Akut tonsillit hastalarında hızlı antijen tarama testi sonuçları ile laboratuvar bulgularının karşılaştırılması

Year 2018, Volume: 10 Issue: 2, 89 - 92, 01.06.2018

Ömer Hızlı , Cengiz Sivrikaya Hakan Ulusoy Zeynep Alev Sarısoy Ahmet Burçin Sarısoy Güven Yıldırım , Kürşat Murat Özcan

https://doi.org/10.21601/ortadogutipdergisi.376703

Abstract

Amaç: Akut tonsillit hastalarında
etkeni saptamada hızlı antijen testinin öneminin ortaya konulması
amaçlanmıştır.

Gereç ve Yöntem: Polikliniğimize boğaz ağrısı ve
yüksek ateş şikâyetleriyle başvurup muayene sonucunda ‘akut tonsillofarenjit’
tanısı alan 36 hastaya poliklinik şartlarında hızlı antijen tarama testi
yapıldı, ardından tam kan sayımı, sedimantasyon hızı ve c-reaktif protein
düzeyleri tespit edildi. Hastalar hızlı antijen testi pozitifliğine göre iki
gruba ayrılarak iki grubun ortalama beyaz küre, c-reaktif protein, eritrosit
sedimantasyon hızı, nötrofil- lenfosit oranı ve platelet- lenfosit oranı
değerleri istatistiksel olarak karşılaştırdı.

Bulgular: Hızlı antijen tarama testi 18
hastada negatif iken 18 hastada pozitif bulundu. Hızlı antijen testi pozitif olanlarda ortalama beyaz küre, c-reaktif protein, eritrosit sedimantasyon
hızı, nötrofil- lenfosit oranı ve platelet- lenfosit oranı değerleri sırasıyla
11400± 4100/µlt, 6,1± 4,5 mg/dL, 25,1 ±18 mm/dk, 4,93 ± 2,72 ve 130,6 ±67,2 olarak
bulundu. Negatif olan grupta sırasıyla 11800± 3200/µlt, 7,2± 6 mg/dL, 15 ±8
mm/dk, 5,55 ±3,65 ve 135,3 ±37,2 olarak bulundu. İki grup arasında beyaz küre, c-reaktif
protein, eritrosit sedimantasyon hızı, nötrofil lenfosit oranı ve platelet
lenfosit oranı ortalamaları açısından anlamlı fark saptanmadı (p>0,05).

Sonuç: Hızlı antijen tarama testinin
pozitif veya negatif olması laboratuvar değerleri ile ilişkilendirilememiş
olup, inflamasyon göstergesi olan laboratuvar bulguları viral kaynaklı tonsillit
hastalarında da yükselebilmektedir. 

Keywords

Hızlı antijen, tonsillit, antibiyotik, nötrofil-lenfosit oranı

Comparison of rapid antigen detecting test results with laboratory analysis results in patients with acute tonsillitis

Abstract

Aim:
To reveal the importance of rapid antigen test in
detecting the agent in the patients with acute tonsillitis.

Material
and Method: We performed rapid antigen tests on 36 patients with
the complaints of sore throat and fever, who were diagnosed as ‘acute tonsillopharyngitis’
regarding the physical examination results. Then we noted the complete blood
count values with c- reactive protein levels and erythrocyte sedimentation
rates of all patients. We divided the patients into two groups according to the
rapid antigen test results and statistically compared the mean white blood
cell, c- reactive protein levels, erythrocyte sedimentation rates, neutrophil- lymphocyte
ratios and platelet- lymphocyte ratios of two groups.

Results:
Rapid antigen test was positive in 18 patients and
negative in 18 patients. The mean white blood cell, c- reactive protein,
erythrocyte sedimentation rate, neutrophil- lymphocyte ratio and platelet- lymphocyte
ratio levels were 11400± 4100/µlt, 6.1± 4.5 mg/dL, 25.1 ±18 mm/min, 4.93 ± 2.72
and 130.6 ±67.2 in positive test group and 11800± 3200/µlt, 7.2± 6 mg/dL, 15 ±8
mm/min, 5.55 ±3.65 and 135.3 ±37.2 in negative test group respectively. The
mean white blood cell, c- reactive protein levels, erythrocyte sedimentation
rates, neutrophil- lymphocyte ratios and platelet- lymphocyte ratios did not
significantly differ between the groups (p>0,05).

Conclusion:
Rapid antigen test results were not associated with
laboratory blood analysis results and inflammation markers may be elevated even
in viral infections.

 

Keywords

Rapid antigen, tonsillitis, antibiotic, neutrophil-lymphocyte ratio

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