Diagnostic accuracy of pleural fluid polymorphonuclear elastase in the differentiation between pyogenic bacterial infectious and non-infectious pleural effusions

Respiration

Volumn 67, Issue 4, 2000, Pages 426-432

  Alegre Martin, José ^a,b   Suriñach, José Maria ^a   Varela, Encarna ^a   Armadans, Lluis ^a   Marti, Ramón ^a   Segura, Rosa ^a   Aleman, Carmen ^a   Falcó, Vicente ^a   Fernandez De Sevilla, Tomás ^a  

^a HOSPITAL UNIVERSITARI VALL D HEBRON   (Spain)

^b HOSPITAL GENERAL DE CATALUNYA   (Spain)

Author keywords

Pleuritis; Polymorphonuclear elastase

Indexed keywords

ELASTASE; LACTATE DEHYDROGENASE; LYSOZYME;

ADULT; ARTICLE; BACTERIAL INFECTION; DIAGNOSTIC ACCURACY; DISEASE SEVERITY; HUMAN; MAJOR CLINICAL STUDY; PATIENT REFERRAL; PLEURA EFFUSION; PLEURA FLUID; POLYMORPHONUCLEAR CELL; PRIORITY JOURNAL; PROSPECTIVE STUDY; RECEIVER OPERATING CHARACTERISTIC; TEACHING HOSPITAL; TURBIDIMETRY;

EID: 0342521559     PISSN: 00257931     EISSN: None     Source Type: Journal    
DOI: 10.1159/000029542     Document Type: Article

References (26)

1. Bartter T, Santarelli R, Akers S, Pratter M: The evaluation of pleural effusion. Chest 1994;106: 1209-1214.
2. Light RW: Management of parapneumonic pleural effusions. Chest 1976;70:325-326.
3. Light RW: Pleural Diseases, ed 3. Philadelphia, Lea & Febiger, 1995.
4. Lehrer IR, Ganz T, Selsted ME, Babior BM, Curnutte JE: Neutrophils and host defense. Ann Intern Med 1988;109:127-142.
5. Thomas EL, Lehrer IR, Rest RF: Human neutrophil antimicrobial activity. Rev Infect Dis 1988;10:450-456.
6. Toews G: Role of the polymorphonuclear leukocyte: Interaction with nosocomial pathogens. Eur J Clin Microbiol Infect Dis 1989;8:21-24.
7. Lonky SA, McCarren J: Neutrophil enzymes in the lung: Regulation of neutrophil elastase. Am Rev Respir Dis 1983;127:9-15.
8. Jochum M, Pelletier A, Boudier C, Pauli G, Bieth JG: The concentrations of leucocyte elastase alfa 1 proteinase inhibitor complex in bronchoalveolar lavage fluids from healthy human subjects. Am Rev Respir Dis 1985;132: 913-914.
9. Kleesiek K, Neumann S, Greiling H: Determination of the elastase alfa-1-procinase inhibitor complex, elastase activity and proteinase inhibitors in the synovial fluid. Fresenius Z Anal Chem 1982;311:434-435.
10. Stoeffler A, Baas H, Fisher PA: PMN-clastase in the cerebrospinal fluid in the diagnosis of acute inflammatory diseases in the CNS. Nervenarzt 1989;60:420-424.
11. Castaño JL, Amores C: Elastasa leucocitaria y proteina C reactiva en el diagnóstico de derrame pleural de origen infeccioso. Quim Clin (Esp) 1994;13:184-189.
12. Hafner G, Dreher M, Lütgehans M, Ehrenthal W, Swars H, Prellwitz W: Determination of human granulocyte elastase by the immunoactivation method on the Hitachi 717 automated analyzer. Eur J Clin Chem Biochem 1991;29: 179-183.
13. Dean AG, Dean JA, Coulombier D, Brendel KA, Smith DC, Burton AH, et al: Epi Info, version 6. Atlanta, Centers of Disease Control and Prevention, 1995.
14. BMDP Statistical Software, version 7.0. Los Angeles, MBDP Statistical Software, 1992.
15. Centor RM, Keightley J: The ROC analyzer. Richmond, 1992.
16. Hanley JA, McNeil BJ: A method for comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 1983;148:839-843.
17. Walker Renard P, Vaughan LM, Sahn SA: Chemical pleurodesis for malignant pleural effusions. Ann Intern Med 1994;120:56-64.
18. Ebert W, Bauer G, Bauer E, Trefz G: Significance of microbiological and biochemical analysis in empyema thoracis. Thorac Cardiovasc Surg 1990;38:348-351.
19. Klech H, Rona G, Knoth E, Kummer F, Bayer PM: Neutrophil elastase alfa 1 proteinase inhibitor complexes in pleural effusions. Klin Wochenschr 1988;66:346-350.
20. Light RW, McGregor MI, Luchsinger PC, Ball WC: Pleural effusions: The diagnostic separation of transudates and exudates. Ann Intern Med 1972;77:507-513.
21. Ocaña I, Martinez Vazquez JM, Segura RM, Fernandez de Sevilla T, Capdevila JA: Adenosine deaminase in pleural fluids: Test for diagnosis of tuberculous pleural effusion. Chest 1983;84:51-53.
22. Silva-Mejias C, Ganboa-Antiñolo F, López-Cortés LF, Cruz-Ruiz M, Pachón J: Interleukin-1 beta in pleural fluids of different etiologies. Its role as inflammatory mediator in empyema. Chest 1995;108:942-945.
23. Platanias LC, Vogelzang NJ: Interleukin-1: Biology, pathophysiology and clinical prospects. Am J Med 1990;89:621-629.
24. Colt HG: Thoracoscopy: A prospective study of safety and outcome. Chest 1995;108:324-329.
25. Kennedy L, Sahn SA: Noninvasive evaluation of the patient with a pleural effusion. Chest Surg Clin N Am 1994;4:451-465.
26. Marel M, Stastny B, Melinova L, Svandova E, Light RW: Diagnosis of pleural effusions. Experience with clinical studies, 1986 to 1990. Chest 1995;107:1598-1603.