The diagnostic value of apolipoprotein E in pediatric patients with invasive bacterial infections.

Abstract:

OBJECTIVE:To evaluate the potential diagnostic value of apolipoprotein E (ApoE) measurements in pediatric patients with invasive bacterial infections. DESIGN AND METHOD:A total of 185 pediatric patients were enrolled in this study, including 94 patients with confirmable infections and 91 patients without confirmable infections. Serum and cerebrospinal fluid (CSF) ApoE levels were measured by immunoturbidimetry. The diagnostic values of ApoE were evaluated by the receiver operating curve (ROC) method. RESULTS:ApoE levels in CSF were significantly increased in patients with bacterial meningitis, and serum ApoE was markedly elevated in patients with sepsis or with bacterial meningitis compared with patients with other infections and uninfected children. The optimal ApoE cutoff value for CSF was >1.7 mg/L with 85% sensitivity and 100% specificity and was >42 mg/L in serum with 80% sensitivity and 93% specificity. CONCLUSION:ApoE detection provided a novel diagnostic marker for invasive bacterial infections in pediatric patients.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Wang C,Wang Y,Wang A,Fu P,Yang Y

doi

10.1016/j.clinbiochem.2011.11.009

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

215-8

issue

3

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(11)02736-6

journal_volume

45

pub_type

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