Candidate Biomarkers for the Detection of Serious Infections in Children: A Prospective Clinical Study.

biomarkers children diagnosis pediatric serious bacterial infection

Journal

Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936

Informations de publication

Date de publication:
07 May 2022
Historique:
received: 26 03 2022
revised: 28 04 2022
accepted: 05 05 2022
entrez: 28 5 2022
pubmed: 29 5 2022
medline: 29 5 2022
Statut: epublish

Résumé

Serious bacterial infections (SBI) in children are associated with considerable morbidity and mortality, and their early identification remains challenging. The role of laboratory tests in this setting is still debated, and new biomarkers are needed. This prospective, observational, single-center study aims to evaluate the diagnostic role of blood biomarkers in detecting SBI in children presenting with signs of systemic inflammatory response syndrome (SIRS). A panel of biomarkers was performed, including C-reactive protein (CRP), procalcitonin (PCT), white blood cell count (WBC), absolute neutrophil count (ANC), interleukin (IL)-6, IL-8, IL-10, human terminal complement complex (C5b-9), Plasmalemma-Vesicle-associated protein 1 (PV-1), Intercellular Adhesion Molecule-1 (ICAM-1), and Phospholipase A2 (PLA2). Among 103 patients (median age 2.9 years, 60% males), 39 had a diagnosis of SBI (38%). Significant predictors of SBI were CRP (

Identifiants

pubmed: 35626858
pii: children9050682
doi: 10.3390/children9050682
pmc: PMC9139697
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Ministero della Salute
ID : RF 2011-02348364

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Auteurs

Maria Chiara Pellegrin (MC)

Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Arturo Penco (A)

Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy.

Leonardo Amadio (L)

Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Samuele Naviglio (S)

Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Luigina De Leo (L)

Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Oriano Radillo (O)

Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Gianni Biolo (G)

Unit of Internal Medicine, Department of Medical Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy.

Nicola Fiotti (N)

Unit of Internal Medicine, Department of Medical Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy.

Filippo Mearelli (F)

Unit of Internal Medicine, Department of Medical Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy.

Marco Rabusin (M)

Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Egidio Barbi (E)

Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy.

Lorenzo Monasta (L)

Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Classifications MeSH