On the criteria for the severity of Infectious mononucleosis in hospitalized children

Purpose of the study. Justification of the practical application of laboratory criteria marking the severity of infectious mononucleosis in hospitalized children.Materials and methods. A comparative prospective clinical study involved 54 children, aged 2 to 13 years, median age 5 years [3.0; 8.7]. T...

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Main Authors: N. S. Pospelova, N. O. Postanogova, M. O. Satyukova, A. Yu. Deryusheva, A. V. Permyakova
Format: Article
Language:Russian
Published: LLC "Diagnostics and Vaccines" 2020-03-01
Series:Детские инфекции (Москва)
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Online Access:https://detinf.elpub.ru/jour/article/view/480
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author N. S. Pospelova
N. O. Postanogova
M. O. Satyukova
A. Yu. Deryusheva
A. V. Permyakova
author_facet N. S. Pospelova
N. O. Postanogova
M. O. Satyukova
A. Yu. Deryusheva
A. V. Permyakova
author_sort N. S. Pospelova
collection DOAJ
description Purpose of the study. Justification of the practical application of laboratory criteria marking the severity of infectious mononucleosis in hospitalized children.Materials and methods. A comparative prospective clinical study involved 54 children, aged 2 to 13 years, median age 5 years [3.0; 8.7]. The main study group consisted of 27 children with a severity of the disease, the comparison group — 27 patients of moderate. We used the Mann-Whitney test, Spearman's correlation coefficient and mathematical modeling.Results. The study found a direct correlative relationship between the severity of infectious mononucleosis and indicators of total and direct bilirubin, r = 0.39. «Cut of» values were determined: for total bilirubin ≥ 15 µmol / L, for direct bilirubin ≥ 5.5 µmol / L, sensitivity 96%, specificity 52%.Conclusions. «Cut of» bilirubin fractions can be used to predict the severity of infectious mononucleosis in hospitalized children on the first day of the disease.
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publisher LLC "Diagnostics and Vaccines"
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series Детские инфекции (Москва)
spelling doaj-art-bf8a97ea976b4b6fb512916d93f0038c2025-08-20T02:46:33ZrusLLC "Diagnostics and Vaccines"Детские инфекции (Москва)2072-81072020-03-01191262810.22627/2072-8107-2020-19-1-26-28437On the criteria for the severity of Infectious mononucleosis in hospitalized childrenN. S. Pospelova0N. O. Postanogova1M. O. Satyukova2A. Yu. Deryusheva3A. V. Permyakova4Perm State Medical University named after Academician E.A. Wagner Ministry of Health of RussiaPerm State Medical University named after Academician E.A. Wagner Ministry of Health of RussiaPerm State Medical University named after Academician E.A. Wagner Ministry of Health of RussiaPerm State Medical University named after Academician E.A. Wagner Ministry of Health of RussiaPerm State Medical University named after Academician E.A. Wagner Ministry of Health of RussiaPurpose of the study. Justification of the practical application of laboratory criteria marking the severity of infectious mononucleosis in hospitalized children.Materials and methods. A comparative prospective clinical study involved 54 children, aged 2 to 13 years, median age 5 years [3.0; 8.7]. The main study group consisted of 27 children with a severity of the disease, the comparison group — 27 patients of moderate. We used the Mann-Whitney test, Spearman's correlation coefficient and mathematical modeling.Results. The study found a direct correlative relationship between the severity of infectious mononucleosis and indicators of total and direct bilirubin, r = 0.39. «Cut of» values were determined: for total bilirubin ≥ 15 µmol / L, for direct bilirubin ≥ 5.5 µmol / L, sensitivity 96%, specificity 52%.Conclusions. «Cut of» bilirubin fractions can be used to predict the severity of infectious mononucleosis in hospitalized children on the first day of the disease.https://detinf.elpub.ru/jour/article/view/480infectious mononucleosisepstein-barr viruscytomegaloviruschildrenbilirubin
spellingShingle N. S. Pospelova
N. O. Postanogova
M. O. Satyukova
A. Yu. Deryusheva
A. V. Permyakova
On the criteria for the severity of Infectious mononucleosis in hospitalized children
Детские инфекции (Москва)
infectious mononucleosis
epstein-barr virus
cytomegalovirus
children
bilirubin
title On the criteria for the severity of Infectious mononucleosis in hospitalized children
title_full On the criteria for the severity of Infectious mononucleosis in hospitalized children
title_fullStr On the criteria for the severity of Infectious mononucleosis in hospitalized children
title_full_unstemmed On the criteria for the severity of Infectious mononucleosis in hospitalized children
title_short On the criteria for the severity of Infectious mononucleosis in hospitalized children
title_sort on the criteria for the severity of infectious mononucleosis in hospitalized children
topic infectious mononucleosis
epstein-barr virus
cytomegalovirus
children
bilirubin
url https://detinf.elpub.ru/jour/article/view/480
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