Linked Life Data

11271398

Source:http://linkedlifedata.com/resource/pubmed/id/11271398

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2001-2-22
pubmed:abstractText
Fever without localising signs in very young children remains a diagnostic problem. Until present, a clinical scoring system combined with leucocyte count, urine analysis and determination of CRP are recognised as being helpful to identify patients at risk of serious bacterial illness. In this study we asked the question whether the determination of procalcitonin (PCT), interleukin (IL)-6, IL-8 and interleukin-1 receptor antagonist (IL- Ra) was superior to these commonly used markers for the prediction of a serious bacterial infection (SBI). Children, 7 days to 36 months of age, with a rectal temperature above 38 degrees C and without localising signs of infection were prospectively enrolled. For each infant, we performed a physical examination, a clinical score according to McCarthy, a complete white cell count, an urine analysis and a determination of CRP. We further determined PCT, IL-6, IL-8, and IL-1Ra concentrations and compared their predictive value with those of the usual management of fever without localising signs. Each infant at risk of SBI had blood culture, urine and cerebrospinal fluid cultures when indicated, and received antibiotics until culture results were available. A total of 124 children were included of whom 28 (23%) had SBI. Concentrations of PCT, CRP and IL-6 were significantly higher in the group of children with SBI but IL-8 and IL-1Ra were comparable between both groups. PCT showed a sensitivity of 93% and a specificity of 78% for detection of SBI and CRP had a sensitivity of 89% and a specificity of 75%. CONCLUSION: Compared to commonly used screening methods such as the McCarthy score, leucocyte count and other inflammatory markers such as interleukin-6, interleukin-8 and interleukin- receptor antagonist, procalcitonin and C-reactive protein offer a better sensitivity and specificity in predicting serious bacterial infection in children with fever without localising signs.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0340-6199
pubmed:author
pubmed:issnType
Print
pubmed:volume
160
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
95-100
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11271398-Bacteremia, pubmed-meshheading:11271398-Bacterial Infections, pubmed-meshheading:11271398-Biological Markers, pubmed-meshheading:11271398-C-Reactive Protein, pubmed-meshheading:11271398-Calcitonin, pubmed-meshheading:11271398-Humans, pubmed-meshheading:11271398-Infant, pubmed-meshheading:11271398-Infant, Newborn, pubmed-meshheading:11271398-Interleukin-1, pubmed-meshheading:11271398-Interleukin-6, pubmed-meshheading:11271398-Interleukin-8, pubmed-meshheading:11271398-Interleukins, pubmed-meshheading:11271398-Logistic Models, pubmed-meshheading:11271398-Predictive Value of Tests, pubmed-meshheading:11271398-Prospective Studies, pubmed-meshheading:11271398-Protein Precursors, pubmed-meshheading:11271398-Sensitivity and Specificity, pubmed-meshheading:11271398-Severity of Illness Index
pubmed:year
2001
pubmed:articleTitle
Procalcitonin, IL-6, IL-8, IL-1 receptor antagonist and C-reactive protein as identificators of serious bacterial infections in children with fever without localising signs.
pubmed:affiliation
Département de Pédiatrie-HUG, H pital des Enfants, Genève, Switzerland. susanne.suter@hcuge.ch
pubmed:publicationType
Journal Article