Proportionate reduction in uncertainty of late onset infection in pre-term infants by neutrophil CD64 measurement

Fetal Pediatr Pathol. 2014 Feb;33(1):16-22. doi: 10.3109/15513815.2013.842270. Epub 2013 Oct 7.

Abstract

Objective: Establish how neutrophil CD64 performs as a marker of definite infection in pre-term infants in comparison to C reactive protein (CRP) and procalcitonin (PCT).

Methods: A total of 38 pre-term infants with suspected late onset infection had CD64 measured by flow cytometry. Proportionate reduction in uncertainty (PRU) curves were generated for CD64 counts at various threshold values.

Results: PRU curves reduced the residual uncertainty of the presence of infection by up to 64%.

Conclusions: The CD64 appears to be a useful point of care test (POCT) for further defining the likelihood of infection and performs better than CRP or PCT at helping to rule in infection.

MeSH terms

  • Bacterial Infections / blood
  • Bacterial Infections / diagnosis*
  • Biomarkers / blood*
  • C-Reactive Protein / analysis
  • Flow Cytometry
  • Humans
  • Infant, Newborn
  • Infant, Newborn, Diseases / blood
  • Infant, Newborn, Diseases / diagnosis
  • Neutrophils / metabolism*
  • Point-of-Care Systems
  • Receptors, IgG / blood*
  • Sepsis / blood
  • Sepsis / diagnosis
  • Uncertainty

Substances

  • Biomarkers
  • Receptors, IgG
  • C-Reactive Protein