어린 영아의 중증 세균성 감염 진단에 젖산 측정의 효용성Utility of lactate measurement in the diagnosis of serious bacterial infection in young infants
- Other Titles
- Utility of lactate measurement in the diagnosis of serious bacterial infection in young infants
- Authors
- 김진혁; 이동욱; 문형준; 김도의; 이현정; 정동길; 조성필; 김현준; 이정원; 최재형
- Issue Date
- Feb-2020
- Publisher
- 대한응급의학회
- Keywords
- Infection; Lactic acid; Biomarker
- Citation
- 대한응급의학회지, v.31, no.1, pp 105 - 110
- Pages
- 6
- Journal Title
- 대한응급의학회지
- Volume
- 31
- Number
- 1
- Start Page
- 105
- End Page
- 110
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/3658
- ISSN
- 1226-4334
- Abstract
- Objective: Serious bacterial infection (SBI) is a common disease among infants, and it is associated with high morbidity and mortality. Making the diagnosis of SBI is challenging and measurement of various biomarkers is useful. This study examined the utility of lactate at an emergency department for diagnosing SBI patients.
Methods: This was a retrospective, observational study of febrile infants less than 90 days old presenting to the emergency department of a tertiary hospital between September 2014 and August 2017. The demographic and laboratory data was collected through a chart review.
Results: Laboratory tests such as the white blood cell count, C-reactive protein (CRP), procalcitonin, and lactate showed significant differences on the Student-T test and the Mann Whitney-U test. Multivariabe logistic regression test was done using the variables with significant differences. CRP (P=0.037; odds ratio, 1.01), procalcitonin (P=0.011; odds ratio, 1.02) and lactate (P=0.001; odds ratio, 2.38) shows significant correlation.
Conclusion: For febrile infants at the emergency department, the measurement of lactate is expected to be a useful tool to diagnose serious bacterial infection.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
- College of Medicine > Department of Emergency Medicine > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/3658)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.