Monitoring Hematologic Parameters in Pediatric Oncology Patients Diagnosed With Sepsis or Febrile Neutropenia: A Tertiary Center Experience

对诊断为脓毒症或发热性中性粒细胞减少症的儿科肿瘤患者进行血液学参数监测:一家三级医疗中心的经验

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Abstract

This study analyzes hematologic and inflammatory parameters in pediatric oncology patients with febrile neutropenia (FN) or sepsis, aiming to identify simple diagnostic markers. Conducted in a tertiary center, 150 infectious episodes were evaluated. Results showed statistically significant differences in leukocyte (G1: 4.95-7.03, p=0.01/G2: 4.91-7.01, p=0.01) and neutrophil counts (G1: 3.10-4.05, p=003/G2: 3.22-5.70, p=0.02) after treatment, especially in sepsis cases, with a statistically significant decrease in C-reactive protein (p=0.01) and procalcitonin (p=0.01) post-therapy. Although fibrinogen showed limited diagnostic value, the observed variation may still reflect a relevant pattern, as suggested in prior research. These findings highlight the importance of accessible biomarkers in guiding early diagnosis and management in resource-limited healthcare settings.

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