ESPN 51th Annual Meeting

ESPN 2018


 
The Mean Platelet Volume in children with Pyelonephritis
PARSA YOUSEFICHAIJAN 1 MASOUD REZAGHOLIZAMENJANY 2 MANIJEH KAHBAZI 1 AZIZ EGHBALI 1 MOHAMMAD RAFIE 3 ABDOLGHADER PAKNIYAT 2

1- AMIR KABIR HOSPITAL, DEPARTMENT OF PEDIATRIC NEPHROLOGY, ASSOCIATE PROFESSOR OF PEDIATRIC NEPHROLOGY, ARAK UNIVERSITY OF MEDICAL SCIENCES, ARAK, IRAN.
2- SCHOOL OF MEDICINE, ARAK UNIVERSITY OF MEDICAL SCIENCES, ARAK, IRAN.
3- DEPARTMENT OF BIOSTATISTICS, ARAK UNIVERSITY OF MEDICAL SCIENCES, ARAK, IRAN.
 
Introduction:

 The mean platelet volume (MPV) is a determinant of inflammation. The aim of the present study was to investigate the MPV levels in children with pyelonephritis and to evaluate the possible relationship between MPV and febrile UTI.

Material and methods:

 In this prospective observational study, 82 patients with Pyelonephritis (group A) and 82 patients with viral gastroenteritis (group B) were enrolled from 20 Jun 2013 through 15 Jan 2014. The patients were divided into two groups according to the presence of pyelonephritis and viral gastroenteritis. The pyelonephritis group (A) included 82 patients and the acute gastroenteritis group (B) included 82 patients. Complete blood count (CBC) parameters were measured at admission. Routine biochemical tests were performed. Groups were compared according to different parameters. 

Results:

 A total of 164 patients were included from inpatients of Amir-Kabir Hospital. The mean platelet volume was lower in group (A) and it was associated with acute pyelonephritis (P =0 .003). The MPV (6.03 ± 0.26 l vs. 9.06 ± 0.73 l) was signiicantly lower in group (A), the platelet count (219.88-± 52.31vs. 184.09 ± 52.21) was significantly higher in group (A), and the WBC count (13.01± 3.43 vs. 8.30 ± 1.13) was significantly higher in group (A). 

Conclusions:

MPV levels were significantly lower in children with pyelonephritis compared with controls. MPV can be used as a negative acute phase reactant in children with febrile UTI. Keywords: Child; Pyeyelonephritis; Mean Platelet Volume; Urinary tract infection.