Proportionate Reduction in Uncertainty of Late Onset Infection in Pre-term Infants by Neutrophil CD64 Measurement

被引:5
作者
Berrington, Janet Elizabeth [1 ]
Hearn, Richard Iain [2 ]
Hall, Chris [3 ]
Stewart, Christopher James [4 ]
Cummings, Stephen Paul [4 ]
Embleton, Nicholas David [1 ]
机构
[1] Royal Victoria Infirm, Newcastle Upon Tyne Hosp NHS Fdn Trust, Newcastle Neonatal Serv, Newcastle Upon Tyne NE1 4LP, Tyne & Wear, England
[2] Univ Dundee, Ninewells Hosp & Med Sch, Neonatal Unit, Dundee DD1 9SY, Scotland
[3] Newcastle Upon Tyne Hosp NHS Fdn Trust, Dept Haematol, Newcastle Upon Tyne, Tyne & Wear, England
[4] Northumbria Univ, Fac Hlth & Life Sci, Newcastle Upon Tyne NE1 8ST, Tyne & Wear, England
关键词
CD64; pre-term infant; infection; CRP; procalcitonin; DIAGNOSTIC MARKERS; SEPSIS; TESTS;
D O I
10.3109/15513815.2013.842270
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Objective: Establish howneutrophil CD64 performs as a marker of definite infection in pre-term infants in comparison to C reactive protein (CRP) and procalcitonin (PCT). Methods: A total of 38preterm infants with suspected late onset infection had CD64 measured by flow cytometry. Proportionate reduction in uncertainty (PRU) curveswere generated for CD64 counts at various threshold values. Results: PRU curves reduced the residual uncertainty of the presence of infection by up to 64%. Conclusions: The CD64 appears to be a useful point of care test (POCT) for further defining the likelihood of infection and performs better than CRP or PCT at helping to rule in infection.
引用
收藏
页码:16 / 22
页数:7
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