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Evaluation of heparin-binding protein and/or procalcitonin levels in the diagnosis of bacterial intracranial infection using receiver operating characteristic (ROC) curve value

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机构: [1]Department of Neurology, Weifang People’s Hospital, Weifang 261000, China [2]Department of Neurology, Qianfoshan Hospital, Jinan 261000, China [3]Department of Clinical Laboratory, Xuanwu Hospital Affiliated to Capital Medical University, Beijing 100053, China
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关键词: Heparin binding protein procalcitonin bacterial intracranial infection

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Objective: The aim of this study was to investigate the receiver operating characteristic (ROC) curve value to evaluate heparin-binding protein (HBP), procalcitonin (PCT), and HBP+PCT levels in the cerebrospinal fluid, and find a more valuable indicator for the early diagnosis of bacterial intracranial infections (Blls). Methods: Patients (94 total) with intracranial infections were divided into bacterial intracranial infection (BII; n = 40) and non-bacterial intracranial infection (NBII; n = 54) groups, while 40 patients without intracranial infections were used as negative controls. HBP and PCT levels in the cerebrospinal fluid were tested in all cases. Glasgow scores were recorded for the BII group, and the correlation between HBP/PCT levels and Glasgow scores was analyzed. Results: There were significant differences in HBP levels between the BII, NBII, and control groups (P < 0.05), but not in PCT (P > 0.05) levels, and there was a positive correlation between HBP levels and Glasgow scores in BII group (P < 0.05). In the 611-control group, the area under the curve (AUG; 0.928) for HBP was significantly greater than that for PCT (0.802, P < 0.05), and the combined AUC for HBP and PCT was not greater than the AUC for HBP (P > 0.05) alone. In the BII-NBII group, the AUC for HBP was significantly greater than that for PCT (P < 0.05), and the AUC for the combination of HBP and PCT was not greater than that for HBP (P > 0.05). Conclusion: Cerebrospinal fluid HBP levels showed better sensitivity and specificity than PCT levels in the diagnosis of BII, and were related with disease severity.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
最新[2023]版:
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出版当年[2017]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Department of Neurology, Weifang People’s Hospital, Weifang 261000, China
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通讯机构: [1]Department of Neurology, Weifang People’s Hospital, Weifang 261000, China [*1]Department of Neurology, Weifang People’s Hospital, No. 151 Guangwen Street Kuiwei District, Weifang 261000, China.
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