@article{article_742661, title={The relationship between laboratory evaluations in the separation of viral and bacterial pneumonia in children}, journal={Sakarya Tıp Dergisi}, volume={10}, pages={397–405}, year={2020}, DOI={10.31832/smj.742661}, author={Şahin, Kamil and Elevli, Murat and Koçak, Ayhan and Atash, Funda and Yücetaş, Esma and Coşkun, Cihan}, keywords={antibiotic, bronchiolitis, c reactive protein, children, pneumonia}, abstract={<p class="MsoNormal" style="margin-right:18.3pt;line-height:200%;"> <b> <span style="font-family:Arial, sans-serif;color:#222222;background:#F8F9FA;">Abstract </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="margin-right:18.3pt;line-height:200%;"> <b> <span style="font-family:Arial, sans-serif;">Objective </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="margin-right:4.3pt;text-align:justify;line-height:200%;"> <span style="font-family:Arial, sans-serif;">Basic
infections of the lower respiratory tract (LRT) are bronchiolitis and pneumonia
in children. The aim our study that determines the guiding laboratory
parameters in discriminating between bacterial and viral LRT infections. </span> </p> <p> </p> <p class="MsoNormal" style="margin-right:4.3pt;text-align:justify;line-height:200%;"> <b> <span style="font-family:Arial, sans-serif;">Materials and Methods </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="margin-right:4.3pt;text-align:justify;line-height:200%;"> <span style="font-family:Arial, sans-serif;">The
patients who were diagnosed with LRT infection were divided into four groups
based on the findings of chest radiography by radyologist in 2017. Their
disease was classified as either viral or bacterial LRT infection in line with
these findings. A correlation between chest radiography and laboratory findings
was found by comparing c reactive protein (CRP), leukocyte, platelet,
hematocrit, neutrophil, lymphocyte, neutrophil / lymphocyte and mean platelet
volume (MPV) ratios using statistical methods. </span> </p> <p> </p> <p class="MsoNormal" style="margin-right:4.3pt;text-align:justify;line-height:200%;"> <b> <span style="font-family:Arial, sans-serif;">Results </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="margin-right:8.3pt;text-align:justify;line-height:200%;"> <span style="font-family:Arial, sans-serif;">Of
344 patients included in the study, 43 patients with lober segmental,
dense-patched and peribronchial infiltration and 301 patients with
patched-peribronchial infiltration or normal radiography were evaluated as
bacterial and viral according to the findings of chest radiography, respectively.
We found a statistically significant difference in only CRP values between the
viral and bacterial groups (p = 0.034). </span> </p> <p> </p> <p class="MsoNormal" style="margin-right:4.3pt;text-align:justify;line-height:200%;"> <b> <span style="font-family:Arial, sans-serif;">Conclusion </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="margin-right:10.3pt;text-align:justify;line-height:200%;"> <span style="font-family:Arial, sans-serif;">It
is seen that CRP supports the findings of chest radiography in discrimination
of the bacterial cause in community-acquired LRT infections. In children, the
elevation in CRP value can be a valuable indicator in supporting bacterial
chest radiography finding and deciding to start empirically antibiotic
treatment of pneumonia. </span> </p> <p> </p>}, number={3}, publisher={Sakarya University}, organization={Destekleyen kurum yoktur.}