Eren, Erdal Suleyman Demirel University - Medical Faculty - Department of Pediatric Hematology, Turkey , Çomak, Elif Suleyman Demirel University - Medical Faculty - Department of Pediatric Hematology, Turkey , Öztürk, Mustafa Suleyman Demirel University - Medical Faculty - Department of Public Health, Turkey , Canatan, Duran Suleyman Demirel University - Medical Faculty - Department of Pediatric Hematology, Turkey

Diagnostic evaluation of micromethod erythrocyte sedimentation rate in pediatric infections

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Introduction: Micromethod erythrocyte sedimentation rate (MESR) correlates classic Westergren method in newborn. In literature, MESR or microsedimentation rate has been studied especially newborn infections. Some of them showed that this test is more valuable in the sepsis screening and predicting the presence of infection in neonates .To investigate diagnostic evaluation of MESR in infections as its fast, easy, economic method and the relation between other acute phase reactant parameters. Material and Methods: A total 31 patient and 24 healthy children were admitted in this study in Suleyman Demirel University Medical Faculty Department of Pediatric. The patient group had various infections included 14 lower respiratory tract infection, 8 upper respiratory tract infection, 6 urinary tract infection, 3 gastrointestinal infection. The control group had no acute or chronic infections, no history taken any drugs. We performed same tests (Westergren sedimentation and MESR, CRP, WBC, fibrinogen) into two groups. There is no statistical significant between two groups as age and sex. Results: There was no statistically significant difference of age (p=0.59) and sex (p=0.18). between two groups. Sedimentation was 11.75±5.87 mm/h (4-24) in control group, 59.48±26.42 mm/h (10-109) in patient group (p 0.01). MSER was 14.08±5.35 mm/h (4-24) in control group, 32±11.31 (12- 60) mm/h in patient group (p 0.01). Mean of sedimentation rate, MESR, CRP, WBC, and fibrinogen were significantly higher in patient group(p 0.01). Conclusion: In several studies, the MESR values higher than the macromethod at values but this difference is not of sufficient magnitude at the clinical decision level . In our study, MESR was as sensitive and specific as erythrocyte sedimentation rate in the patient group than control group. Also, MESR is more practical as it is a simple and quick test which does not need venous sample.

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erythrocyte sedimentation rate , micromethod erythrocyte sedimentation rate , pediatrics , infection

Medical Journal Of Suleyman Demirel University

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