The clinical value of plasma hepcidin levels in predicting bacterial infections in febrile children
| Autor: | Ying-Hsien Huang, Xin-Yuan Cai, Jia-Huei Yan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty Fever Urinary system Enzyme-Linked Immunosorbent Assay Gastroenterology Enteritis 03 medical and health sciences Bacterial enteritis 0302 clinical medicine Hepcidins Hepcidin 030225 pediatrics Internal medicine hemic and lymphatic diseases Blood plasma Medicine Humans biology business.industry lcsh:RJ1-570 nutritional and metabolic diseases Infant lcsh:Pediatrics Odds ratio Bacterial Infections Length of Stay medicine.disease 030104 developmental biology C-Reactive Protein Child Preschool Pediatrics Perinatology and Child Health Urinary Tract Infections biology.protein Biomarker (medicine) Female business Emergency Service Hospital Hospital stay Biomarkers |
| Zdroj: | Pediatrics and Neonatology, Vol 60, Iss 4, Pp 377-381 (2019) |
| ISSN: | 2212-1692 |
| Popis: | Background: Febrile children are often evaluated for the risk of bacterial infections in the pediatric emergency department (PER). Hepcidin is an acute phase inflammatory protein. In this study, we examined the plasma hepcidin levels in febrile children. Methods: This study was conducted at a pediatric emergency department with 123 febrile children. We measured plasma hepcidin levels using an enzyme-linked immunosorbent assay. We further evaluated clinical characteristics and routine blood tests along with the hepcidin levels. Results: We observed significantly higher plasma hepcidin levels in bacterial enteritis (p = 0.026) and combined with urinary tract infection (p = 0.007). Furthermore, hepcidin levels had a significantly positive correlation with CRP level and length of hospital stay (R = 0.296, p = 0.001 and R = 0.213, p = 0.018). Hepcidin levels greater than 65 ng/mL also more accurately predicted bacterial infections than values below 65 ng/mL (11.7% vs. 2.1%, Odds ratio 8.4, 95% confident interval 1.7–40.9, p = 0.002). Conclusion: This study provides evidence that febrile children with bacterial infection have higher plasma hepcidin levels, and the values correlated with CRP level and length of hospital stay. Therefore, hepcidin values can potentially be adopted as a biomarker for identifying febrile children with bacterial infection, particularly bacterial enteritis and urinary tract infection. Key Words: bacterial infection, children, CRP, hepcidin |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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