Majalah Kedokteran Nusantara The Journal Of Medical School
Vol 50, No 2 (2017): The Journal of Medical School

Perbandingan nilai rasio neutrofil-limfosit dan kadar c-reactive protein dengan kultur darah positif dan kultur darah negatif pada penderita systemic inflammatory response syndrome

Hilda Sungkar (Unknown)
Muzahar dr (Unknown)
Ricke Loesnihari (Unknown)



Article Info

Publish Date
31 Jul 2017

Abstract

Introduction : Systemic Inflammatory Response Syndrome (SIRS) is a non specificreaction that could be caused by infection, inflammation, or acombination of both factors.Bacteremia detectionin SIRS patientsis a challenge forclinicians. Neutrophil-lymphocyte count ratio (NLCR) and C-reactive protein (CRP) could rapidly predict bacteremia.Method : Thiscross sectional study was conducted in Emergency Unit RSUPH.Adam Malik Medan from January to March 2016. Patients that met SIRS criteria had their NLCR, CRPand blood culture tested.Result : Of 48 samples, 21 (43.75%) were male and 27 (56.25%) were female.In this study, there was significant difference of NLCR from both groups, where NLCR in SIRS with positive blood culture was higher that SIRS with negative blood culture(38.16 ± 34.97vs9.68 ± 5.26, P=0.001). There wasa significant difference between CRP in both groups. CRP in SIRS with positive blood culture was higher than SIRS with negative blood culture. (5.89 ± 3.09vs 3.15 ± 1.89, p = 0.001).Conclusions : There is significant difference of NLCR and CRP in SIRS patients with positive and negative blood culture. RNL and CRP could be used as a marker for detecting bacteremia in SIRS patients.Keywords : Neutrophil to Lymphocyte Count Ratio, C-Reactive Protein, Systemic Inflammatory Response Syndrome

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