Distribution characteristics of serum β2-microglobulin between viral and bacterial lower respiratory tract infections: a retrospective study

Background Lower respiratory tract infection (LRTI) is one of the leading cause of death in children under 5 years old around the world between 1980 and 2016. Distinguishing between viral and bacterial infection is challenging when children suffered from LRTI in the absence of pathogen detection. Th...

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Main Authors: Xulong Cai, Qiaolan Xu, Chenrong Zhou, Li Zhou, Qijun Yong, Qing Mu, Yan Cheng, Jiena Wang, Jingjing Xie
Format: Article
Language:English
Published: PeerJ Inc. 2020-08-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/9814.pdf
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author Xulong Cai
Qiaolan Xu
Chenrong Zhou
Li Zhou
Qijun Yong
Qing Mu
Yan Cheng
Jiena Wang
Jingjing Xie
author_facet Xulong Cai
Qiaolan Xu
Chenrong Zhou
Li Zhou
Qijun Yong
Qing Mu
Yan Cheng
Jiena Wang
Jingjing Xie
author_sort Xulong Cai
collection DOAJ
description Background Lower respiratory tract infection (LRTI) is one of the leading cause of death in children under 5 years old around the world between 1980 and 2016. Distinguishing between viral and bacterial infection is challenging when children suffered from LRTI in the absence of pathogen detection. The aim of our study is to analyze the difference of serum β2-microglobulin (β2-MG) between viral LRTI and bacterial LRTI in children. Methods This retrospective study included children with LRTI caused by a single pathogen from Yancheng Third People’s Hospital, Yancheng, China, between January 1, 2016 and December 31, 2019. Participants were divided into the younger group (1 year old ≤ age < 3 years old) and the older group (3 years old ≤ age < 5 years old) for subgroup analysis. Results A total of 475 children with LRTI caused by common respiratory pathogens were identified. In the younger group as well as the older group, the serum level of β2-MG in respiratory syncytial virus, influenza A virus and influenza B virus groups were significantly increased compared to that in the Mycoplasma pneumoniae group. Compared with Streptococcus pneumoniae infection group, the serum β2-MG level of respiratory syncytial virus, influenza A virus and influenza B virus groups were significantly higher in children between 1 and 3 years old. Conclusions The serum β2-MG may distinguish viral infection from bacterial infection in children with LRTI.
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spelling doaj.art-43f59fb853c64bcb95d6a76b016c5b122023-12-03T10:40:55ZengPeerJ Inc.PeerJ2167-83592020-08-018e981410.7717/peerj.9814Distribution characteristics of serum β2-microglobulin between viral and bacterial lower respiratory tract infections: a retrospective studyXulong CaiQiaolan XuChenrong ZhouLi ZhouQijun YongQing MuYan ChengJiena WangJingjing XieBackground Lower respiratory tract infection (LRTI) is one of the leading cause of death in children under 5 years old around the world between 1980 and 2016. Distinguishing between viral and bacterial infection is challenging when children suffered from LRTI in the absence of pathogen detection. The aim of our study is to analyze the difference of serum β2-microglobulin (β2-MG) between viral LRTI and bacterial LRTI in children. Methods This retrospective study included children with LRTI caused by a single pathogen from Yancheng Third People’s Hospital, Yancheng, China, between January 1, 2016 and December 31, 2019. Participants were divided into the younger group (1 year old ≤ age < 3 years old) and the older group (3 years old ≤ age < 5 years old) for subgroup analysis. Results A total of 475 children with LRTI caused by common respiratory pathogens were identified. In the younger group as well as the older group, the serum level of β2-MG in respiratory syncytial virus, influenza A virus and influenza B virus groups were significantly increased compared to that in the Mycoplasma pneumoniae group. Compared with Streptococcus pneumoniae infection group, the serum β2-MG level of respiratory syncytial virus, influenza A virus and influenza B virus groups were significantly higher in children between 1 and 3 years old. Conclusions The serum β2-MG may distinguish viral infection from bacterial infection in children with LRTI.https://peerj.com/articles/9814.pdfSerum β2-microglobulinLower respiratory tractViral infection
spellingShingle Xulong Cai
Qiaolan Xu
Chenrong Zhou
Li Zhou
Qijun Yong
Qing Mu
Yan Cheng
Jiena Wang
Jingjing Xie
Distribution characteristics of serum β2-microglobulin between viral and bacterial lower respiratory tract infections: a retrospective study
PeerJ
Serum β2-microglobulin
Lower respiratory tract
Viral infection
title Distribution characteristics of serum β2-microglobulin between viral and bacterial lower respiratory tract infections: a retrospective study
title_full Distribution characteristics of serum β2-microglobulin between viral and bacterial lower respiratory tract infections: a retrospective study
title_fullStr Distribution characteristics of serum β2-microglobulin between viral and bacterial lower respiratory tract infections: a retrospective study
title_full_unstemmed Distribution characteristics of serum β2-microglobulin between viral and bacterial lower respiratory tract infections: a retrospective study
title_short Distribution characteristics of serum β2-microglobulin between viral and bacterial lower respiratory tract infections: a retrospective study
title_sort distribution characteristics of serum β2 microglobulin between viral and bacterial lower respiratory tract infections a retrospective study
topic Serum β2-microglobulin
Lower respiratory tract
Viral infection
url https://peerj.com/articles/9814.pdf
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