Predictive value of systemic immune inflammation index for infections caused by healthcare in pediatric patients hospitalized to the burn unit
Abstract The Systemic Immune-Inflammation Index is a measurement of the systemic immune-inflammatory response (SII), which is used as both a diagnostic and predictive index for many diseases. Burns are a major public health problem among children. Infection caused by burns is the most important caus...
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Nature Portfolio
2025-04-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-025-98258-8 |
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| author | Berfin Özgökçe Özmen Merve Türkegün Şengül Şefika Aldaş Suna Özdem Murat Ersoy |
| author_facet | Berfin Özgökçe Özmen Merve Türkegün Şengül Şefika Aldaş Suna Özdem Murat Ersoy |
| author_sort | Berfin Özgökçe Özmen |
| collection | DOAJ |
| description | Abstract The Systemic Immune-Inflammation Index is a measurement of the systemic immune-inflammatory response (SII), which is used as both a diagnostic and predictive index for many diseases. Burns are a major public health problem among children. Infection caused by burns is the most important cause of mortality in children. In this study aims to investigate the predictive and diagnostic performance of SII for infection for pediatrics at the burn center and the causes of burns and responsible microorganisms and possible risk factors on infection. Data were collected retrospectively from 42 pediatric patients between 2013 and 2023 and analyzed in the burn center. Infected and uninfected burn patients were compared. Scalds were the most common cause of burns in both groups, (91.3%; 87%, respectively). The most frequently isolated microorganism was Pseudomonas aeruginosa (52,6%). Central venous catheter use was the biggest risk factor for infection (OR = 8,077; 95% CI 1,523 to 42,834). The AUC value demonstrated an acceptable diagnostic performance (AUC = 0,605; 95% CI 0,450 to 0,746) Similarly, the odds ratio suggested a potential relationship between SII and infection (OR = 2,057; 95% CI 0,489 to 8,657), but both failed to reach statistical significance. The results of this investigation indicate limited predictive and diagnostic utility for SII. CRP performed better diagnostically than SII (AUC = 0,877; 95% CI 0,747 to 0,955), suggesting that traditional inflammatory markers may still be a better way to predict infection in pediatric burns. Moreover, substantial disparities in hemoglobin levels, lymphocyte counts, CRP, and procalcitonin between infected and uninfected groups indicate that a multi marker strategy may prove more efficacious than dependence on a solitary index. While the SII showed a tendency to predict infection in pediatric burn patients, it did not achieve statistical significance in our research. These findings highlight the need for larger-scale studies to clarify the role of SII in infection prediction among pediatric burn patients. Further research with larger cohorts or multicenter studies could help determine whether SII has clinical utility in this population. Also, accurate identification of infectious agents, development of effective treatment strategies, avoidance of prophylactic antibiotic use, and strict adherence to isolation precautions will significantly reduce the risk of infection in centers where burn patients are followed up. |
| format | Article |
| id | doaj-art-5e202b4f14d241328d7cbcf0f1a56471 |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-5e202b4f14d241328d7cbcf0f1a564712025-08-20T03:14:02ZengNature PortfolioScientific Reports2045-23222025-04-0115111010.1038/s41598-025-98258-8Predictive value of systemic immune inflammation index for infections caused by healthcare in pediatric patients hospitalized to the burn unitBerfin Özgökçe Özmen0Merve Türkegün Şengül1Şefika Aldaş2Suna Özdem3Murat Ersoy4Department of Pediatrics and Infectious Diseases, Mersin City Education and Research Hospital, University of Health SciencesDepartment of Biostatistics and Medical Informatics, Faculty of Medicine, Alanya Alaaddin Keykubat UniversityDepartment of Pediatrics and Infectious Diseases, Mersin City Education and Research Hospital, University of Health SciencesDepartment of Pediatrics and Infectious Diseases, Mersin City Education and Research Hospital, University of Health SciencesDepartment of Pediatrics and Infectious Diseases, Mersin City Education and Research Hospital, University of Health SciencesAbstract The Systemic Immune-Inflammation Index is a measurement of the systemic immune-inflammatory response (SII), which is used as both a diagnostic and predictive index for many diseases. Burns are a major public health problem among children. Infection caused by burns is the most important cause of mortality in children. In this study aims to investigate the predictive and diagnostic performance of SII for infection for pediatrics at the burn center and the causes of burns and responsible microorganisms and possible risk factors on infection. Data were collected retrospectively from 42 pediatric patients between 2013 and 2023 and analyzed in the burn center. Infected and uninfected burn patients were compared. Scalds were the most common cause of burns in both groups, (91.3%; 87%, respectively). The most frequently isolated microorganism was Pseudomonas aeruginosa (52,6%). Central venous catheter use was the biggest risk factor for infection (OR = 8,077; 95% CI 1,523 to 42,834). The AUC value demonstrated an acceptable diagnostic performance (AUC = 0,605; 95% CI 0,450 to 0,746) Similarly, the odds ratio suggested a potential relationship between SII and infection (OR = 2,057; 95% CI 0,489 to 8,657), but both failed to reach statistical significance. The results of this investigation indicate limited predictive and diagnostic utility for SII. CRP performed better diagnostically than SII (AUC = 0,877; 95% CI 0,747 to 0,955), suggesting that traditional inflammatory markers may still be a better way to predict infection in pediatric burns. Moreover, substantial disparities in hemoglobin levels, lymphocyte counts, CRP, and procalcitonin between infected and uninfected groups indicate that a multi marker strategy may prove more efficacious than dependence on a solitary index. While the SII showed a tendency to predict infection in pediatric burn patients, it did not achieve statistical significance in our research. These findings highlight the need for larger-scale studies to clarify the role of SII in infection prediction among pediatric burn patients. Further research with larger cohorts or multicenter studies could help determine whether SII has clinical utility in this population. Also, accurate identification of infectious agents, development of effective treatment strategies, avoidance of prophylactic antibiotic use, and strict adherence to isolation precautions will significantly reduce the risk of infection in centers where burn patients are followed up.https://doi.org/10.1038/s41598-025-98258-8Systemic immune inflammation indexSIIChildInfectionBurnBurn center |
| spellingShingle | Berfin Özgökçe Özmen Merve Türkegün Şengül Şefika Aldaş Suna Özdem Murat Ersoy Predictive value of systemic immune inflammation index for infections caused by healthcare in pediatric patients hospitalized to the burn unit Scientific Reports Systemic immune inflammation index SII Child Infection Burn Burn center |
| title | Predictive value of systemic immune inflammation index for infections caused by healthcare in pediatric patients hospitalized to the burn unit |
| title_full | Predictive value of systemic immune inflammation index for infections caused by healthcare in pediatric patients hospitalized to the burn unit |
| title_fullStr | Predictive value of systemic immune inflammation index for infections caused by healthcare in pediatric patients hospitalized to the burn unit |
| title_full_unstemmed | Predictive value of systemic immune inflammation index for infections caused by healthcare in pediatric patients hospitalized to the burn unit |
| title_short | Predictive value of systemic immune inflammation index for infections caused by healthcare in pediatric patients hospitalized to the burn unit |
| title_sort | predictive value of systemic immune inflammation index for infections caused by healthcare in pediatric patients hospitalized to the burn unit |
| topic | Systemic immune inflammation index SII Child Infection Burn Burn center |
| url | https://doi.org/10.1038/s41598-025-98258-8 |
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