Diagnostic value of high-sensitivity C-reactive protein and white blood cell count combined with routine stool testing for enteritis in children
Objective:To analyze the diagnostic value of high-sensitivity C reactive protein(hs-CRP),white blood cell count(WBC)combined with routine stool testing for enteritis in children.Methods:Sixty children with enteritis admitted to the hospital from June 2022 to June 2023 were selected,and divided into the bacterial infection group(37 cases)and the viral infection group(23 cases)according to the type of enteritis.Baseline data,hs-CRP levels,WBC,and stool routine were compared between the two groups.The results of pathogenic microorganism culture were used as the gold standard to analyze the consistency and diagnostic efficacy of hs-CRP,WBC,stool routine,and their combination for the type of enteritis.Results:The level of hs-CRP,WBC,and positive rate of stool routine in the bacterial infection group were higher than those in the viral infection group,and fever was more common in clinical symptoms(P<0.05).Kappa value of joint diagnosis using the three was 0.859,indicating high consistency with the gold standard.Meanwhile,the value was higher than those of hs-CRP,WBC,and stool routine(Kappa values=0.690,0.590,0.633).The sensitivity,specificity,and accuracy of joint diagnosis using the three were 94.59%,91.30%,and 93.33%,respectively.The sensitivity was higher than that of WBC and stool routine,and the accuracy was higher than that of WBC(P<0.05).Conclusion:In children with enteritis caused by bacterial and viral infections,there are significant differences in hs-CRP level and WBC.The combination of hs-CRP,WBC and stool routine has high diagnostic value.
High-sensitivity C reactive proteinWBCStool routineEnteritis in children