Evidence map›Paper›PMID 39282535›Full record

ArticleLe infezioni in medicina2024

Diagnostic role of CD64 expression on neutrophils as biomarker for blood stream infection in liver cirrhosis: some preliminary findings.

Elena Garlatti Costa, Sergio Venturini, Gian Luca Colussi, Chiara Pratesi, Danilo Villalta, Anna Sabena, Alessandro Grembiale, Elisa Pontoni, Igor Bramuzzo, Giuseppe Barbato and 8 more

Abstract read
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Article in Le infezioni in medicina, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

18 authors.

Elena Garlatti CostaDepartment of Internal Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Sergio VenturiniDepartment of Infectious Diseases, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Gian Luca ColussiDepartment of Internal Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Chiara PratesiDepartment of Laboratory Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Danilo VillaltaDepartment of Immunology and Allergology, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Anna SabenaDepartment of Internal Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Alessandro GrembialeDepartment of Internal Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Elisa PontoniDepartment of Emergency Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Igor BramuzzoDepartment of Infectious Diseases, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Giuseppe BarbatoDepartment of Emergency Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Massimiliano BalbiDepartment of Internal Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of San Vito al Tagliamento, Italy.
Paolo DorettoDepartment of Laboratory Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Manuela AvolioDepartment of Microbiology and Virology, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Giancarlo BasagliaDepartment of Microbiology and Virology, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Massimo CrapisDepartment of Infectious Diseases, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Maurizio TonizzoDepartment of Internal Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.
Stefano FagiuoliGastroenterology Hepatology and Transplantation Unit, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Hospital of Bergamo, Italy.
Silvia GrazioliDepartment of Internal Medicine, Azienda Sanitaria Friuli Occidentale, Hospital of Pordenone, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The expression of CD64 on neutrophils (nCD64), measured using flow cytometry, has been proposed as a biomarker for bloodstream infections (BSI). However, data regarding its use in the setting of liver cirrhosis are lacking. Methods: We compared nCD64 levels in 15 cirrhotic patients with BSI to those in 19 controls, including outpatients with stable decompensated cirrhosis without infection. Additionally, we compared nCD64 with C-reactive protein (CRP) and procalcitonin (PCT) in infected hospitalized cirrhotic patients. Results: Cirrhotic patients with infection had higher levels of nCD64 compared to controls (6.0 [5.4-7.1] vs. 2.0 [1.5-2.2]; p<0.001). Among infected patients, a correlation between nCD64 (AUC=0.934 [0.875-0.982 95% CI]), CRP (AUC=0.972 [0.942-0.993 95% CI]), and PCT (AUC=0.859 [0.739-0.953 95% CI]) was observed. However, in our sample of cirrhotic individuals, nCD64 values were not significantly different between patients with worse prognosis and those with positive outcomes (p=0.448), and its expression was not influenced by Gram stain. Conclusions: In our cohort, nCD64 appears to be a promising new biomarker for BSI. Additional prospective studies are needed to confirm its role and limitations in conjunction with other biomarkers and rapid microbiology in the diagnostic multidisciplinary pathway for septic cirrhotic patients.

Indexed as

biomarkersblood stream infectionCD64 expression on neutrophilsliver cirrhosismortalityteamwork

Identifiers

PMID39282535
PMCPMC11392555

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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.