早期新生儿血小板与淋巴细胞比值

IF 0.2 Q4 PEDIATRICS Paediatrica Indonesiana Pub Date : 2023-07-03 DOI:10.14238/pi63.3.2023.202-7
Johnny L. Rompis, Rocky Wilar, Gregory Joey, R. Takumansang, Hesti Lestari
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引用次数: 1

摘要

目的新生儿脓毒症是世界范围内发病率和死亡率的主要原因。虽然血培养是脓毒症诊断的金标准,但往往缺乏敏感性和诊断速度。血小板与淋巴细胞比值(PLR)是一种广泛可用、有效、简单且价格合理的指标,可用于预测早发性新生儿脓毒症(EONS)。目的探讨PLR与EONS的相关性,以及PLR对EONS的诊断价值。方法本研究纳入印度尼西亚北苏拉威西省万鸦老市Dr. R. D. Kandou医院疑似早发性新生儿脓毒症的所有住院新生儿。将新生儿分为败血症组(血培养结果阳性)和非败血症组(血培养结果阴性)。进行双变量分析,包括分类数据的卡方检验和数值数据的独立t检验,以确定血小板与淋巴细胞比率(PLR)与EONS之间的任何显著关联。计算受试者工作特征(ROC)曲线下的灵敏度、特异性和面积,以确定预测EONS的最佳PLR截止点。结果本研究对176例疑似早发型新生儿脓毒症(EONS)患儿进行了PLR与EONS的关系研究。血液培养证实84例新生儿败血症(47.7%),肺炎克雷伯菌是最常见的致病菌。PLR与EONS呈显著正相关(p<0.001), PLR截断点61.806预测EONS具有较高的敏感性(90.2%)和特异性(85.7%)。结论PLR与EONS呈正相关,PLR截断点61.806可作为预测疑似脓毒症新生儿EONS的有价值指标。这些发现有助于新生儿败血症的早期识别和治疗,最终改善患者的预后。
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Platelet-to-lymphocyte ratio in early onset neonatal
Objectives Neonatal sepsis is a major contributor to morbidity and mortality worldwide. Although blood culture is the gold standard of sepsis diagnosis, it often lacks sensitivity and diagnostic speed. Platelet-to-lymphocyte ratio (PLR) is a widely available, effective, simple, and affordable marker that can predict early onset neonatal sepsis (EONS). Objective To assess the correlation between PLR and EONS as well as the diagnostic value of PLR for predicting EONS. Methods This study included all inpatient neonates with suspected early-onset neonatal sepsis at Dr. R. D. Kandou Hospital, Manado, North Sulawesi, Indonesia. Neonates were categorized into sepsis (confirmed by positive blood culture results) and non-sepsis (negative blood culture results) groups. Bivariate analysis, including the chi-square test for categorical data and independent t-test for numerical data, was performed to identify any significant associations between the platelet-to-lymphocyte ratio (PLR) and EONS. The sensitivity, specificity, and area under the receiver operating characteristic (ROC) curve were calculated to determine the optimal PLR cut-off point to predict EONS. Results In this study, we investigated the relationship between PLR and early-onset neonatal sepsis (EONS) in 176 neonates with suspected EONS. Blood cultures confirmed sepsis in 84 neonates (47.7%), with Klebsiella pneumoniae being the most common causative organism. We found a significant positive correlation between PLR and EONS (p<0.001), and a PLR cut-off point of 61.806 was identified to predict EONS with high sensitivity (90.2%) and specificity (85.7%) Conclusion Our study demonstrates a strong positive correlation between PLR and EONS, and a PLR cut-off point of 61.806 can be used as a valuable marker for predicting EONS in neonates with suspected sepsis. These findings could aid in the early identification and treatment of neonates with sepsis, ultimately improving patient outcomes.
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CiteScore
0.40
自引率
0.00%
发文量
58
审稿时长
24 weeks
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