Cerebrospinal Fluid (CSF) Ferritin for Differentiation of Aseptic and Bacterial Meningitis in Adults

Cerebrospinal Fluid (CSF) Ferritin for Differentiation of Aseptic and Bacterial Meningitis in Adults


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دانشگاه علوم پزشکی تبریز
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نویسندگان: ژینوس بیات ماکو , اکبر حسنی

کلمات کلیدی: Key words: CSF ferritin, bacterial meningitis, aseptic meningitis, lactate, Lactate Dehydrogenase (LDH), C-Reactive Protein (CRP), diagnostic criteria, cerebrospinal fluid, antibiotic therapy, regional synthesis, aseptic meningitis, quantitative measuring

نشریه: , 6 , 4 , 2010

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نویسنده ثبت کننده مقاله ژینوس بیات ماکو
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 58140
عنوان فارسی مقاله Cerebrospinal Fluid (CSF) Ferritin for Differentiation of Aseptic and Bacterial Meningitis in Adults
عنوان لاتین مقاله Cerebrospinal Fluid (CSF) Ferritin for Differentiation of Aseptic and Bacterial Meningitis in Adults
ناشر 5
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق)
نوع مقاله سایر موارد
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت American Journal of Infectious Diseases website

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Abstract: Problem statement: Bacterial meningitis is one of the most important causes of mortality and morbidity. Rapid diagnosis of bacterial cause is very important and critical, because early antibiotic therapy prevents complications; different tests have been developed for rapid diagnosis of bacterial meningitis. One of them is CSF ferritin, which is evaluated in this study. Approach: During cross sectional study from 2008-2009 for 2 years, CSF was collects from 61 adults suspected to have meningitis. These patients admitted to Emam Reza and Sina hospitals of Tabriz. CSF was analyzed for ferritin, glucose, protein, cell count, culture and gram stains. Clinical data's were collected for all patients. Collected data’s were analyzed by SPSS software. Results: From 61 specimens, 19 cases had bacterial, 19 cases had aseptic meningitis and 23 cases had no criteria for diagnosis of meningitis. CSF ferritin in bacterial meningitis was 231.63 ± 61.26 ng dL−1 that was significantly higher, than that of aseptic meningitis group. Cut off value for ferritin was estimated 155ng dL−1 with sensitivity of 94% and specificity of 21.7% in this study. Symptoms such as levels of consciousness, fever and seizure were not considered as a criteria for diagnosis of bacterial meningitis (p>0.05). But symptoms such as headache, nausa, vomiting and neck stefness were significantly higher in bacterial and aseptic groups than no meningitis group (p<0.05). Conclusion: In this study CSF ferritin in bacterial meningitis group was significantly higher than aseptic meningitis group. But due to low specificity of CSF ferritin for differentiation of bacterial from aseptic meningitis, we don’t recommend performance of this test in early phase of meningitis course.

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نویسنده نفر چندم مقاله
ژینوس بیات ماکواول
اکبر حسنیسوم

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