Objective: To investigate the clinical value of Procalcitonin (PCT),
C Reactive Protein (CRP), Erythrocyte Sedimentation Rate (ESR) and
White Blood Cell (WBC) in the early diagnosis of bronchopneumonia
Methods: 208 cases of bronchial pneumonia diagnosed by
chest X-ray or chest CT were selected as the subjects of 2016.6-2017.6.
According to the blood test, they were divided into bacterial group
(92 cases), Mycoplasma group (70 cases) and virus group (46 cases),
Another selection of healthy children during the same period as the
control group were detected PCT, CRP, ESR and WBC levels, the
differences were compared between the 3 groups of 4 indicators and
compared with the control group children, positive PCT, CRP, ESR
calculation and WBC in accordance with its corresponding positive rate
and diagnostic criteria the value of the 4 indicators, with comprehensive
evaluation in the diagnosis of pneumonia in children.
Results: The levels of PCT, CRP, ESR and WBC in the bacterial pneumonia group were higher than those in the Mycoplasma pneumonia group and the viral
pneumonia group, The difference was statistically significant (P<0.01);
In the positive rate of PCT and CRP, the bacterial pneumonia group
and Mycoplasma pneumonia group were higher than other indexes and
the positive rate of serum PCT in the viral pneumonia group was lower
than other indexes.
Conclusion: PCT and CRP can identify the etiology
of pneumonia in children, combined detection of PCT, CRP, ESR and
WBC has important significance in differential diagnosis of pneumonia
in children, and has high value in guiding the application of clinical
antibiotics. CRP, WBC determination and traditional auscultation can
be used as a preliminary screening diagnosis of bronchial pneumonia,
but with the development of technology innovation, detection,
combined detection of serological indexes of various clinical value in
infectious diseases gradually emerged, the detection method of the
etiology of early replacement. At present, PCT and ESR are widely used
in this study, and the diagnostic value of 4 inflammatory markers in
bronchial pneumonia is expounded.
Keywords : Procalcitonin, CRP, Erythrocyte sedimentation rate,
Leukocyte count, Pneumonia in children, Diagnostic value
Author : Tianli Bai
Title : Diagnostic Value of Procalcitonin, C Reactive Protein, Erythrocyte Sedimentation Rate and White Blood Cell in Children with Pneumonia
Volume/Issue : 1;1
Page No :
The use of complementary medical treatment in wound management has continued to grow throughout the world. There is a large body of
evidence that supports the use of honey as a wound dressing for a wide range of types of wounds. Clear guidelines for the use of honey in pediatric
wound care do not exist. We present an analysis of 60 pediatric cases using honey as a form of complementary medicine in wound management
Author : Stefan Bittmann
Title : First Results of Treating Pediatric Wounds with Medihoney: Analysis of 60 Cases
Volume/Issue : 1;1
Page No :
Aim: To investigate the impact of D-dimer on the resistance to intravenous immunoglobulin therapy (IVIG) in Kawasaki Disease
Patients: From 2013 through 2016, 225 patients were newly diagnosed as Kawasaki Disease at our institute. Among them, Kobayashi score
(K-score) was available for 203 patients, and D-dimer before treatment was measured in 131 patients, in which 119 patients were initially treated
with IVIG. These 119 patients were analyzed.
Results: K-score was not associated with IVIG resistance efficiently (odds ratio of 1.78, 95%CI: 0.68-4.69, p = 0.24). However, odds ratio was
improved to 2.52 (95%CI: 0.88-7.25, p = 0.08) for 101 patients in which D-dimer was < 2.5μg/mL. On the contrary, D-dimer value >= 2.5μg/mL was
associated with IVIG resistance with odds ratio of 3.26 (95%CI: 1.17-9.10, p = 0.02) and D-dimer value >=4.0μg/μL with odds ratio of 5.98 (95%CI:
1.10-32.42, p = 0.02) as an independent factor.
Conclusion: Association of K-score with IVIG resistance is limited, and elevated D-dimer before treatment is a significant independent risk
factor for IVIG resistance even in the patients with low K-score.