THE ROLE OF BIOMARKER CD64 ON NEUTROPHILS IN THE DIAGNOSIS OF SEPSIS AT MILITARY HOSPITAL 175

Authors

  • Thăng Nguyễn Văn Bệnh viện Quân y 175
  • Giang Vũ Sơn Bệnh viện Quân y 175
  • Thảo Nguyễn Phương Bệnh viện Quân y 175
  • Cường Nguyễn Viết Bệnh viện Quân y 175
  • Nam Lê Đình Bệnh viện Quân y 175
  • Hiền Bùi Thị Thu Bệnh viện Quân y 175
  • Hà Vũ Ngọc Bệnh viện Quân y 175
  • Yến Nguyễn Thị Hải Bệnh viện Quân y 175
  • Uyên Huỳnh Thảo Bệnh viện Quân y 175
  • Phương Mai Hà Bệnh viện Quân y 175

DOI:

https://doi.org/10.59354/ydth175.2025.390

Keywords:

CD64, neutrophils, sepsis

Abstract

Objectives: Evaluation of the role of Neutrophil CD64 as a biomarker in the early detection and diagnosis of Sepsis at Military Hospital 175.

Methods: The study was designed using a cross-sectional descriptive study method.

Results: The median value of CD64 on neutrophils in the sepsis group was 6345 molecules/cell (95% CI, 3249 - 13285), which was statistically significantly higher than that in the non-sepsis group - 1483 molecules/cell (95% CI, 1064 - 2319), with p < 0.01. At a cut-off value of 3028 molecules/cell, CD64 demonstrated the ability to diagnose sepsis with a sensitivity of 83% and a specificity of 90%. CD64 showed high diagnostic value for sepsis with an area under the curve (AUC) of 0.91, p < 0.01, significantly outperforming both procalcitonin (PCT) and white blood cell (WBC).

Conclusions: CD64 on neutrophils demonstrates excellent diagnostic ability for sepsis with an area under the curve (AUC) of 0.91, p < 0.01.

References

1. Rudd KE, Johnson SC et al (2020) . Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study. Lancet Lond Engl,395(10219):200–11.

2. Fleischmann C, Scherag A et al (2016). Assessment of global incidence and mortality of hospital-treated sepsis. Current estimates and limitations. Am J Respir Crit Care Med,193(3):259–272. doi: 10.1164/rccm.201504-0781OC.

3. Sepsis, World Health Organization (2023). https://www.who.int. [Accessed 01 May 2024].

4. Do SN, Luong CQ và cộng sự (2021) . Factors relating to mortality in septic patients in Vietnamese intensive care units from a subgroup analysis of MOSAICS II study. Scientific Reports,11(1):18924.

5. Yeh CF, Wu CC et al (2019). Comparison of the accuracy of neutrophil CD64, procalcitonin, and C-reactive protein for sepsis identification: a systematic review and meta-analysis. Ann Intensive Care,9(1):5. doi: 10.1186/s13613-018-0479-2.

6. Phạm Minh Huy, Phạm Thị Ngọc Thảo (2020), “Giá trị chẩn đoán của CD64 trên bạch cầu đa nhân và mối tương quan với mức độ nặng, tử vong trong nhiễm khuẩn huyết, sốc nhiễm khuẩn”, Tạp chí Y học thành phố Hồ Chí Minh, tập 24 – Số 2, tr 124 – 130.

7. Righi S, Santambrogio L et al (2014). Clinical evaluation of neutrophil CD64 as a diagnostic marker of infection in a polyvalent intensive care unit. Infect Dis Clin Pract,22(1):32–7.

Published

30-06-2025

How to Cite

Nguyễn Văn , T., Vũ Sơn , G., Nguyễn Phương, T., Nguyễn Viết , C., Lê Đình , N., Bùi Thị Thu , H., … Mai Hà , P. (2025). THE ROLE OF BIOMARKER CD64 ON NEUTROPHILS IN THE DIAGNOSIS OF SEPSIS AT MILITARY HOSPITAL 175. Journal of 175 Practical Medicine and Pharmacy, (42), 8. https://doi.org/10.59354/ydth175.2025.390