COVID-19 and Laboratory Markers from Romanian Patients—A Narrative Review

COVID-19 has significantly impacted the whole world, and Romania was no exception. Biomarkers play a crucial role in understanding and managing the disease. However, research regarding laboratory analyses for patients with COVID-19 is fairly limited. For detection, PCR testing is still considered th...

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Main Authors: Ovidiu Musat, Virgiliu Bogdan Sorop, Madalina Ioana Sorop, Viorica Lazar, Daniela Teodora Marti, Monica Susan, Cecilia Roberta Avram, Andrada Oprisoni, Dan Dumitru Vulcanescu, Florin George Horhat, Iulia Cristina Bagiu, Delia Ioana Horhat, Mircea Mihai Diaconu
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/9/1837
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author Ovidiu Musat
Virgiliu Bogdan Sorop
Madalina Ioana Sorop
Viorica Lazar
Daniela Teodora Marti
Monica Susan
Cecilia Roberta Avram
Andrada Oprisoni
Dan Dumitru Vulcanescu
Florin George Horhat
Iulia Cristina Bagiu
Delia Ioana Horhat
Mircea Mihai Diaconu
author_facet Ovidiu Musat
Virgiliu Bogdan Sorop
Madalina Ioana Sorop
Viorica Lazar
Daniela Teodora Marti
Monica Susan
Cecilia Roberta Avram
Andrada Oprisoni
Dan Dumitru Vulcanescu
Florin George Horhat
Iulia Cristina Bagiu
Delia Ioana Horhat
Mircea Mihai Diaconu
author_sort Ovidiu Musat
collection DOAJ
description COVID-19 has significantly impacted the whole world, and Romania was no exception. Biomarkers play a crucial role in understanding and managing the disease. However, research regarding laboratory analyses for patients with COVID-19 is fairly limited. For detection, PCR testing is still considered the golden standard, while antibodies are still useful for monitoring both patients and their vaccination status. In our country, biomarkers such as CRP, LDH, transaminases, cardiac, and iron markers have been used to assess the status of patients and even predict illness outcome. CRP, IL-6, LDH, FER, fibrinogen, creatinine, and vitamin D levels have been associated with increased severity, risk of ICU admission, and death. Cardiac markers and D-dimers are also good predictors, but their role seems more important in patients with complications. HDL cholesterol and BUN levels were also suggested as potential biomarkers. Hematological issues in SARS-CoV-2 infections include neutrophilia, lymphopenia and their ratio, while PCT, which is a marker of bacterial infections, is better to be used in patients with co- or supra-infections. The current research is a narrative review that focuses on the laboratory results of Romanian COVID-19 patients. The goal of this article is to provide an update on the research on biomarkers and other laboratory tests conducted inside the borders of Romania and identify gaps in this regard. Secondly, options for further research are discussed and encouraged.
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spelling doaj.art-810a6d1497b04d838010925a88ac9b1a2023-11-19T11:36:59ZengMDPI AGLife2075-17292023-08-01139183710.3390/life13091837COVID-19 and Laboratory Markers from Romanian Patients—A Narrative ReviewOvidiu Musat0Virgiliu Bogdan Sorop1Madalina Ioana Sorop2Viorica Lazar3Daniela Teodora Marti4Monica Susan5Cecilia Roberta Avram6Andrada Oprisoni7Dan Dumitru Vulcanescu8Florin George Horhat9Iulia Cristina Bagiu10Delia Ioana Horhat11Mircea Mihai Diaconu12Department of Ophthalmology, “Carol Davila” University of Medicine and Pharmacy, Dionisie Lupu Street, No. 37, Sector 2, 020021 Bucharest, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaDoctoral School, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, RomaniaDepartment of General Medicine, “Vasile Goldis” University of Medicine, Liviu Rebreanu Street, No. 86, 310048 Arad, RomaniaDepartment of Biology and Life Sciences, “Vasile Goldis” University of Medicine, Liviu Rebreanu Street, No. 86, 310048 Arad, RomaniaDepartment of Internal Medicine, Centre for Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaDepartment of Residential Training and Post-University Courses, “Vasile Goldis” Western University, Liviu Rebreanu Street 86, 310414 Arad, RomaniaDepartment of Pediatrics, Discipline of Pediatric Oncology and Hematology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaDoctoral School, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, RomaniaDepartment of Microbiology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaDepartment of Microbiology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaDepartment of ENT, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaCOVID-19 has significantly impacted the whole world, and Romania was no exception. Biomarkers play a crucial role in understanding and managing the disease. However, research regarding laboratory analyses for patients with COVID-19 is fairly limited. For detection, PCR testing is still considered the golden standard, while antibodies are still useful for monitoring both patients and their vaccination status. In our country, biomarkers such as CRP, LDH, transaminases, cardiac, and iron markers have been used to assess the status of patients and even predict illness outcome. CRP, IL-6, LDH, FER, fibrinogen, creatinine, and vitamin D levels have been associated with increased severity, risk of ICU admission, and death. Cardiac markers and D-dimers are also good predictors, but their role seems more important in patients with complications. HDL cholesterol and BUN levels were also suggested as potential biomarkers. Hematological issues in SARS-CoV-2 infections include neutrophilia, lymphopenia and their ratio, while PCT, which is a marker of bacterial infections, is better to be used in patients with co- or supra-infections. The current research is a narrative review that focuses on the laboratory results of Romanian COVID-19 patients. The goal of this article is to provide an update on the research on biomarkers and other laboratory tests conducted inside the borders of Romania and identify gaps in this regard. Secondly, options for further research are discussed and encouraged.https://www.mdpi.com/2075-1729/13/9/1837COVID-19SARS-CoV-2laboratory markersbiomarkersdiagnostic
spellingShingle Ovidiu Musat
Virgiliu Bogdan Sorop
Madalina Ioana Sorop
Viorica Lazar
Daniela Teodora Marti
Monica Susan
Cecilia Roberta Avram
Andrada Oprisoni
Dan Dumitru Vulcanescu
Florin George Horhat
Iulia Cristina Bagiu
Delia Ioana Horhat
Mircea Mihai Diaconu
COVID-19 and Laboratory Markers from Romanian Patients—A Narrative Review
Life
COVID-19
SARS-CoV-2
laboratory markers
biomarkers
diagnostic
title COVID-19 and Laboratory Markers from Romanian Patients—A Narrative Review
title_full COVID-19 and Laboratory Markers from Romanian Patients—A Narrative Review
title_fullStr COVID-19 and Laboratory Markers from Romanian Patients—A Narrative Review
title_full_unstemmed COVID-19 and Laboratory Markers from Romanian Patients—A Narrative Review
title_short COVID-19 and Laboratory Markers from Romanian Patients—A Narrative Review
title_sort covid 19 and laboratory markers from romanian patients a narrative review
topic COVID-19
SARS-CoV-2
laboratory markers
biomarkers
diagnostic
url https://www.mdpi.com/2075-1729/13/9/1837
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