Open AccessThe eminence of neutrophil-lymphocyte count ratio in predicting bacteremia for community-acquired infections at an emergency medicine department in a tertiary care setting
Author(s) -
Vishnu Manohar,
Bharath Prasad. S,
Shilpa Raj,
T P Sreekrishnan,
Krishna Kumar
Publication year - 2018
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/jets.jets_72_17
Subject(s) - procalcitonin , medicine , bacteremia , sepsis , blood culture , absolute neutrophil count , emergency department , white blood cell , lymphocyte , immunology , gastroenterology , neutropenia , antibiotics , chemotherapy , biology , psychiatry , microbiology and biotechnology
The changes in the white blood cells counts and other blood parameters are well-recognized feature in sepsis. A ratio between neutrophils and lymphocytes can be used as a screening marker in sepsis. Even though new markers such as Procalcitonin and adrenomedullin have been rolled out in the field, implementation of these markers has been hindered by cost, accessibility, and proper validation. We looked for the ability of simple neutrophil-lymphocyte count ratio (NLCR) when compared to the gold standard blood culture method in predicting bacteremia, on patients presented to emergency department (ED) with features of suspected community-acquired infections.