New molluscan taxa and scientific writings of Fritz Haas, by Alan Solem. [Edited by Edward G. Nash and Patricia M. Williams.

v.53:no.2(1967)

Diagnostic accuracy of G-CSF, IL-8, and IL-1ra in critically ill children with suspected infection.

OBJECTIVE: To elucidate the diagnostic accuracy of granulocyte colony-stimulating factor (G-CSF), interleukin-8 (IL-8), and interleukin-1 receptor antagonist (IL-1ra) in identifying patients with sepsis among critically ill pediatric patients with suspected infection. DESIGN AND SETTING: Nested case-control study in a multidisciplinary neonatal and pediatric intensive care unit (PICU) PATIENTS: PICU patients during a 12-month period with suspected infection, and plasma available from the time of clinical suspicion (254 episodes, 190 patients). MEASUREMENTS AND RESULTS: Plasma levels of G-CSF, IL-8, and IL-1ra. Episodes classified on the basis of clinical and bacteriological findings into: culture-confirmed sepsis, probable sepsis, localized infection, viral infection, and no infection. Plasma levels were significantly higher in episodes of culture-confirmed sepsis than in episodes with ruled-out infection. The area under the receiver operating characteristic curve was higher for IL-8 and G-CSF than for IL-1ra. Combining IL-8 and G-CSF improved the diagnostic performance, particularly as to the detection of Gram-negative sepsis. Sensitivity was low (<50%) in detecting Staphylococcus epidermidis bacteremia or localized infections. CONCLUSIONS: In this heterogeneous population of critically ill children with suspected infection, a model combining plasma levels of IL-8 and G-CSF identified patients with sepsis. Negative results do not rule out S. epidermidis bacteremia or locally confined infectious processes. The model requires validation in an independent data-set.

Parc des princes, 25-1-20, équipe [de rugby] de Grenoble [F.C.G.] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 57762

Parc des princes, 25-1-20, équipe [de rugby] de Grenoble [F.C.G.] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 57763

Saint-Cloud, [28/12/19], équipe de la [Société] générale [le C. A. S. G., Club athlétique de la Société générale] gagnante du challenge de la Nézière [i. e. Georges de La Nézière, les coureurs: Isola, Felter [Ferser], Corlet, Guillemot et Brossard] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 57344