DYNAMICS OF ACUTE PHASE BLOOD INDICATORS IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA CAUSED BY SARS-COV-2

Authors

  • T. M. Homeliuk I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY
  • M. I. Marushchak I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY

DOI:

https://doi.org/10.11603/mcch.2410-681X.2023.i1.13743

Keywords:

SARS-CoV-2, community-acquired pneumonia, CRP, procalcitonin, ferritin

Abstract

Introduction. A systemic inflammatory response to infection caused by SARS-CoV-2 is a hallmark of the coronavirus disease Covid-19, with abnormal inflammatory biomarkers in most patients.

The aim of the study – to analyze changes in acute-phase indicators in patients with community-acquired pneumonia caused by SARS-CoV-2 and their dependence on the Charlson comorbidity index.

Research Methods. A retrospective study of the medical records of 208 patients who were hospitalized for community-acquired pneumonia with a negative smear test for the SARS-CoV-2 virus was conducted. The main group consisted of patients with SARS-CoV-2 nucleic acid identification and signs of pneumonia. The severity of pneumonia was calculated according to the PORT scale. The comparison group consisted of patients with SARS-CoV-2 nucleic acid identification and the absence of pneumonia. The level of PSA, transferrin and procalcitonin in blood plasma was determined using an automatic analyzer ROCHE COBAS INTEGRA 400 plus.

Results and Discussion. It was established that the levels of the investigated acute-phase blood parameters in patients with community-acquired pneumonia of all categories of complexity were probably higher than the control data. At the same time, the values ​​of PSA, procalcitonin, and ferritin in group II were probably lower than similar indicators in group III by 77.92 %, 58.93 %, and 83.11 %, respectively, in group IV by 157.76 %, 98.21 %, respectively. It is worth noting the highest values ​​of the investigated acute-phase indicators in patients with community-acquired pneumonia of the 4th category of complexity.

Conclusions. Patients with community-acquired pneumonia caused by SARS-CoV-2 probably have higher values ​​of C-reactive protein, procalcitonin, and ferritin than controls, while the studied indicators probably increase with increasing pneumonia severity category.

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Published

2023-04-27

How to Cite

Homeliuk, T. M., & Marushchak, M. I. (2023). DYNAMICS OF ACUTE PHASE BLOOD INDICATORS IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA CAUSED BY SARS-COV-2. Medical and Clinical Chemistry, (1), 68–74. https://doi.org/10.11603/mcch.2410-681X.2023.i1.13743

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No. 1 (2023)

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ORIGINAL INVESTIGATIONS

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