THE IMPORTANCE OF STREM AND PRESEPSIN IN THE DIAGNOSIS AND MONITORING OF FEBRILE NEUTROPENIA IN THE PEDIATRIC AGE GROUP.

Project no. 32560 · Status: Kapanmış (Yayın bekleniyor) · 2024

Summary

<p>Febrile&nbsp;neutropenia&nbsp;is&nbsp;defined&nbsp;as&nbsp;a&nbsp;body&nbsp;temperature&nbsp;of&nbsp;38&nbsp;degrees&nbsp;Celsius&nbsp;or&nbsp;higher,&nbsp;or&nbsp;a&nbsp;temperature&nbsp;of&nbsp;38&nbsp;degrees&nbsp;Celsius&nbsp;or&nbsp;higher&nbsp;lasting&nbsp;longer&nbsp;than&nbsp;1&nbsp;hour,&nbsp;with&nbsp;an&nbsp;absolute&nbsp;neutrophil&nbsp;count&nbsp;(ANS)&nbsp;of&nbsp;500&nbsp;cells/microliter&nbsp;or&nbsp;less,&nbsp;or&nbsp;a&nbsp;decrease&nbsp;in&nbsp;the&nbsp;absolute&nbsp;neutrophil&nbsp;count&nbsp;to&nbsp;500&nbsp;cells/microliter&nbsp;within&nbsp;the&nbsp;following&nbsp;24&nbsp;hours.&nbsp;Febrile&nbsp;neutropenia&nbsp;is&nbsp;a&nbsp;significant&nbsp;cause&nbsp;of&nbsp;mortality&nbsp;and&nbsp;morbidity,&nbsp;particularly&nbsp;in&nbsp;patients&nbsp;diagnosed&nbsp;with&nbsp;hematological&nbsp;malignancies.&nbsp;Prolonged&nbsp;hospital&nbsp;stay,&nbsp;chemotherapeutic&nbsp;drugs,&nbsp;and&nbsp;long-term&nbsp;antibiotic&nbsp;treatment&nbsp;increase&nbsp;this&nbsp;risk.&nbsp;Bacterial&nbsp;infections&nbsp;can&nbsp;be&nbsp;responsible&nbsp;for&nbsp;febrile&nbsp;neutropenia;&nbsp;therefore,&nbsp;early&nbsp;biomarkers&nbsp;may&nbsp;be&nbsp;necessary&nbsp;for&nbsp;rapid&nbsp;antibiotic&nbsp;treatment.&nbsp;This&nbsp;study&nbsp;will&nbsp;evaluate&nbsp;the&nbsp;significance&nbsp;of&nbsp;presepsin&nbsp;and&nbsp;sTREM&nbsp;levels&nbsp;in&nbsp;diagnosis&nbsp;and&nbsp;prognosis,&nbsp;and&nbsp;their&nbsp;success&nbsp;in&nbsp;demonstrating&nbsp;bacterial&nbsp;infection,&nbsp;in&nbsp;febrile&nbsp;neutropenic&nbsp;patients&nbsp;admitted&nbsp;to&nbsp;Ege&nbsp;University&nbsp;Children's&nbsp;Hospital,&nbsp;both&nbsp;at&nbsp;admission&nbsp;and&nbsp;48&nbsp;hours&nbsp;after&nbsp;fever-free&nbsp;status.&nbsp;This&nbsp;will&nbsp;enable&nbsp;the&nbsp;prediction&nbsp;of&nbsp;the&nbsp;prognosis&nbsp;of&nbsp;patients&nbsp;presenting&nbsp;with&nbsp;febrile&nbsp;neutropenia&nbsp;and&nbsp;will&nbsp;identify&nbsp;patients&nbsp;who&nbsp;need&nbsp;early&nbsp;antibiotic&nbsp;therapy&nbsp;and&nbsp;those&nbsp;who&nbsp;do&nbsp;not.&nbsp;This&nbsp;will&nbsp;prevent&nbsp;patients&nbsp;with&nbsp;suspected&nbsp;bacterial&nbsp;infections&nbsp;from&nbsp;receiving&nbsp;unnecessary&nbsp;antibiotic&nbsp;treatment&nbsp;and&nbsp;will&nbsp;ensure&nbsp;that&nbsp;antibiotic&nbsp;therapy&nbsp;is&nbsp;initiated&nbsp;early&nbsp;in&nbsp;patients&nbsp;who&nbsp;do&nbsp;require&nbsp;it.</p><p>Send&nbsp;feedback</p>

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