Online ISSN: 2515-8260

Keywords : fever


Fever in Children: How Knowledge, Attitude and Belief among Healthcare Community can Affect Assessment.

Riyadi Adrizain; Cory Primaturia; Raisa Mentari Moeis; Djatnika Setiabudi; Alex Chairulfatah

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 2361-2369

Background: The study was aimed to assess the knowledge of healthcare provider and the correlation of the healthcare providers’ educational degree toward fever management in children.
Method: This study was conducted among healthcare-community using a questionnaire as the primary data. Descriptive statistical analyses were performed by using percentage and the correlation of their degree toward fever was analyzed by the chi-square test with statistically significant p values of < 0.05.
Result: Questions 1-17 about basic science were answered correctly by more than 80%, except those regarding non-shivering thermogenesis in neonates showing that the residents and medical students group got better results than the specialists and medical doctors (61%; 68.8%; vs 84.7%; 83.3, respectively Chi-square, p = 0.039 (p < 0.05)). While questions 18-25 about fever management in children, around half of the subjects answered correctly following the recommendations.
Conclusion: The subjects’ educational degree influenced their knowledge, attitudes, and beliefs regarding the fever management in children

Association of bacterial/viral infections withneutrophil-lymphocyte ratio, monocyte-lymphocyte ratio, and platelet-lymphocyte ratio in patients presenting with fever

Tri Yulia Rini; Satriawan Abadi; Sudirman Katu; Syakib Bakri; Haerani Rasyid; Hasyim Kasim; Andi Fachruddin; Risna Halim; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1500-1509

Background of the Study: Bacterial and Viral infections are often hard to be distinguished in daily clinical practice. Biological markers obtained from a routine examination play an important role to minimize time in providing diagnose and giving therapy. Recently, the use of Neutrophil-lymphocyte ratio (NLR), monocyte-lymphocyte ratio (MLR), and platelet-lymphocyte ratio (PLR) is greatly considered to differentiate types of infection found in the patients presenting with fever.
Method: This study uses prospective cohort study design and involves patients presenting with fever who are admitted to the ICU. The initial NLR, MLR, and PLR is examined and categorized into types of infection found. The ANOVA test and t-test are performed to find out the difference among study groups with the value of α = 0,05.
Result : This study involves 207 patients (92 male patients [44%]) presenting with fever with the average age of 45,6 ± 14,6 years old. The majority of cases (135 cases [66,5%]) in patients with fever results from bacterial infection; The study also finds 47 cases (34,8%) of typhoid fever and 30 cases (22,2%) of pulmonary tuberculosis. Dengue hemorrhagic fever (DHF) is the most commonly found viral infection with 52 cases (76,4%). The significant diagnose of bacterial infection shows higher value of NLR and MLR than that of viral infection (P < 0,001); Urinary tract infection has the highest value of NLR and MLR, amounting to 9,4 ± 3,6 and 0,23 ± 0,20, respectively. In general, the value of PLR is lower than that of viral infection (P < 0,001).
Conclusion: Neutrophil-lymphocyte ratio, MLR and PLR have benefit to predict diagnosis for the patients presenting with a fever. Bacterial infection is associated with the high value of NLR and MLR, and PLR generally has a lower value in viral infection cases.