Correlation of Immature Granulocytes and C-Reactive Protein with Blood Culture in Neonatal-SIRS at Gambiran Hospital

Authors

  • Sri Widyaningsih Faculty of Medicine, University of Muhammadiyah Surabaya
  • Muthia Maraya Hasna Faculty of Medicine, University of Muhammadiyah Surabaya
  • M. Reza Utama Faculty of Medicine, University of Muhammadiyah Surabaya
  • Gina Noor Djalilah Faculty of Medicine, University of Muhammadiyah Surabaya

DOI:

https://doi.org/10.24293/ijcpml.v28i3.1961

Keywords:

Systemic inflammatory response syndrome, immature granulocytes, C-reactive protein, blood culture

Abstract

Sepsis can occur in patients with Systemic Inflammatory Response Syndrome (SIRS) symptoms, especially in neonates due to their underdeveloped immune systems. Blood culture as the gold standard test to diagnose sepsis in SIRS patients takes a long time to perform. The other rapid test parameters are needed to support the early diagnosis of infection (sepsis) in SIRS patients, including Immature Granulocytes (IG%) and C-Reactive Protein (CRP). This study aimed to determine the correlation between IG% with blood culture and CRP with blood culture in neonatal SIRS patients at Gambiran Hospital, Kediri. The research design used retrospectively using secondary data. A total of 63 samples were obtained using simple random sampling on the medical record of neonatal SIRS patients who met the inclusion criteria, without any exclusion criteria. There were significant results with a value of p=0.000 (p < 0.05) between IG% and blood culture using the Mann-Whitney test, as well as on CRP and blood culture using the independent samples T-test. The bivariate statistical test between IG% and CRP was carried out using the Spearman test and showed significant results with p=0.000 (p < 0.05) with a correlation coefficient (rs) of 0.740, which indicated a strong positive relationship. It was concluded that there was a correlation between IG% and CRP with blood culture in neonatal SIRS patients.

Downloads

Download data is not yet available.

Author Biographies

Sri Widyaningsih, Faculty of Medicine, University of Muhammadiyah Surabaya

Faculty of Medicine, University of Muhammadiyah Surabaya

Muthia Maraya Hasna, Faculty of Medicine, University of Muhammadiyah Surabaya

Faculty of Medicine, University of Muhammadiyah Surabaya

M. Reza Utama, Faculty of Medicine, University of Muhammadiyah Surabaya

Faculty of Medicine, University of Muhammadiyah Surabaya

Gina Noor Djalilah, Faculty of Medicine, University of Muhammadiyah Surabaya

Faculty of Medicine, University of Muhammadiyah Surabaya

References

Bartolovic D, Ignjatovic S, Stankovic S, Majkić-Singh N. Procalcitonin and Other Biomarkers of Sepsis in Newborns in the Intensive Care Unit. Electronic Journal of the International Federation of Clinical Chemistry and Laboratory Medicine. 2011; 22(1): 1-8.

Kementerian Kesehatan Republik Indonesia. Pedoman Nasional Pelayanan Kedokteran Tata Laksana Sepsis. 2017; 1-14.

McPhee SJ, Ganong WF. Patofisiologi Penyakit : Pengantar Menuju Kedokteran Klinis. Ed. 5, Jakarta, EGC, 2017, 90-91.

World Health Organization. Sepsis. 2020 [cited at December 14, 2020]. Available at: http:// www.who.int.

Hermawan H, Yuniati T, Primadi A. Hubungan antara Hipokalsemia dan Prognosis Buruk pada Sepsis Neonatal. Sari Pediatri. 2016; 16(6): e421.

Dinas Kesehatan Kota Kediri. Health Profil of Kediri City. Public Health Office Kediri City. 2017; 1-102.

Su K, Hendrianingtyas M. Hubungan Neutrophils/Lymphocytes Ratio dan C-Reactive Protein pada Infeksi Neonatal. Journal of Nutrition and Health. 2017; 5(3): 187-194.

Beltempo M, Viel-Thériault I, Thibeault R, Julien AS, Piedboeuf B. C-Reactive Protein for Late-Onset Sepsis Diagnosis in Very Low Birth Weight Infants. BMC Pediatric. 2018; 18(1): 1-8.

Wirawati IAP, Aryati, Lestari AAW. Role of Immature/Total Neutrophil Ratio, Leukocyte Count and Procalcitonin in Diagnosing Neonatal Sepsis. Indonesian Journal of Clinical Pathology and Medical Laboratory. 2018; 24(2): 169-174.

Nierhaus A, Klatte S, Linssen J, Eismann NM, Wichmann D, et al. Revisiting The White Blood Cell Count: Immature Granulocytes Count as a Diagnostic Marker to Discriminate Between SIRS and Sepsis - A Prospective, Observational Study. BMC Immunology. 2013; 14(1); 1-8.

World Health Oganization. Antibiotic Use for Sepsis in Neonates and Children: 2016 Evidence Update. WHO-Reviews. 2016; 3-5.

Noviani I, Prihatni D, Suraya N. Korelasi antara Immature Total Ratios Berdasarkan Sediaan Apus Darah Tepi dan Immature Granulocyte Ratios Alat Hematology Analyzer pada Sepsis Neonatus. Tunas Medika. 2012; 5(2): 20-23.

Wulandari A, Martuti S, Kaswadi P. Perkembangan Diagnosis Sepsis Pada Anak. Sari Pediatri. 2017; 19(4): e237.

Pursnani D, Hippargi SB. Sysmex XN1000 Versus Manual Method in Leukopenic Blood Samples. Journal of Clinical and Diagnostic Research. 2018; 12(4): EC05-EC10.

Wondfo. FIA Meter Plus Fluorescence Immunoassay Rapid Quantitative Test. 2018 [Cited at December 14, 2020]. Available at: http://en.wondfo.com.

Dahlan MS. Statistik untuk Kedokteran dan Kesehatan : Deskriptif, Bivariat dan Multivariat. Ed. 6, Jakarta, Epidemiologi Indonesia, 2019, 221-232.

Hakiem F, Yuniati T, Susanah S. Hubungan antara Nilai C−Reactive Protein, Immature To Total Neutrophil Ratio, dan Red Cell Distribution Width dengan Kejadian Sepsis Neonatorum Bayi Prematur. Sari Pediatri. 2019; 21(4): 218-225.

Izzati N, Maani H, Husni. Gambaran Hematologic Scoring System pada Tersangka Sepsis Neonatorum. Jurnal Kesehatan Andalas. 2018; 7(Supplement 3): 1-5.

Al-Zwaini EJ. C-Reactive Protein: A Useful Marker for Guiding Duration of Antibiotic Therapy in Suspected Neonatal Septicaemia?. Eastern Mediterranean Health Journal. 2009; 15(2): 269-275.

Ruan L, Chen GY, Liu Z, Zhao Y, Xu GY, et al. The Combination of Procalcitonin and C-Reactive Protein or Presepsin Alone Improves the Accuracy of Diagnosis of Neonatal Sepsis : A Meta-analysis and Systematic Review. Critical Care. 2018; 22(1): 1-9.

Karad S, D'Souza D, Baveja S. Comparison of Procalcitonin and C-Reactive Protein with Blood Culture in Early Diagnosis of Neonatal Sepsis. MedPulse International Journal of Microbiology. 2019; 12(3): 49-54.

Camacho-Gonzalez A, Spearman PW, Stoll BJ. Neonatal Infections Disease: Evaluation of Neonatal Sepsis. Pediatric Clinical North America North America. 2013; 60(2): 367-389.

Monga N, Vyas N, Sharma B. Correlation of C-Reactive Protein and Blood Culture in Neonatal Sepsis. Indian Journal of Neonatal Medicine and Research. 2018; 6(3): 5-8.

Giannoni E, Schlapbach LJ. Editorial: Sepsis in Neonates and Children. Frontiers in Pediatrics. 2020; 8(November): 1-5.

Kosim MS. Infeksi Neonatal Akibat Air Ketuban Keruh. Sari Pediatri. 2016; 11(3): e212.

Sousa VS, da-Silva APS, Sorenson L, Paschoal RP, Rabello RF, et al. Staphylococcus Saprophyticus Recovered From Humans, Food, and Recreational Waters in Rio de Janeiro, Brazil. International Journal of Microbiology. 2017; 2017(4287547): 1-11.

Cimenti C, Erwa W, Muller W, Resch B. The Role of Immature Granulocyte Count and Immature Myeloid Information in the Diagnosis of Neonatal Sepsis. Intech. 2013; 32(July): 137-144.

Ayres LS, Sgnaolin V, Munhoz TP. Immature Granulocytes Index as Early Marker of Sepsis. International Journal of Laboratory Hematology. 2019; 41(3): 392-396.

Chacha F, Mirambo MM, Mushi MF, Kayange N, Zuechner A, et al. Utility of Qualitative C-Reactive Protein Assay and White Blood Cells Counts in the Diagnosis of Neonatal Septicaemia at Bugando Medical Centre, Tanzania. BMC Pediatrics. 2014; 14(1): 1-8.

Madavi D, Aziz F. A Study on Association Between CRP and Blood Culture in Neonatal Sepsis. Indian Journal of Applied Research. 2015; 5(3): 391–393.

Park SH, Ha SO, Cho YU, Park CJ, Jang SS, Hong SB. Immature Platelet Fraction in Septic Patients: Clinical Relevance of Immature Platelet Fraction is Limited to the Sensitive and Accurate Discrimination of Septic Patients from Non-Septic Patients, Not to the Discrimination of Sepsis Severity. Annals of Laboratory Medicine. 2016; 36(1): 1–8.

Downloads

Submitted

2021-12-23

Accepted

2022-03-21

Published

2022-09-19

How to Cite

[1]
Widyaningsih, S., Hasna, M.M., Utama, M.R. and Djalilah, G.N. 2022. Correlation of Immature Granulocytes and C-Reactive Protein with Blood Culture in Neonatal-SIRS at Gambiran Hospital. INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY. 28, 3 (Sep. 2022), 225–230. DOI:https://doi.org/10.24293/ijcpml.v28i3.1961.

Issue

Section

Articles