group and the control group (P<0.05). PA level was lower than that of the viral infection group and control group, the difference was statistically significant (P<0.05). However,the levels of PCT, CRP and PA in the viral infection group were not significantly different from those in the control group (P >0.05). Conclusion The detection of PCT, CRP and PA levels have certain clinical value in identifying whether infectious diseases in children are bacterial or viral infections.
|
|
|
|
|
[1] |
马锦玲,曹剑,王玉堂,等.不明原因发热的病因分布及临床特征[J].中国医学科学院学报,2011,33(1):83-87.
|
[2] |
潘异,翟洋,温艳,等.降钙素原、C 反应蛋白在指导急诊感染患儿抗生素应用中价值研究[J].创伤与急危重病医学,2019,7(5):292-294.
|
[3] |
徐雪峰,盛远见,唐兰芳,等.儿童呼吸道感染的抗生素选择与应用时机[J].中华实用儿科临床杂志,2019,34(22):1751-1754.
|
[4] |
李雪华,黄少兴,卓丽文.血清降钙素原检测在细菌感染性疾病中的诊断意义[J].现代医院,2013,13(7):57-58.
|
[5] |
胡亚美,江载芳.诸福棠实用儿科学[M].8 版.北京:人民卫生出版社,2015:896.
|
[6] |
刘钢.如何早期确定儿童感染性疾病致病原[J].北京医学,2018,40(7):616-617.
|
[7] |
中华医学会儿科学分会医院感染管理与控制专业委员会.血清降钙素原检测在儿童感染性疾病中的临床应用专家共识[J].中华儿科杂志,2019,57(1):9-15.
|
[8] |
王龙廷,周荣斌.脓毒性休克预后相关生物学指标的研究进展[J].中国全科医学,2016,19(4):492-496.
|
[9] |
田方圆,陈昭燕,徐珽.降钙素原指导小儿呼吸道感染抗生素应用的系统评价[J].中国抗生素杂志,2019,44(4):527-534.
|
[10] |
李亚平.降钙素原检测在细菌感染中的应用研究[J].传染病信息,2019,32(1):63-65.
|
[11] |
董亚宁,房娟.全血C 反应蛋白与白细胞计数联合检测在儿童细菌性感染性疾病中的诊断价值[J].检验医学与临床,2019,16(14):2083-2085.
|
[12] |
刘文平.联合检测C 反应蛋白与血清降钙素原对小儿肠炎的鉴别诊断价值[J].检验医学与临床,2019,16(15):2154-2157.
|
[13] |
Dahl M,Vestbo J,Zacho J,et al.C reactive protein and chronic obstructive pulmonary disease:a mendelian randomisation approach[J].Thorax,2011,66(3):197-204.
|
[14] |
张伟,邵春红,黄敏,等.PA、BNP、CRP 及PCT 联合检测在小儿急性呼吸道感染早期诊断中的价值[J].临床肺科杂志,2018,23(9):1630-1634.
|
[15] |
孙晓霞,袁丽莉,郑悦,等.COPD 患者血清降钙素原、前清蛋白及C 反应蛋白水平变化及其临床意义[J].国际检验医学杂志,2019,40(23):2837-2840.
|
[16] |
武静,于瑞杰.细菌感染性疾病新生儿血清PCT 和PA水平变化及临床意义[J].山东医药,2018,58(36):58-59,65.
|
[17] |
江蓉,刘建华,徐内卫.血清S-ChE PAB Apo A1 及APACHEⅡ评分对重症肺炎预后的评估[J].河北医学,2018,24(4):540-544.
|
[18] |
蒿会玲,张晨光,朱琳琳,等.血清降钙素原、前清蛋白和C-反应蛋白测定在感染性疾病中的临床意义[J].实用儿科临床杂志,2009,24(12):889-889,904.
|
[19] |
张凯,张召,成云云.降钙素原、C 反应蛋白、前清蛋白及白细胞计数在小儿重症肺炎诊断中的应用评价[J].中国实验诊断学,2016,20(7):1128-1130.
|
[20] |
叶贵诚,彭建明,官燕飞,等.降钙素原、C 反应蛋白、前清蛋白及白细胞计数在儿童手足口病诊断中的应用价值[J].国际检验医学杂志,2016,37(6):758-759.
|
|
|
|