Can hematological parameters be used for differential diagnosis in rotavirus infection at any age of children? A 6-year outcomes from a tertiary referral center

dc.authorid0000-0002-8044-4992
dc.authorid0000-0002-6490-4530
dc.authorid0000-0002-2621-1397
dc.authorid0000-0003-3952-1914
dc.contributor.authorAksoy Okan, Meliha
dc.contributor.authorTemel, Hayrettin
dc.contributor.authorOkur, Mesut
dc.contributor.authorİstanbullu Tosun, Ayşe
dc.date.accessioned2021-12-22T07:53:12Z
dc.date.available2021-12-22T07:53:12Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Tıbbi Mikrobiyoloji Ana Bilim Dalı
dc.description.abstractAim: Routine blood parameters are widely used to detect of infectious diseases. Our study aimed to investigate the hematological parameters changes in rotavirus (RV) acute gastroenteritis and to evaluate the value of these parameters in children. Methods: In our study, the hematological data of patients diagnosed with RV-positive acute gastroenteritis (RPAGE) and RV-negative acute gastroenteritis (RNAGE) were analyzed between 2015-2020. In addition to the data automatically measured by complete blood count, lymphocyte/monocyte ratio (LMR), neutrophil/lymphocyte ratio (NLR), mean platelet volume/platelet ratio (MPVPR) were calculated. All cases were evaluated in three different age groups (<1-year-old, 1-to 5-year-old, and >5-year-old). Results: The present study included 2,144 patients (340 children with RPAGE, 1,804 children with RNAGE). Red blood cell count, hemoglobin, and hematocrit were higher in cases over 1 year of age with RPAGE. The MPVPR was lower in all age groups with RPAGE. The cut-off values of MPVPR for predicting Rotavirus infection (RI) were 0.023 (<1-year-old group), 0.026 (1-to 5-year-old group), and 0.032 (>5-year-old group). The LMR was lower and NLR was higher in cases over 1 year of age with RPAGE. The cut-off value of LMR for predicting RI were 1.99 (1-to 5-year-old group) and 0.96 (>5-year-old group). The cut-off value of NLR for predicting RI were 1.41 (1-to 5-year-old group), and 3.79 (>5-year-old group). Conclusion: The low MPVPR can be used as a hematological biomarker for the identification of RPAGE cases in all age groups. Low LMR and high NLR can indicate RPAGE cases in over 1 year of age.
dc.identifier.citationAksoy Okan, M., Temel, H., Okur, M. ve İstanbullu Tosun, A. (2021). Can hematological parameters be used for differential diagnosis in rotavirus infection at any age of children? A 6-year outcomes from a tertiary referral center. Medical Bulletin of Haseki, 59(5), 436-441. https://doi.org/10.4274/haseki.galenos.2021.7401
dc.identifier.doi10.4274/haseki.galenos.2021.7401
dc.identifier.endpage441
dc.identifier.issn1302-0072
dc.identifier.issn2147-2688
dc.identifier.issue5
dc.identifier.scopusqualityQ4
dc.identifier.startpage436
dc.identifier.urihttps://doi.org/10.4274/haseki.galenos.2021.7401
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8708
dc.identifier.volume59
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGalenos Publishing House
dc.relation.ispartofMedical Bulletin of Hasekien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGastroenteritis
dc.subjectRotavirus
dc.subjectNeutrophils
dc.subjectLymphocytes
dc.subjectMonocytes
dc.subjectMean Platelet Volume
dc.subjectPlatelets
dc.titleCan hematological parameters be used for differential diagnosis in rotavirus infection at any age of children? A 6-year outcomes from a tertiary referral center
dc.typeArticle

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