The Rate of C-reactive Protein (CRP) Increase as a Marker for Bacterial Infections in Children (CRPv)
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Purpose
Fever is one of the most common problems in pediatrics. Differentiating between bacterial infections, that require antibiotic therapy, and viral infections that resolve on their own is an important challenge for physicians.
C-reactive protein (CRP) is a protein that increases in response to inflammation and its level is generally higher in bacterial infections compared to viral infections. it can be measured by a simple blood test, however its utility as a sole marker for bacterial infection is limited.
The hypothesis of the study is that measuring CRP velocity, e.g the value of CRP divided by the hours since the fever started will improve the utility of CRP for the diagnosis of bacterial infections in children.
| Condition |
|---|
|
Bacterial Infections Viral Infection |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | CRP Velocity as a Marker for Bacterial Infections in Children |
| Estimated Enrollment: | 200 |
| Study Start Date: | September 2010 |
| Estimated Study Completion Date: | September 2011 |
| Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
bacterial infection
children with fever due to bacterial infection
|
|
viral infection
children with fever due to viral infection
|
Eligibility| Ages Eligible for Study: | up to 5 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
children < 5 years of age presenting to the Emergency Department with fever
Inclusion Criteria:
- children less than 5 years of age,
- children with no comorbidities and fever > 38 for at least 24 hours, and
- children with no previous antibiotic therapy.
Exclusion Criteria:
- HIV,
- immunosuppressive conditions,
- antibiotic therapy.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Maskit Bar-Meir, MD, Shaare-Zedek Medical Center |
| ClinicalTrials.gov Identifier: | NCT01159470 History of Changes |
| Other Study ID Numbers: | 472010.ctil |
| Study First Received: | July 8, 2010 |
| Last Updated: | July 8, 2010 |
| Health Authority: | Israel: Ethics Commission |
Keywords provided by Shaare Zedek Medical Center:
|
CRP velocity |
Additional relevant MeSH terms:
|
Bacterial Infections Virus Diseases |
ClinicalTrials.gov processed this record on May 23, 2013