Evidence map›Paper›PMID 26322411›Full record

ArticlePediatric research2015

Monocyte HLA-DR expression and neutrophil CD64 expression as biomarkers of infection in critically ill neonates and infants.

Justin E Juskewitch, Roshini S Abraham, Stacy C League, Sarah M Jenkins, Carin Y Smith, Felicity T Enders, Stefan K Grebe, William A Carey, W Charles Huskins

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
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  9. Sepsis-Induced Immunosuppression in Neonates.Frontiers in pediatrics · 2018
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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

9 authors at 4 institutions in 2 countries.

Justin E JuskewitchMayo Graduate School, Mayo Clinic, Rochester, Minnesota.
Roshini S AbrahamDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Stacy C LeagueDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Sarah M JenkinsDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota.
Carin Y SmithDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota.
Felicity T EndersDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota.
Stefan K GrebeDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
William A CareyDivision of Neonatal Medicine, Mayo Clinic, Rochester, Minnesota.
W Charles HuskinsDivision of Pediatric Infectious Diseases, Mayo Clinic, Rochester, Minnesota.
Mayo Clinic · USDepartment of Medical Sciences · BYMayo Clinic in Florida · USWinnMed · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Regulation of Toll-like Receptor 4 in Acute Inflammatory DiseaseF30DK084671 · NIDDK · MAYO CLINIC ROCHESTER · PI JUSKEWITCH, JUSTIN EDDIE · 2009 to 2012
$142k
NCATS NIH HHS UL1 TR000135NCATS NIH HHS UL1TR000135NIDDK NIH HHS F30 DK084671NIDDK NIH HHS F30DK084671
6 · The paper itself

Abstract

backgroundReduced monocyte HLA-DR expression and increased neutrophil CD64 expression have been proposed as biomarkers of infection.

methodsFrom 2009-2011, blood samples from neonatal intensive care unit (NICU) and pediatric intensive care unit (ICU) patients <1 y of age were collected at enrollment and during subsequent evaluation for suspected infection, if it occurred. Samples were analyzed for monocyte HLA-DR and neutrophil CD64 expression levels by flow cytometry.

resultsForty-seven infants had study samples collected at enrollment; 26 infants had study samples collected at the time of a suspected infection. At enrollment, there was an inverse relationship between neutrophil CD64 expression and age (P ≤ 0.047). At the time of suspected infection, infants with an infection demonstrated a lower percentage of HLA-DR+ monocytes (P = 0.02, area under the curve (AUC) 0.78), higher percentage of CD64+ neutrophils (P = 0.009, AUC 0.81), and higher neutrophil CD64 expression levels (P = 0.04, AUC 0.75).

conclusionMonocyte HLA-DR and neutrophil CD64 expression in critically ill infants are related to age and infection.

Indexed as

Age FactorsArea Under CurveBiomarkersCalcitoninC-Reactive ProteinCritical IllnessCross-Sectional StudiesFemaleFlow CytometryGestational AgeHLA-DR AntigensHumansInfantInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalBiomarkersCalcitoninC-Reactive ProteinHLA-DR AntigensProtein PrecursorsReceptors, IgG

Identifiers

PMID26322411
PMCPMC4689644
OpenAlexW1250475288

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Registered trials

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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.