scholarly journals CORRELATION BETWEEN SERUM C-REACTIVE PROTEIN LEVEL WITH SEVERITY OF THE DISEASE IN COVID-19 PATIENTS

2021 ◽  
Vol 5 (11) ◽  
Author(s):  
Sangeeta Gahlot ◽  
Surendra Yadav ◽  
Makkhan Lal Saini
Keyword(s):  
Severe Disease ◽  
Serum Levels ◽  
Cross Sectional Study ◽  
P Value ◽  
C Reactive Protein ◽  
Cross Sectional ◽  
Reactive Protein ◽  
Group I ◽  
Moderate Disease ◽  
Severity Of The Disease

Background: To find the levels of serum CRP in confirmed Covid-19 patients and to compare their levels in patients with mild to moderate disease and patients with severe disease who required ICU care for management. Methods: A Cross sectional study was carried out on 100 confirmed cases of Covid-19, in whom Serum levels of Random sugar (RBS), Creatinine, Urea, C- reactive protein (CRP) were measured. Results: The levels of serum Urea, Creatinine were significantly increased in group II when compared to group 1, and the levels of CRP were significantly increased with p value <0.0001 in group IIwhen compared to group I. Conclusion: Findings of our study suggest that determination of biochemical parameters like CRP at the time of hospitalization helps in predicting the severity of disease and need for ICU for better treatment management and prevention of adverse outcome. Keywords: Severe acute respiratory syndrome, Covid-19, C- reactive protein, Intensive care unit.

A STUDY TO EVALUATE THE ROLE OF HIGH SENSITIVITY C-REACTIVE PROTEIN IN CEREBROVASCULAR ACCIDENT IN THE DARBHANGA MEDICAL COLLEGE AND HOSPITAL

2021 ◽  
pp. 71-73
Author(s):  
Amit Kumar Tiwari ◽  
Umesh Chandra Jha ◽  
Debarshi Jana
Keyword(s):  
Cerebrovascular Accident ◽  
High Sensitivity ◽  
Serum Levels ◽  
Cross Sectional Study ◽  
Abrupt Onset ◽  
C Reactive Protein ◽  
Cross Sectional ◽  
Medical College ◽  
Reactive Protein ◽  
Hs Crp

INTRODUCTION:Cerebrovascular accident (commonly called stroke) is dened as an abrupt onset of a neurologic decit that is attributable to a focal vascular cause. Thus, the diagnosis of stroke is clinical and laboratory studies including brain imaging are used to support the diagnosis AIMS AND OBJECTIVES: To evaluate the serum levels of high sensitivity C-reactive protein (hsCRP) in different types of cerebrovascular accidents on admission. MATERIALS AND METHODS: This study was an institution based cross-sectional study designed to investigate the association of hs-CRP levels with stroke and its types in Indian patients. The study was done in the Department of Medicine, Darbhanga Medical College and Hospital, Laheriasarai, Bihar from march 2019 to March 2020. 50 patients of either sex above 12 years of age admitted in Medicine Department of DMCH, Laheriasarai, Bihar with clinically or radiologically diagnosed stroke. RESULT: The mean level of hsCRP (mean ± s.d.) of the cases in our study was 7.65±7.01 with range 1.4 – 26 and the median was 3.7 and 58% of the cases were having level of hsCRP≥3 (p=0.023).Mean level of hsCRPof cases was signicantly higher than that of control (t98=7.25;p=0.001). CONCLUSION:We concluded that hs-CRPlevel is increased in cases of cerebrovascular accident- ischemic as well as haemorrhagic, suggesting an inammatory response in acute cerebrovascular accident. hs-CRP level is increased in patients with ischemic cerebrovascular accident dramatically but not in haemorrhagic cerebrovascular accident which might be considered as useful adjunct method for determining type of stroke in patients with cerebrovascular problems.

scholarly journals SPECIFIC INFLAMMATORY PROTEINS IN THE BLOOD AND URINE OF PATIENTS WITH RECURRENT PYELONEPHRITIS

2016 ◽  
pp. 59-65
Author(s):  
L. Korol ◽  
N. Stepanova ◽  
L. Migal
Keyword(s):  
Blood Level ◽  
Cystatin C ◽  
Inverse Correlation ◽  
Cross Sectional Study ◽  
C Reactive Protein ◽  
Cross Sectional ◽  
Blood Concentrations ◽  
Reactive Protein ◽  
Group I ◽  
Inflammatory Proteins

The aim of our study was to investigate the content of specific inflammatory proteins (C-reactive protein, fibronectin, cystatin C) in the blood and urine ofpatients with pyelonephritis, depending on the frequency of recurrences. Patients and methods. A cross-sectional study was carried out and included 64 female patients with uncomplicated pyelonephritis, over 18 years (mean 32.3 ± 9 years). We determined C-reactive protein (CRP), fibronectin (FN), and cystatin C CysC) in the blood and urine of patients using test kits «Dialab» (Austria) by immunoturbidimetric method. After the examination patients were divided into II groups: I (n = 34) – women with recurrent pyelonephritis and II (n = 30) – patients with sporadic pyelonephritis (up to 2 times per year). Results. The patients of group I showed the highest level of blood concentrations of CysC (p = 0.02) and a decrease of FN (p = 0.01). We found an inverse correlation between the number of recurrences of pyelonephritis per year and the blood level of FN (r = -0.42, p = 0.007). In addition, we determined a strong direct correlation between the urinary FN and blood level of CysC (r = 0.6, p <0.0001). Conclusions. Decrease of FN and growth of CysC in the blood ofpatients with recurrent pyelonephritis is the result offrequent inflammatory activity. Determination of specific inflammatory proteins in the blood and urine ofpatients with pyelonephritis can be used as alternative markers for diagnosis and monitoring of disease

scholarly journals MATERNAL C-REACTIVE PROTEIN IN PREGNANCY AND ITS RELATION WITH EARLY ONSET NEONATAL SEPSIS

2021 ◽  
Vol 71 (4) ◽  
pp. 1130-33
Author(s):  
Muhammad Zahid ◽  
Saeed Zaman ◽  
Sohail Shahzad ◽  
Sajid Ali Shah ◽  
Sana Javed ◽  
...  
Keyword(s):  
Neonatal Sepsis ◽  
Early Onset ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
P Value ◽  
C Reactive Protein ◽  
Cross Sectional ◽  
Reactive Protein ◽  
Increased Risk

Objective:To determine association of early-onset neonatal sepsis (EONS) in newborns of serum C-reactive protein positive mothers. Study Design:  Cross sectional study Place and duration of study:  Department of Pediatrics, Combined Military Hospital Quetta, Pakistan from September 2016 to March 2018. Material and Methods: 105 neonates (both gender) of all mothers who were C - reactive protein positive were enrolled in this study using inclusion and exclusion criteria.Neonatal sepsis was diagnosed by clinical examination, which was carried out by senior pediatrician, blood complete picture and c reactive protein. Neonates were treated as per departmental protocol. Stratification was done in regard to gestational age, birth weight and age of neonates in hours. Post stratification chi square test was applied and p-value less than 0.05 was considered significant. Results:Out of total 105 patients, 46 (44%) were male and 59 (56%)were female neonates. Amongst the babies of 105 CRP positive mothers, 79 babies were having signs and symptoms of neonatal sepsis and 26 babies were having no signs and symptoms of neonatal sepsis with statistically significant relation between maternal CRP and neonatal sepsis of p value <0.05. Conclusion:Increased maternal CRP level is associated with increased risk of neonatal sepsis. Maternal CRP may be used as a good screening tool for early detection of neonatal sepsis.

scholarly journals SMOKELESS TOBACCO;

2017 ◽  
Vol 24 (09) ◽  
pp. 1310-1315
Author(s):  
Imran Ali Shaikh ◽  
Naila Masood ◽  
Fouzia Aijaz Sheikh ◽  
Talha Shaikh
Keyword(s):  
Vitamin B12 ◽  
Serum Ferritin ◽  
Smokeless Tobacco ◽  
Negative Impact ◽  
Cross Sectional Study ◽  
P Value ◽  
Betel Nut ◽  
C Reactive Protein ◽  
Cross Sectional ◽  
Reactive Protein

Objectives: To know the serum ferritin and vitamin B12 levels in relation to Creactive protein in individuals using smokeless tobacco in Hyderabad, sindh, Pakistan. StudyDesign: Cross sectional study. Place of Study: Private clinics of consultants of Hyderabad,Sindh, Pakistan. Duration of Study: January 2016 to February 2017. Methodology: Onehundred eighty three individuals were selected from different clinics of physicians, dentalsurgeons of sadder Hyderabad sindh Pakistan by judgmental sampling. Patients were youngsubjects, mean age was 21.4±7.4 years, mean BMI was 22.1±3.8 and mean duration ofchewing tobacco was 2±1.5 years. All types and forms of gutaka, manpuri and flavored betelnut were included like bombart, zafri and panparag. The dose was 30-100grams once or twotimes. SPSS 16 was used as statical software and Chai square test was used to calculatep value. P value was taken <0.05 statically significant. Results: Frequency of use of gutkawas 32%, Betel nut 38% and 29% had habit of chewing manpuri. Serum ferritin was low andc reactive protein was high, p value was <0.05 in gutaka and manpuri users. Vitamin B12was reduced significantly in gutaka user p value was <0.05. In betel nut chewers significantfinding was only high C reactive protein, p value <0.04. Conclusion: Smokeless tobacco hassignificant negative impact on serum ferritin and vitamin B12 levels. These chewing agents alsoincreased inflammatory markers like c reactive protein.

scholarly journals Clinical features and disease severity in an Iranian population of COVID-19 patients

2020 ◽  
Author(s):  
Shima Nabavi ◽  
Zahra Javidarabshahi ◽  
Abolghasem Allahyari ◽  
Mohammad Ramezani ◽  
Mohsen Seddigh-Shamsi ◽  
...  
Keyword(s):  
Disease Severity ◽  
Clinical Features ◽  
Clinical Laboratory ◽  
Severe Disease ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Reactive Protein ◽  
Radiologic Findings ◽  
Severity Of The Disease ◽  
Lung Ct

Abstract Objectives: Coronavirus disease 2019 (COVID-19) can present with a variety of symptoms. Severity of the disease may be associated with several factors. Here, we review clinical features of COVID-19 patients with different severities.Methods: This cross-sectional study was performed in Imam Reza hospital, Mashhad, Iran, during February-April 2020. COVID-19 patients with typical computed tomography (CT) patterns and/or positive reverse-transcriptase polymerase chain reaction (RT-PCR) were included. The patients were classified into three groups of moderate, severe, and critical based on disease severity. Demographic, clinical, laboratory, and radiologic findings were collected and compared. P<0.05 was considered statistically significant.Results: Overall, 200 patients with mean age of 69.75±6.39 years, of whom 82 (41%) were female were studied. Disease was severe/critical in the majority of patients (167, 83.5%). Disease severity was significantly associated with age, malignant comorbidities, dyspnea, nausea/vomiting, confusion, respiratory rate, pulse rate, O2 saturation, extent of CT involvement, serum C-reactive protein (CRP), pH, pO2, and aspartate transaminase (P<0.05). Moreover, complications including shock, coagulopathy, acidosis, sepsis, acute respiratory distress syndrome (ARDS), intensive care unit (ICU) admission, and intubation were significantly higher in patients with higher severities. O2 saturation, nausea/vomiting, and extent of lung CT involvement were independent predictors of severe/critical COVID-19 (OR=0.342, 45.93, and 25.48, respectively; P<0.05).Conclusions: Our results indicate O2 saturation, nausea/vomiting, and extent of lung CT involvement as independent predictors of severe COVID-19 conditions. Serum CRP levels and pO2 were also considerably higher patients with higher severity and can be used along with other factors as possible predictors of severe disease in COVID-19 patients.

scholarly journals The Oxidative and Inflammatory State in Patients with Acute Renal Graft Dysfunction Treated with Tacrolimus

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Sandra Carrillo-Ibarra ◽  
José Ignacio Cerrillos-Gutiérrez ◽  
Ariadna Escalante-Núñez ◽  
Enrique Rojas-Campos ◽  
Benjamín Gómez-Navarro ◽  
...  
Keyword(s):  
Serum Levels ◽  
Cross Sectional Study ◽  
Graft Dysfunction ◽  
C Reactive Protein ◽  
Sod Activity ◽  
Cross Sectional ◽  
Reactive Protein ◽  
Inflammatory State ◽  
Oxidative State

Objective.To determine the oxidative stress/inflammation behavior in patients with/without acute graft dysfunction (AGD) with Tacrolimus.Methods.Cross-sectional study, in renal transplant (RT) recipients (1-yr follow-up). Patients with AGD and without AGD were included. Serum IL-6, TNF-α, 8-isoprostanes (8-IP), and Nitric Oxide (NO) were determined by ELISA; C-reactive protein (CRP) was determined by nephelometry; lipid peroxidation products (LPO) and superoxide dismutase (SOD) were determined by colorimetry.Results.The AGD presentation was at 5.09 ± 3.07 versus 8.27 ± 3.78 months (p<0.001); CRP >3.19 mg/L was found in 21 versus 19 in the N-AGD group (p=0.83); TNF-α145.53 ± 18.87 pg/mL versus 125.54 ± 15.92 pg/mL in N-AGD (p=0.64); IL-6 2110.69 ± 350.97 pg/mL versus 1933.42 ± 235.38 pg/mL in N-AGD (p=0.13). The LPO were higher in AGD (p=0.014): 4.10 ± 0.69 µM versus 2.41 ± 0.29 µM; also levels of 8-IP were higher in AGD 27.47 ± 9.28 pg/mL versus 8.64 ± 1.54 pg/mL (p=0.01). Serum levels of NO in AGD were lower 138.44 ± 19.20 µmol/L versus 190.57 ± 22.04 µmol/L in N-AGD (p=0.042); antioxidant enzyme SOD activity was significantly diminished in AGD with 9.75 ± 0.52 U/mL versus 11.69 ± 0.55 U/mL in N-AGD (p=0.012).Discussion.Patients with RT present with a similar state of the proinflammatory cytokines whether or not they have AGD. The patients with AGD showed deregulation of the oxidative state with increased LPO and 8-IP and decreased NO and SOD.

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