Evidence map›Paper›PMID 41834057›Full record

Observational studyBMC research notes2026

Diagnostic and prognostic utility of neutrophil CD64 and monocyte HLA-DR in adult sepsis patients.

Kajal Arora, Susheel Kumar, Man Updesh Singh Sachdeva, Deba Prasad Dhibar, Ashish Bhalla, Navneet Sharma

Abstract readObservational Study
In one paragraph

Observational study in BMC research notes, 2026. 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

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kajal AroraDepartment of Pulmonary Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Susheel KumarDepartment of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India. susheelbhutungru@gmail.com.
Man Updesh Singh SachdevaDepartment of Hematology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Deba Prasad DhibarDepartment of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ashish BhallaDepartment of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Navneet SharmaDepartment of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the diagnostic and prognostic accuracy of nCD64, mHLA-DR and sepsis Index (SI), ratio of nCD64 and mHLA-DR, in patients with sepsis.

methodsProspective observational study was undertaken among 50 cases diagnosed with sepsis, 25 non-septic patients, and 25 healthy individuals as controls. Participants underwent flowcytometric estimation of nCD64 and mHLA-DR on the day of admission.

resultsThe sepsis cohort had significantly higher nCD64 and lower mHLA-DR expression than both control groups (p-value: < 0.001). The sensitivity and specificity of nCD64 ABC (Antibodies Bound per Cell) for diagnosis of sepsis with a cut-off of 1152.16 was 94% and 74%, respectively. Similarly, for the Sepsis Index (cutoff-11.36), the sensitivity and specificity for the diagnosis of sepsis were 88% and 86%, respectively. The combination of sepsis index or CD64 (either positive) increased the sensitivity to 96%. Using the combination of all three markers (nCD64 ABC, mHLA-DR ABC, and SI), the sensitivity for diagnosis of sepsis approached 100%. Among flow cytometric variables, the sepsis index had a statistically significant association with hospital mortality on univariate analysis. However, overall, only the baseline SOFA score was independently associated with hospital mortality.

conclusionnCD64 and sepsis index are good diagnostic markers in patients with sepsis.

Indexed as

HLA-DR AntigensMonocytesNeutrophilsReceptors, IgGSepsisAdultAgedBiomarkersFemaleFlow CytometryHospital MortalityHumansMaleMiddle AgedPrognosisProspective StudiesBiomarkersHLA-DR AntigensReceptors, IgGDiagnosisFlow cytometric biomarkersMortalityPrognosisSepsis

Identifiers

PMID41834057
PMCPMC13104276

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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.