Research on the Correlation of Peripheral Blood Inflammatory Markers with PCT, CRP, and PCIS in Infants with

Linwei Li1, Hongyun Miao2, Xue Chen1

  • 1Department of Pediatrics, Jiangjin Hospital Affiliated to Chongqing University, No. 725, Jiangzhou Avenue, Dingshan Street, Jiangjin District, Chongqing, China.

Insights

Neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), and systemic immune-inflammatory index (SII) are elevated in infants with community-acquired pneumonia (CAP). These markers correlate with disease severity and can aid in early diagnosis.

Area of Science:

  • Pediatric critical care medicine
  • Infectious diseases
  • Immunology

Background:

  • Community-acquired pneumonia (CAP) is a common infection in infants.
  • Accurate and early diagnosis of CAP is crucial for effective treatment.
  • Biomarkers reflecting systemic inflammation can aid in diagnosing and assessing CAP severity.

Purpose of the Study:

  • To investigate the relationship between peripheral blood neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), and systemic immune-inflammatory index (SII) and inflammatory markers (procalcitonin [PCT], C-reactive protein [CRP]) and clinical severity scores (pediatric critical illness score [PCIS]) in infants with CAP.
  • To evaluate the diagnostic and prognostic value of NLR, PLR, and SII in infants with CAP.

Main Methods:

  • A case-control study involving 100 infants with bacterial CAP and 100 healthy controls.
  • Measurement of peripheral blood NLR, PLR, and SII in both groups.
  • Measurement of serum PCT, CRP, and PCIS in the CAP group.
  • Correlation analysis using Spearman's method and receiver operating characteristic (ROC) curve analysis.

Main Results:

  • Infants with CAP exhibited significantly higher NLR, PLR, and SII compared to controls (P < 0.05).
  • ROC analysis indicated high diagnostic accuracy for NLR (AUC=0.934), SII (AUC=0.882), and PLR (AUC=0.737) for CAP.
  • NLR, PLR, and SII positively correlated with PCT and CRP, and negatively with PCIS, suggesting a link to inflammation and disease severity.

Conclusions:

  • NLR, PLR, and SII are significantly elevated in infants with CAP.
  • These inflammatory indices show potential as biomarkers for early diagnosis and assessment of disease extent in pediatric CAP.
  • NLR and SII demonstrate particular utility in guiding early diagnosis and severity assessment for CAP in infants.
Abstract

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