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降钙素原鉴定越南重症呼吸道合胞病毒肺炎患儿的细菌合并感染。

Procalcitonin Identifies Bacterial Coinfections in Vietnamese Children with Severe Respiratory Syncytial Virus Pneumonia.

机构信息

Respiratory Department, Military Medical Academy, Hanoi, Vietnam.

Respiratory Department, National Children's Hospital, Hanoi, Vietnam.

出版信息

Biomed Res Int. 2020 May 9;2020:7915158. doi: 10.1155/2020/7915158. eCollection 2020.

Abstract

This study assessed the diagnostic value of interleukin- (IL-) 6, high-sensitivity C-reactive protein (hs-CRP), and procalcitonin (PCT) in differentiating severe pneumonia caused by respiratory syncytial virus (RSV) alone and RSV with bacterial coinfections among Vietnamese children under 5 years old. A cross-sectional study on 70 children with severe RSV pneumonia was conducted. IL-6, hs-CRP, and PCT tests were performed. Receiver operating characteristic (ROC) analysis was employed to measure the diagnostic values of PCT, IL-6, and hs-CRP. Of 70 children, 11 children were confirmed to have bacterial coinfections. The most common bacterial coinfection was . This study underlined that inflammatory biomarkers such as PCT had a moderate-to-high capability of disseminating severe pneumonia children with RSV alone or RSV and bacterial coinfections. This may support clinicians in administrating appropriate antibiotics to children suffering from severe RSV pneumonia.

摘要

本研究评估了白细胞介素- (IL-) 6、高敏 C 反应蛋白 (hs-CRP) 和降钙素原 (PCT) 在区分越南 5 岁以下儿童单纯呼吸道合胞病毒 (RSV) 引起的重症肺炎和 RSV 合并细菌感染中的诊断价值。对 70 例重症 RSV 肺炎患儿进行了横断面研究。进行了 IL-6、hs-CRP 和 PCT 检测。采用受试者工作特征 (ROC) 分析测量 PCT、IL-6 和 hs-CRP 的诊断价值。在 70 名儿童中,有 11 名儿童被确诊为细菌合并感染。最常见的细菌合并感染是 。本研究强调,炎症生物标志物如 PCT 具有中等至高的能力来区分单纯 RSV 引起的重症肺炎儿童和 RSV 合并细菌感染的儿童。这可能有助于临床医生为患有重症 RSV 肺炎的儿童提供适当的抗生素治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc57/7232683/4c00c852dfdb/BMRI2020-7915158.001.jpg

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