对登革热病毒感染者血液学参数的认识

T. Thapa, B. R. Bhattarai, S. Maharjan, Sushant Pokhrel, M. Sapkota
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引用次数: 0

摘要

:登革热的早期准确诊断对于及时治疗和避免严重并发症至关重要。因此,本研究旨在评估预测登革热病毒感染的血清学和血液学参数。 研究对象:本研究对 2022 年 7 月至 2023 年 6 月到尼泊尔拉利德布尔 Sumeru 医院就诊的患者进行了实验室横断面研究。研究人员从登革热疑似病例中采集了血液样本,并使用快速诊断免疫层析(ICT)方法进行了检测,同时还评估了血液学参数。曼-惠特尼 U 检验比较了登革热感染组和非感染组之间的连续变量。二元逻辑回归分析评估了各变量与登革热阳性的相关性:与登革热阴性病例相比,登革热阳性病例有血小板减少、白细胞减少、红细胞增多、高血液浓缩、低平均血红蛋白(MCH)和平均血红蛋白浓度(MCHC)。然而,二元逻辑回归预测血小板计数、白细胞总数、MCH、MCHC、中性粒细胞计数和淋巴细胞计数是登革热阳性的重要预测因子:这项研究揭示了登革热阳性病例的特征和人口统计学特征及其与血液学参数的关系。此外,已确定的预测指标可帮助医护人员更及时地诊断和管理登革热病例,从而减轻疾病负担。
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Insights of hematological parameters in dengue virus-infected patients
: Early and accurate diagnosis of dengue is critical for prompt treatment and avoiding severe complications. Thus, the present study aimed to evaluate the serological and hematological parameters for predicting the dengue virus infection. : A laboratory-based cross-sectional study was conducted among the patients who visited Sumeru Hospital, Lalitpur, Nepal, from July 2022 to June 2023. Blood samples were collected from suspected dengue cases and tested using the rapid diagnostic immunochromatography (ICT) method, and hematological parameters were also assessed. The Mann-Whitney U test compared continuous variables between dengue-infected and non-infected groups. A binary logistic regression analysis was done to evaluate the association of variables for dengue positivity.: When compared to dengue-negative cases, dengue-positive cases had thrombocytopenia, leucopenia, erythrocytosis, high hemoconcentration, low mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). However, binary logistic regression predicted platelet count, total leucocyte count, MCH, MCHC, neutrophil count and lymphocyte count as significant predictors of dengue positivity.: This study revealed the characteristics and demographics of dengue-positive cases and their associations with hematological parameters. Furthermore, the identified predictive markers can help healthcare professionals diagnose and manage dengue cases more promptly, potentially reducing the disease's burden.
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