儿科血病例与没有细菌病的比较分析
Miray Yılmaz Çelebi1, Elif Böncüoğlu1, Elif Kıymet1
1Department of Pediatric Infectious Diseases, University of Health Sciences Dr. Behçet Uz, Children's Hospital, İzmir, Turkey.
Vector borne and zoonotic diseases (Larchmont, N.Y.)
|March 11, 2024
概括
在土耳其,通过区分细菌性病例和非细菌性病例,可以改善血清病的诊断. 关键的实验室和临床发现有助于预测细菌病,有助于早期发现和治疗这种动物传播疾病.
科学领域:
- 传染性疾病 传染性疾病
- 动物传播疾病 动物传播疾病
- 微生物学 微生物学
背景情况:
- 兽病是一种土耳其特有动物传染病.
- 血液培养仍然是诊断血病的黄金标准.
- 区分细菌性和非细菌性牛病对于患者管理至关重要.
研究的目的:
- 为了比较培养阳性和培养阴性血病例之间的人口,风险因素,临床和实验室变量.
- 为了确定患有牛病的患者的细菌病的预测因素.
主要方法:
- 一个单一中心研究于2007年1月至2022年4月进行.
- 血液培养中具有和没有布鲁塞拉生长的患者之间的临床和实验室数据的比较.
- 对150名儿科患者的分析 (平均年龄为10岁).
主要成果:
- 40%的患者 (26.7%) 是细菌性.
- 细菌性患者的白细胞,血红蛋白和血小板数量较低.
- 细菌性患者表现出较高的AST和ALT水平,以及更频繁的发烧,肝壮成,壮成和腹痛.
结论:
- 实验室值 (WBC,Hb,血小板,ALT,AST) 和临床发现 (发烧,腹部疼痛,肝壮,壮) 可以预测菌病中的细菌病.
- 这些预测因素可以帮助区分细菌性与非细菌性牛病,从而有可能改善诊断策略.
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