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Future Microbiol ; 15: 189-201, 2020 02.
Article in English | MEDLINE | ID: mdl-32065550

ABSTRACT

Aim: In an Emergency Department (ED), the etiological identification of infected subjects is essential. 13 infection-related biomarkers were assessed using a new flow cytometry procedure. Materials & methods: If subjects presented with febrile symptoms at the ED, 13 biomarkers' levels, including CD64 on neutrophils (nCD64) and CD169 on monocytes (mCD169), were tested and compared with clinical records. Results: Among 50 subjects, 78% had bacterial infections and 8% had viral infections. nCD64 showed 82% sensitivity and 91% specificity for identifying subjects with bacterial infections. mCD169, HLA-ABC ratio and HLA-DR on monocytes had high values in subjects with viral infections. Conclusion: Biomarkers showed promising performances to improve the ED's infectious stratification.


Subject(s)
Bacterial Infections/diagnosis , Biomarkers/blood , Virus Diseases/diagnosis , Adult , Bacterial Infections/physiopathology , C-Reactive Protein/analysis , Emergency Service, Hospital , Female , Fever , Flow Cytometry , HLA Antigens/blood , Humans , Male , Middle Aged , Monocytes/immunology , Neutrophils/immunology , Procalcitonin/blood , Receptors, IgG/blood , Sensitivity and Specificity , Sialic Acid Binding Ig-like Lectin 1/blood , Virus Diseases/physiopathology
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