Diagnostic Performance of Soluble Triggering Receptor Expressed on Myeloid Cells-1 in Ventilator-Associated Pneumonia of Patients with Ischemic Stroke
Joint Authors
Zhu, Cheng
Yu, Yuetian
Gao, Yuan
Liu, Chunyan
Yin, Rong
Cao, Jianguo
Source
Canadian Journal of Infectious Diseases and Medical Microbiology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-22
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To investigate the effect of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) in serum, bronchoalveolar lavage fluid (BALF), endotracheal aspiration (ETA), and exhaled breath condensate (EBC) samples as early biomarkers for the diagnosis of ventilator-associated pneumonia (VAP) in patients with ischemic stroke.
Methods.
One hundred and thirty-two patients with clinically suspected VAP were enrolled in this study.
Bronchoscopy was performed on the day of clinically suspected VAP.
sTREM-1 levels in serum, BALF, ETA, and EBC were measured.
VAP was diagnosed by quantitative cultures of BALF (≥104 cfu/mL).
Results.
VAP was confirmed in 76 (57.58%) cases.
Patients with VAP showed significantly higher sTREM-1 in BALF [32.35 (IQR, 30.08–41.72) versus 18.92 (11.89–31.72)] pg/mL and in EBC [1.57 (IQR, 1.02–2.61) versus 0.41 (0.19–1.61)] pg/mL than patients without VAP.
The area under the curve was 0.813 (p<0.001).
The optimum cut-off value for sTREM-1 in BALF was 23.61 pg/mL, yielding sensitivity and specificity of 85.5% and 73.1%.
sTREM-1 in BALF had excellent correlation with that in EBC (R2 = 0.78, p<0.05).
Conclusions.
sTREM-1 in EBC and BALF had good diagnostic performance in differentiating patients with and without VAP.
American Psychological Association (APA)
Yu, Yuetian& Zhu, Cheng& Liu, Chunyan& Gao, Yuan& Yin, Rong& Cao, Jianguo. 2017. Diagnostic Performance of Soluble Triggering Receptor Expressed on Myeloid Cells-1 in Ventilator-Associated Pneumonia of Patients with Ischemic Stroke. Canadian Journal of Infectious Diseases and Medical Microbiology،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1141640
Modern Language Association (MLA)
Yu, Yuetian…[et al.]. Diagnostic Performance of Soluble Triggering Receptor Expressed on Myeloid Cells-1 in Ventilator-Associated Pneumonia of Patients with Ischemic Stroke. Canadian Journal of Infectious Diseases and Medical Microbiology No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1141640
American Medical Association (AMA)
Yu, Yuetian& Zhu, Cheng& Liu, Chunyan& Gao, Yuan& Yin, Rong& Cao, Jianguo. Diagnostic Performance of Soluble Triggering Receptor Expressed on Myeloid Cells-1 in Ventilator-Associated Pneumonia of Patients with Ischemic Stroke. Canadian Journal of Infectious Diseases and Medical Microbiology. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1141640
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141640