dc.description.abstract | lntroduction:Systemic lnflammatory Response Syndrome (SlRSl is a
nonspecffic reaction that could be caused by infection, inflammation, or a
combination of both factors. Bacteremia detectian in S/RS patients is a
challenge for clinicians. Neutrophil-lymphocyte count ratio (NLCR) and C-
reactive protein (CRP) could rapidly predict bacteremia.
Method:This is a cross sectional study that was conducted in RSUP.H.Adam
Malik l\ledan Emergency Room from January 2016 to March 2016. Patients
that met SIRS criteria had their NLCR, CRP and blood culture tested.
ResultOf 48 samples,2l (43.75%) were male and 27 (56.25%) were female.
ln this study, there was significant difference of NLCR from both groups,
where NLCR in $lRS with positive blood culture was higher that SIRS with
negative blood culture (38.16 x 34.97 vs 9.68 *, 5.26, P = A.001). And there
was significant difference between CRP in both groups. CRP in SIRS with
positive blood culture was higher than SIRS with negative blood culture. (5.89
t 3.09 vs 3.15 + 1.89, P = 0.001).
Discussion:NlCR is a simple biomarker that can be used to detect the
presence of systemic infections in critically ill patients, in this study there was
a significant difference between NLCR and CRP in SIRS patients with positive
and negative blood culture.
Conclusions and Suggesstion:There is significant difference of NLCR and
CRP ,n SIRS patients with positive and negative blood culture. RNL and CRP
could be used as a marker for detecting bacteremia in SIRS patients | en_US |