Yüksek Centor Skorunu Belirlemede Hemogram Parametrelerinin Kullanımı

Ceyhun CENGİZ

Article Details

Yüksek Centor Skorunu Belirlemede Hemogram Parametrelerinin Kullanımı

Authors:

Ceyhun CENGİZ

Publisher:

Eskişehir Osmangazi University

Main Topics:

Promotion of health

Journal:

Osmangazi Journal of Medicine 2022 Vol.44 Issue 3, pp.398-404

Document Type:

Article

Publication Date:

3/2022

Document Language:

Turkish

Document ID (Org No.):

2000554550

Frequency:

Bimonthly

eISSN:

2587-1579

pISSN:

1305-4953

Abstract:

 


Modified Centor Criteria are frequently used to differantiate bacterial-viral tonsilopharyngitis. This scoring system is based on subjective data such as history and physical examination. In this study, the use of hemogram parameters in determining high centor score was investigated. Patients who applied to otolaryngology outpatient clinic with complaint of sore throat between 01/01/2019-31/12/2019 and were diagnosed with acute tonsilopharyngitis were retrospectively scanned. Of these patients, those who were requested to have hemogram at their admission were included in study. Modified centor score was calculated by examining recorded anamnesis and physical examination. Those with a centor score of 4 formed high centor group, while those with a centor score 0 and 1 formed low centor group. It was ensured that there were 30 patients in each group. Two groups were compared in terms of hemogram parameters. Mean white blood cell, neutrophil and monocyte counts were higher in high centor group (10.96±3.49, 7.91±3.43, 1.06±0.34, respectively)  than in low centor group (7.94±2.11, 5.10±1.94, 0.66±0.23, respectively). These differences are statistically significant (p<0.001, p<0.001, p<0.001, respectively). Mean MCV and MPV values found in high centor group (84.17±5.48, 9.44±0.99, respectively)  were lower than values found in low centor group (86.89±4.49, 10.14±0.78, respectively). These differences are also statistically significant (p=0.008, p= 0.004, respectively). In addition, mean RDW value was found to be higher in high centor group (13.88±1.44) than in low centor group (13.06±0.92, p=0.012). When calculated data were analyzed, mean neutrophil-lymphocyte and monocyte-lymphocyte ratios were found to be higher in high centor group (5.25±4.41, 0.62±0.21, respectively) than in low centor group(3.17±3.04, 0.39±0.24, p<0.001, p<0.001, respectively). Hemogram parameters can be used both to determine high centor score and to differentiate bacterial and viral etiology in acute tonsilopharyngitis. Usage of hemogram parameters together with modified centor scoring system can increase sensitivity and specificity of this scoring system.

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Article Details

Yüksek Centor Skorunu Belirlemede Hemogram Parametrelerinin Kullanımı

Authors: Ceyhun CENGİZ

Publisher: Eskişehir Osmangazi University

Main Topics: Promotion of health

Journal: Osmangazi Journal of Medicine 2022 Vol.44 Issue 3, pp.398-404

Document Type: Article

Publication Date: 3/2022

Document Language: Turkish

Document ID (Org No.): 2000554550

Frequency: Bimonthly

eISSN: 2587-1579

pISSN: 1305-4953

Issues

Authors:

Ceyhun CENGİZ

Publisher:

Eskişehir Osmangazi University

Main Topics:

Promotion of health

Journal:

Osmangazi Journal of Medicine 2022 Vol.44 Issue 3, pp.398-404

Document Type:

Article

Publication Date:

3/2022

Document Language:

Turkish

Document ID (Org No.):

2000554550

Frequency:

Bimonthly

eISSN:

2587-1579

pISSN:

1305-4953