Predictive Values of APR Test for Neonatal Infection.

Lee,  Ha Lyong; Jung,  Young Hyun

Original Article

Journal of the Korean Society of Neonatology 1997;4(2):187-194.
Published online January 1, 2001.

Predictive Values of APR Test for Neonatal Infection.

Abstract

PURPOSE
The study has been done to evaluate the significance of APR test predictive of neonatal infection.
METHODS
A study was made on 76 cases of clinically infeected neonates who had been admitted at the NICU of Chungnam National Unoversity Hospital during the period from January, 1996 to July, 1996 in order to know the significance of APR test predictive of neonatal infection.
RESULTS
1)The APR test Of Control group (20 cases) shows negative results on 19 cases (95%) and positive result on 1 case (5%). 2) The APR test of Patient group (76 cases) shows negative results on 17 cases (22.3%) and positive results on 49 cases (77.7%). Of cases with positive result, one points were on 23 cases (30.5%), two points were 25 cases (32.8%), three points were on 11 cases (14.4%) and More than one point were of 59 cases. The sensitivity of APR test, WBC count and CRP is 77.7%, 35% and 62.496, respectivitly. As above result, APR test has a high sensitivity. 3) APR positive values are not significantly different between those of premature and fullterm patients. 4) APR values are more significant than WBC count or CRP value to predict the neonatal infection. 5) The APR test is rnore useful for prognostic correlation than other index.
CONCLUSION
APR test is very sensitive and significantly useful predictive of neonatal infection.

Key Words: Fever; Neonatal infection; APR