Résumé
Objective To explore the value of procalcitonin,C-reactive protein and neutrophil percentage in early diagnosis of bacterial bloodstream infection in patients with malignant tumor.Methods Retrospectively analyzed the clinical data of 413 cases with tumor fever who were performed PCT,CRP,blood test and blood culture in the same day in our hospital from January to December in 2015.According to blood culture results,they were divided into observation group(211 cases) and control group(202 cases).The observation group was divided into Gram-negative(G-) group and Gram-positive(G+) group.The diagnostic efficacy of PCT,CRP and NEUT％ on bacterial bloodstream infection was evaluated by receiver operating characteristic curve (ROC).Results The specificity of PCT in the observation group was the highest and the sensitivity of CRP was the highest.The levels of PCT,CRP and NEUT％ in the observation group were significantly higher than those in the control group(P＜0.05).PCT level in the G-group were apparently higher than that of G+ group(P＜0.05),while CRP and NEUT％ levels had no statistical significance between the two groups(P＞0.05).According to ROC curve,In the observation group,The AUC of PCT,CRP and NEUT％ were 0.848,0.796 and 0.718,respectively.In G-and G+ group,the AUC of PCT were 0.877 and 0.767,respectively.Conclusion PCT,CRP and NEUT％ were significantly increased in the malignant patient with bloodstream infection,PCT has showed better diagnostic efficiency compared to CRP or NEUT％ and better clinical value in distinguish between G-and G+ bacterial infection type.Combined detection of PCT,CRP,NEUT％ can help for early diagnosing malignant tumor with bacterial bloodstream infection.
Résumé
Objective To explore the value of procalcitonin,C-reactive protein and neutrophil percentage in early diagnosis of bacterial bloodstream infection in patients with malignant tumor.Methods Retrospectively analyzed the clinical data of 413 cases with tumor fever who were performed PCT,CRP,blood test and blood culture in the same day in our hospital from January to December in 2015.According to blood culture results,they were divided into observation group(211 cases) and control group(202 cases).The observation group was divided into Gram-negative(G-) group and Gram-positive(G+) group.The diagnostic efficacy of PCT,CRP and NEUT％ on bacterial bloodstream infection was evaluated by receiver operating characteristic curve (ROC).Results The specificity of PCT in the observation group was the highest and the sensitivity of CRP was the highest.The levels of PCT,CRP and NEUT％ in the observation group were significantly higher than those in the control group(P＜0.05).PCT level in the G-group were apparently higher than that of G+ group(P＜0.05),while CRP and NEUT％ levels had no statistical significance between the two groups(P＞0.05).According to ROC curve,In the observation group,The AUC of PCT,CRP and NEUT％ were 0.848,0.796 and 0.718,respectively.In G-and G+ group,the AUC of PCT were 0.877 and 0.767,respectively.Conclusion PCT,CRP and NEUT％ were significantly increased in the malignant patient with bloodstream infection,PCT has showed better diagnostic efficiency compared to CRP or NEUT％ and better clinical value in distinguish between G-and G+ bacterial infection type.Combined detection of PCT,CRP,NEUT％ can help for early diagnosing malignant tumor with bacterial bloodstream infection.
Résumé
Objective To improve the management of dyspepsia by evaluating the potential role of pretreatment gastric histology as predictive factors on the symptomatic response after Helicobacter pylori (H. pylori) eradication in patients with functional dyspepsia (FD).Methods 240 FD patients with H. pylori infection out of 920 consecutive patients receiving gastroendoscopy due to dyspepsia were investigated, including 190 patients enrolled as the therapy group and administered with anti-H. pylori triple therapy. In addition, 50 patients were enrolled as the control group, in which omeprazole was an alternative to the triple therapy. The course of therapy in both groups was 7 days. Pretreatment gastric histology was evaluated by the updated Sydney system. C~ 13 urea breath test was performed to evaluate the H. pylori eradication results one month (both therapy group and control group) and six months (therapy group) after therapy. For each patient, the baseline, month 1 and month 6 symptom scores were assessed by a questionnaire of dyspepsia, including 12 symptom items of dyspepsia with scoring of severity. The relationship between pretreatment gastric histology and good symptom responses after H. pylori eradication was then analyzed.Results Of 35.3% and 42.6% patients with successful H. pylori eradication in the therapy group had a good symptomatic response one month and six months after the triple therapy respectively, higher than those from the patients who failed H. pylori eradication (month 1:35.3% vs 12.2%, P