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Diagnostic and Prognostic Value of IL-6 and sTREM-1 in SIRS and Sepsis in Children
Joint Authors
Smok, Beata
Domagalski, Krzysztof
Pawłowska, Małgorzata
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-22
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Purpose.
The aim of this study was to evaluate the diagnostic and prognostic value of IL-6 and sTREM-1 in the course of SIRS and sepsis in children with reference to routinely used CRP and PCT.
Methods.
A prospective study included 180 patients at the ages from 2 months to 18 years hospitalized due to fever from November 2015 to January 2017.
Forty-nine children without fever hospitalized due to noninfectious causes formed the control group.
IL-6 and sTREM-1 serum concentrations were assessed with the enzyme-linked immunosorbent assay method.
Results.
The mean serum concentrations of all the analyzed biomarkers were statistically significantly higher in the study group compared to the control group.
Mean IL-6, sTREM-1, and PCT serum concentrations were statistically significantly higher in the group of patients with SIRS/sepsis compared to the group of feverish patients without diagnosed SIRS (N-SIRS).
Based on the ROC curve analysis, it was shown that of all the biomarkers tested, only two—IL-6 and procalcitonin—had potential usefulness in the diagnosis of SIRS/sepsis in children with fever.
Conclusion.
Elevated levels of IL-6 and PCT are important risk factors for the development of SIRS/sepsis in children with fever.
It seems that elevated IL-6 baseline serum level may predict a more severe course of febrile illness in children, because based on the ROC curve analysis, it was found that IL-6 is a statistically significant prognostic marker of prolonged fever≥3 days and prolonged hospitalization>10 days.
The assessment of the usefulness of sTREM-1 in the diagnosis of SIRS/sepsis in feverish children requires further research.
American Psychological Association (APA)
Smok, Beata& Domagalski, Krzysztof& Pawłowska, Małgorzata. 2020. Diagnostic and Prognostic Value of IL-6 and sTREM-1 in SIRS and Sepsis in Children. Mediators of Inflammation،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1192042
Modern Language Association (MLA)
Smok, Beata…[et al.]. Diagnostic and Prognostic Value of IL-6 and sTREM-1 in SIRS and Sepsis in Children. Mediators of Inflammation No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1192042
American Medical Association (AMA)
Smok, Beata& Domagalski, Krzysztof& Pawłowska, Małgorzata. Diagnostic and Prognostic Value of IL-6 and sTREM-1 in SIRS and Sepsis in Children. Mediators of Inflammation. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1192042
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1192042