Evidence map›Paper›PMID 24764729›Full record

ArticleTurkish journal of haematology : official journal of Turkish Society of Haematology2014

Leukocyte populations and C-reactive protein as predictors of bacterial infections in febrile outpatient children.

Zühre Kaya, Aynur Küçükcongar, Doğuş Vurallı, Hamdi Cihan Emeksiz, Türkiz Gürsel

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Turkish journal of haematology : official journal of Turkish Society of Haematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03855215 (Implementation of CRP Point of Care Testing in Primary Care to Improve Antibiotic Targeting in Respiratory Illness), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03855215 nacompletednot on this mapstarted 2020, after this paper: background citation

Implementation of CRP Point of Care Testing in Primary Care to Improve Antibiotic Targeting in Respiratory Illness (ICAT)

TypeinterventionalSponsorOxford University Clinical Research Unit, VietnamRan2020 to 2021Enrolled2,606ConditionsAcute Respiratory InfectionArmsACTIM CRP Rapid Test (Medix, Biochemica)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Zühre KayaGazi University Medical School, The Pediatric Hematology Unit, Department of Pediatrics, Ankara, Turkey.
Aynur KüçükcongarGazi University Medical School, The Pediatric Hematology Unit, Department of Pediatrics, Ankara, Turkey.
Doğuş VurallıGazi University Medical School, The Pediatric Hematology Unit, Department of Pediatrics, Ankara, Turkey.
Hamdi Cihan EmeksizGazi University Medical School, The Pediatric Hematology Unit, Department of Pediatrics, Ankara, Turkey.
Türkiz GürselGazi University Medical School, The Pediatric Hematology Unit, Department of Pediatrics, Ankara, Turkey.
Gazi University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInfections remain the major cause of unnecessary antibiotic use in pediatric outpatient settings. Complete blood count (CBC) is the essential test in the diagnosis of infections. C-reactive protein (CRP) is also useful for assessment of young children with serious bacterial infections. The purpose of the study was to evaluate leukocyte populations and CRP level to predict bacterial infections in febrile outpatient children. MATERIALS AND

methodsThe values of CBC by Cell-DYN 4000 autoanalyzer and serum CRP levels were evaluated in 120 febrile patients with documented infections (n:74 bacterial, n:46 viral) and 22 healthy controls.

resultsThe mean CRP, neutrophil and immature granulocyte (IG) values were significantly higher in bacterial infections than in viral infections and controls (p<0.05). C-reactive protein was significantly correlated with neutrophil level in bacterial infections (r: 0.76, p<0.05). Specificity of IG was greatest at 93%, only a modest 56% for neutrophil and mild 18% for CRP, whereas 100% for combination of IG, neutrophil and CRP.

conclusionAcute bacterial infection seems to be very unlikely in children with normal leukocyte populations and CRP values, even if clinically signs and symptoms indicate acute bacterial infections.

Indexed as

C-reactive proteinFebrile childrenLeukocyte populations

Identifiers

PMID24764729
PMCPMC3996630
OpenAlexW2069075704

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.