C-reactive protein as a biomarker of severe H1N1 influenza

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creativework.keywords - en
Biomarkers / blood
C-Reactive Protein / analysis*
Humans
Influenza A Virus, H1N1 Subtype*
Influenza, Human / blood*
Severity of Illness Index
dc.contributor.author
Vasileva, Denitsa
Badawi, Alaa
dc.date.accessioned
2024-07-18T18:28:36Z
dc.date.available
2024-07-18T18:28:36Z
dc.date.issued
2018-10-04
dc.description.abstract - en
BACKGROUND C-reactive protein (CRP) is an acute-phase reactant downstream of the pro-inflammatory cytokines released during influenza infection. However, the role of this inflammatory marker in influenza severity and complications is yet to be elucidated. OBJECTIVES We aim to systematically review and evaluate the levels of CRP in severe and non-severe H1N1 influenza cases and assess its utility as a biomarker in predicting the severity of infection. METHODS We conducted a comprehensive search in Ovid MEDLINE, Ovid MEDLINE (R) Epub ahead of Print, Embase and Embase Classic to identify human studies reporting measurements of CRP levels in patients infected with H1N1 influenza at various levels of disease severity. RESULTS Our search identified ten studies eligible for inclusion in this systematic review. The results of the data analysis show that the average CRP levels upon diagnosis were significantly higher (P < 0.05) in patients who developed severe H1N1 influenza compared to their counterparts with a no severe disease. Furthermore, levels of CRP were associated with the degree of H1N1 severity. Subjects with H1N1-related pneumonia and patients who were hospitalized or died of the disease complications, respectively, had 1.4- and 2.5-fold significantly higher CRP levels (P < 0.05) than those with no severe disease outcome. CONCLUSION CRP levels have been consistently shown to be significantly higher in H1N1 influenza patients who develop a severe disease outcome. The resuts of the present study suggest that serum CRP can be employed—in combination with other biomarkers—to predict the complications of H1N1 influenza.
dc.identifier.citation
Vasileva D, Badawi A. C-reactive protein as a biomarker of severe H1N1 influenza. Inflammation Research. 2018;68(1):39-46. doi:https://doi.org/10.1007/s00011-018-1188-x
dc.identifier.doi
10.1007/s00011-018-1188-x
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/2706
dc.language.iso
en
dc.publisher
Springer
dc.rights - en
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights - fr
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights.openaccesslevel - en
Gold
dc.rights.openaccesslevel - fr
Or
dc.rights.uri - en
https://creativecommons.org/licenses/by/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by/4.0/deed.fr
dc.subject - en
Health
dc.subject - fr
Santé
dc.subject.en - en
Health
dc.subject.fr - fr
Santé
dc.title - en
C-reactive protein as a biomarker of severe H1N1 influenza
dc.type - en
Article
dc.type - fr
Article
local.article.journalissue
1
local.article.journaltitle
Inflammation Research
local.article.journalvolume
68
local.pagination
39-46
local.peerreview - en
Yes
local.peerreview - fr
Oui
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