Research article

COMPARISON OF SOME HEMATOLOGICAL AND IMMUNOLOGICAL CRITERIA OF BACTEREMIA AND SUSPECTED PATIENTS

Abbas Hameed Al-Wandawy1 , Luma Abdulhady Zwain2, Dalia Maher Khidher3

Online First: November 30, 2022


Three hundred and thirteen blood samples were collected from bacteremia patients , including 146 samples (30 patients samples, 116 samples of out patients) from Azadi Teaching Hospital, 36 samples from the dialysis unit at Kirkuk General Hospital and 126 samples (42 samples of patients, 84 samples of out patients) from the Children's Hospital and 5 samples from the Women's and Obstetrics Hospital in Kirkuk province, for the period from January 24, 2022 to September 10, 2022. The result show as 32(17.87% ) positive growth cultures were obtained of Febrile patients, 3(8.33%) of dialysis patients in the dialysis unit and 15(65.21%) of burn and wound patients. Fifty bacterial isolates were obtained, the gram positive Staphylococcus was the highest (28) isolates including; [(11) S.homoinis, (4) S.epidermidis and (2) isolates each of S.haemolyticus and S.warner ,and ( 9) Staphylococcus spp], while Enterococcus faecalis was one isolate. The gram negetive bacteria were [(11) Pseudomonas aeruginosa, (5) Escherichia coli, (2) isolates of Enterobacter cloacae and followed by one isolate of ( , Acinetobacter spp. and Klebsiella spp.). The hematological criteria in the blood of patients with bacteremia were then studied as no significant difference was observed below the probability level (P≤0.05) in the mean of WBC, Neutrophils, Monocytes, Lymphocytes, MCHC, MPV, P-LCR, while a significant difference in the mean of RBC, HGB, HCT, MCC, MCH, PLT and PCT was observed in patients with bacteremia than in without bacteremia(suspected) In the immunological study, no significant difference was observed at the level of P≤0.05) in the mean of IL-6, Precepsin and Procalcitonin, while a significant difference in the mean of Neutrophil CD64 was observed in patients with bacteremia than in without bacteremia.

Keywords

Bacteremia, Complete Blood count, immunological criteria.