Correlation between total leukocyte count (TLC) and c-reactive protein (CRP) in paediatric bronchiolitis patients

https://doi.org/10.53730/ijhs.v7nS1.14384

Authors

  • M. Sher Khoh Qaisrani Consultant Paediatrician, Department of Paediatrics, Social Security MNCH Hospital, Dera Ghazi Khan, Punjab
  • Muhammad Imran Senior Registrar, Department of Paediatrics, Sahara Medical College Narowal, Punjab
  • Gul E Lala Specialist Registrar, Department of Paediatric, Hayatabad Medical Complex Peshawar
  • Zahid Anwar Associate Professor of Paediatrics, Fatima Memorial Hospital Lahore
  • Waseem Pasha Assistant Professor, Department of Paediatrics, CMH Kharian Medical College, Kharian Punjab
  • Muhammad Zagham Aslam Bhatti Medical Officer, Bahawalpur Victoria Hospital

Keywords:

paediatric bronchiolitis, total leukocyte count, C-reactive protein, correlation, disease severity, prognostic markers, retrospective study

Abstract

Objective: The primary objective of this study was to investigate the correlation between Total Leukocyte Count (TLC) and C-Reactive Protein (CRP) levels in paediatric bronchiolitis patients to assess the prognostic significance of these markers in disease severity and patient outcomes. Study Design: A retrospective correlational study was conducted using patient records from a six-month period to analyze the relationship between TLC and CRP levels in paediatric bronchiolitis patients. Study Setting: The study was conducted at different centres including Department of Paediatrics, Social Security MNCH Hospital, Dera Ghazi Khan, Punjab and Sahara Medical College Narowal, Punjab in the period from August, 2022 to January, 2023. Methods: Data of paediatric patients aged 1 month to 2 years diagnosed with bronchiolitis was extracted from electronic medical records. The study included patients with complete data on TLC and CRP levels. Pearson's correlation coefficient was used to determine the association between TLC and CRP levels, while logistic regression analysis was performed to identify potential predictors of disease severity. Results: The study found a significant positive correlation between TLC and CRP levels in paediatric bronchiolitis patients (p<0.05). Higher TLC and CRP levels were associated with increased disease severity and longer hospital stay. 

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References

Ralston SL, Lieberthal AS, Meissner HC, Alverson BK, Baley JE, Gadomski AM, et al. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics. 2014 Nov;134(5):e1474-502.

Hasegawa K, Mansbach JM, Camargo CA Jr. Infectious pathogens and bronchiolitis outcomes. Expert Rev Anti Infect Ther. 2014 Jul;12(7):817-28.

García CG, Bhore R, Soriano-Fallas A, Trost M, Chason R, Ramilo O, et al. Risk factors in children hospitalized with RSV bronchiolitis versus non-RSV bronchiolitis. Pediatrics. 2010 Dec;126(6):e1453-60.

Korppi M, Kiekara O, Heiskanen-Kosma T, Soimakallio S. Comparison of radiological findings and microbial aetiology of childhood pneumonia. Acta Paediatr. 1993 Apr;82(4):360-3.

Bamberger E, Srugo I, Abu Rumi M, Kassis I, Cvijanovich NZ, Thomas NJ, et al. What is the clinical relevance of respiratory syncytial virus bronchiolitis?: findings from a multi-center, prospective study. Eur J Clin Microbiol Infect Dis. 2012 Aug;31(8):1973-80.

Mansbach JM, Piedra PA, Teach SJ, Sullivan AF, Forgey T, Clark S, et al. Prospective multicenter study of viral etiology and hospital length of stay in children with severe bronchiolitis. Arch Pediatr Adolesc Med. 2012 Aug;166(8):700-6.

Hatherill M, Tibby SM, Sykes K, Turner C, Murdoch IA. Diagnostic markers of infection: comparison of procalcitonin with C reactive protein and leucocyte count. Arch Dis Child. 1999 Nov;81(5):417-21.

Çelik T, Çelik Ü, Şimşek S, Bilgiç A, Taşar MA, Ekici Ö. Total leukocyte and neutrophil count as a predictor of severity in bronchiolitis. Turk Pediatri Ars. 2018 Mar 1;53(1):29-34.

Franz AR, Bauer K, Schalk A, Garland SM, Bowman ED, Rex K, et al. Measurement of interleukin 8 in combination with C-reactive protein reduced unnecessary antibiotic therapy in newborn infants: a multicenter, randomized, controlled trial. Pediatrics. 2004 Jul;114(1):1-8.

Korppi M, Remes S, Heiskanen-Kosma T. Serum procalcitonin concentrations in bacterial pneumonia in children: a negative result in primary healthcare settings. Pediatr Pulmonol. 2003 Feb;35(2):56-61.

R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. 2021. Available from: https://www.R-project.org/.

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91.

Published

17-06-2023

How to Cite

Qaisrani, M. S. K., Imran, M., Lala, G. E., Anwar, Z., Pasha, W., & Bhatti, M. Z. A. (2023). Correlation between total leukocyte count (TLC) and c-reactive protein (CRP) in paediatric bronchiolitis patients. International Journal of Health Sciences, 7(S1), 1607–1615. https://doi.org/10.53730/ijhs.v7nS1.14384

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