Relationship Between Cbc Parameters and Acute Bronchiolitis in Children

Kemer S., Kıratlı K., Çevik E., Karademir F., Aydınöz S., Suleymanoglu S.

The World Society of Pediatric Infectious Diseases (WSPID) , Rio De Janeiro, Brezilya, 18 - 21 Kasım 2015, ss.182, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Rio De Janeiro
  • Basıldığı Ülke: Brezilya
  • Sayfa Sayıları: ss.182
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Background and aims: Bronchiolitis is one of the most common respiratory system infection in young children and infants. Congestion in the small airways (bronchioles) of the lung causes the symptoms. Most children get better with supportive care. Few of children require hospitalization. The aim of this study was to investigate the changes in CBC parameters in patients with bronchiolitis. Methods: A total of 80 patients, 39 with bronchiolitis and 41 healthy controls were enrolled in this retrospective study. The diagnosis of subjects were based on clinical presentation, the patient’s age, seasonal occurance, and findings from the physical examination and laboratory tests. The control group consisted of age and gender matched healthy children during the study period. Values for MPV, PDW and RDW obtained on first presentation were recorded for each patient. Results: Mean ages for bronchiolitis and control groups were 20.2±16.2 and 21.6±18.4 months. In bronchiolitis group; mean value for RDW was 13.27±1.56%, MPV was 7.64±0.63fL, leukocyte was 10.51±3.95x109/Land lymphocyte was 4.03±2.09x109/L. In control group mean value for RDW was 12.28±1.06%, MPV was 7.35±0.88fL, leukocyte was 9.65±3.11x109/L and lymphocyte was 4.08±2.33x109/L retrospectively. Patients with bronchiolitis had higher RDW values than their healthy counterparts (p:0.011 ). Area under the curve (AUC) in predicting bronchiolitis for RDW was 0.661±0.0061 (0.541 – 0.781) (fig 1). Conclusion: This study demonstrates a statistically significant difference in RDW values between bronchiolitis and healthy controls. Our findings suggest that RDW may also be a useful diagnostic predictor for bronchiolitis in children.