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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.
Aims:
This study aimsto investigate the relationship between peripheral blood neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), systemic immune-inflammatory index (SII), and procalcitonin (PCT), C-reactive protein (CRP), and pediatric critical illness score (PCIS) in infants with community-acquired pneumonia (CAP).
Methods:
100 infants with bacterial CAP admitted to our hospital between January 2021 and December 2021 were selected as the infected group, and another 100 healthy infants who underwent health check-ups at the same time were selected as the control group, and the NLR, PLR, and SII of peripheral blood of infants in both groups and the serum PCT, CRP, and PCIS scores of infants in the infected group were tested. The correlation between NLR, PLR, SII, and PCT, CRP, and PCIS was analyzed by Spearman's analysis.
Results:
The peripheral blood levels of NLR, PLR, and SII were higher in the infected group than in the control infants (P < 0.05). The ROC results showed that the AUCs of peripheral blood NLR, PLR, and SII for the diagnosis of infants with CAP were 0.934, 0.737, and 0.882, respectively. The ROC results showed that the AUCs of peripheral blood NLR, PLR, and SII for assessing the extent of disease in infants with CAP were 0.815, 0.710, and 0.813, respectively, with best cut-off values of 2.05, 98.57, and 823.41; the joint predicted AUC was 0.862.
Conclusions:
NLR, PLR, and SII were significantly elevated in the peripheral blood of infants with CAP, positively correlated with PCT and CRP, and negatively correlated with PSIC scores, and NLR and SII also have some guiding value in early diagnosis and assessment of the extent of the disease in infants and toddlers with CAP.
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