Nutautiene Ruta, Aleksa Irmantas, Janulaityte Ieva, Skrodeniene Erika, Bieksiene Kristina, Zaliaduonyte Diana, Batulevicius Darius, Vitkauskiene Astra
Department of Laboratory Medicine, Faculty of Medicine, Academy of Medicine, Lithuanian University of Health Sciences, A. Mickeviciaus st. 9, LT-44307 Kaunas, Lithuania.
Centro Polyclinic, Naujamiestis Primary Personal Health Care Centre, Pylimo st. 3, LT-01117 Vilnius, Lithuania.
Medicina (Kaunas). 2025 Jun 11;61(6):1078. doi: 10.3390/medicina61061078.
: Community-acquired pneumonia (CAP) remains a major health burden worldwide, with high morbidity and mortality, particularly among older adults and those with comorbidities. This study aimed to evaluate the etiological factors of CAP and to investigate systemic inflammatory markers (IL-6, IL-8, IFN-, and G-CSF) in blood samples collected from CAP patients to identify which markers could be targets for potential etiological, clinical, and therapeutic interventions. : A prospective study was conducted in 41 patients with confirmed CAP hospitalised during the winter season of 2024-2025. Clinical, demographic, and laboratory data were collected at admission and seven days later. Serum IL-6, IL-8, IFN-, and G-CSF concentrations were measured using a multiplex assay. : Aetiology was identified in 87.8% of cases, with typical bacterial pathogens being more prevalent among older, smoking patients, while atypical pathogens were more common among younger, non-smoking patients. Hospitalisation and increased inflammatory markers were associated with older age. After seven days of treatment, significant decreases in IL-6, IFN-, and G-CSF concentrations were observed. IFN- levels were significantly higher in patients with atypical aetiology. Higher concentrations of IL-8 and G-CSF were associated with hospitalisation. IL-6 levels were positively correlated with age, C-reactive protein (CRP), and pneumonia severity index (PSI) scores. : Systemic inflammatory markers, especially IL-6, IL-8, IFN-, and G-CSF, may be valuable tools in managing generalised pneumonia. They can help to differentiate etiologically, assess disease severity, and make treatment decisions.
社区获得性肺炎(CAP)仍然是全球主要的健康负担,发病率和死亡率都很高,尤其是在老年人和患有合并症的人群中。本研究旨在评估CAP的病因,并调查从CAP患者采集的血液样本中的全身炎症标志物(IL-6、IL-8、IFN-和G-CSF),以确定哪些标志物可作为潜在病因、临床和治疗干预的靶点。:对2024 - 2025年冬季住院的41例确诊CAP患者进行了一项前瞻性研究。在入院时和七天后收集临床、人口统计学和实验室数据。使用多重检测法测量血清IL-6、IL-8、IFN-和G-CSF浓度。:87.8%的病例确定了病因,典型细菌病原体在老年吸烟患者中更常见,而非典型病原体在年轻非吸烟患者中更常见。住院和炎症标志物升高与年龄较大有关。治疗七天后,观察到IL-6、IFN-和G-CSF浓度显著下降。非典型病因患者的IFN-水平显著更高。IL-8和G-CSF浓度较高与住院有关。IL-6水平与年龄、C反应蛋白(CRP)和肺炎严重程度指数(PSI)评分呈正相关。:全身炎症标志物,尤其是IL-6、IL-8、IFN-和G-CSF,可能是管理全身性肺炎的有价值工具。它们有助于进行病因鉴别、评估疾病严重程度并做出治疗决策。