Diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in children

This study aimed to investigate the diagnostic value of heparin-binding protein (HBP) in the cerebrospinal fluid of children with purulent meningitis (PM). This study included 118 children with PM diagnosed at our hospital from January 2018 to January 2020, 110 children with viral meningitis (VM) and 80 children with suspected meningitis who were ruled out by cerebrospinal fluid (CSF) analysis during the same period. HBP and white blood cell (WBC) count in the CSF, and inflammatory factors, including C-reactive protein (CRP), tumor necrosis factor (TNF)-α, and procalcitonin (PCT), were measured. Receiver-operator characteristic curves were used to analyze the predictive value of HBP, CRP, PCT, and TNF-α levels in the diagnosis of PM by CSF analysis. HBP levels in the CSF of children with PM were higher, while the CRP and serum PCT and TNF-α levels were elevated in all groups (P<0.05). In addition, HBP levels in the CSF were more accurate for the diagnosis of PM than traditional diagnostic indexes. HBP levels in the CSF can be used as an important reference for early diagnosis of PM.

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Main Authors: Ren,Dan, Wu,Di, Liu,Fu, Jiao,Shuli, Wu,Yi
Format: Digital revista
Language:English
Published: Associação Brasileira de Divulgação Científica 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2021001100605
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spelling oai:scielo:S0100-879X20210011006052021-09-01Diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in childrenRen,DanWu,DiLiu,FuJiao,ShuliWu,Yi Pyogenic meningitis HBP CRP PCT TNF-α This study aimed to investigate the diagnostic value of heparin-binding protein (HBP) in the cerebrospinal fluid of children with purulent meningitis (PM). This study included 118 children with PM diagnosed at our hospital from January 2018 to January 2020, 110 children with viral meningitis (VM) and 80 children with suspected meningitis who were ruled out by cerebrospinal fluid (CSF) analysis during the same period. HBP and white blood cell (WBC) count in the CSF, and inflammatory factors, including C-reactive protein (CRP), tumor necrosis factor (TNF)-α, and procalcitonin (PCT), were measured. Receiver-operator characteristic curves were used to analyze the predictive value of HBP, CRP, PCT, and TNF-α levels in the diagnosis of PM by CSF analysis. HBP levels in the CSF of children with PM were higher, while the CRP and serum PCT and TNF-α levels were elevated in all groups (P<0.05). In addition, HBP levels in the CSF were more accurate for the diagnosis of PM than traditional diagnostic indexes. HBP levels in the CSF can be used as an important reference for early diagnosis of PM.info:eu-repo/semantics/openAccessAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research v.54 n.11 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2021001100605en10.1590/1414-431x2021e11295
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country Brasil
countrycode BR
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region America del Sur
libraryname SciELO
language English
format Digital
author Ren,Dan
Wu,Di
Liu,Fu
Jiao,Shuli
Wu,Yi
spellingShingle Ren,Dan
Wu,Di
Liu,Fu
Jiao,Shuli
Wu,Yi
Diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in children
author_facet Ren,Dan
Wu,Di
Liu,Fu
Jiao,Shuli
Wu,Yi
author_sort Ren,Dan
title Diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in children
title_short Diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in children
title_full Diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in children
title_fullStr Diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in children
title_full_unstemmed Diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in children
title_sort diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in children
description This study aimed to investigate the diagnostic value of heparin-binding protein (HBP) in the cerebrospinal fluid of children with purulent meningitis (PM). This study included 118 children with PM diagnosed at our hospital from January 2018 to January 2020, 110 children with viral meningitis (VM) and 80 children with suspected meningitis who were ruled out by cerebrospinal fluid (CSF) analysis during the same period. HBP and white blood cell (WBC) count in the CSF, and inflammatory factors, including C-reactive protein (CRP), tumor necrosis factor (TNF)-α, and procalcitonin (PCT), were measured. Receiver-operator characteristic curves were used to analyze the predictive value of HBP, CRP, PCT, and TNF-α levels in the diagnosis of PM by CSF analysis. HBP levels in the CSF of children with PM were higher, while the CRP and serum PCT and TNF-α levels were elevated in all groups (P<0.05). In addition, HBP levels in the CSF were more accurate for the diagnosis of PM than traditional diagnostic indexes. HBP levels in the CSF can be used as an important reference for early diagnosis of PM.
publisher Associação Brasileira de Divulgação Científica
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2021001100605
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