Heparin-binding protein (HBP) in critically ill patients with influenza A(H1N1) infection

Kirsi-Maija Kaukonen, Rita Linko, Heiko Herwald, Lennart Lindbom, Esko Ruokonen, Tero Ala-Kokko, Ville Yrjo Olavi Pettila

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20 Citations (Scopus)

Abstract

Heparin-binding protein (HBP) is an inducer of vascular endothelial leakage in severe infections. Fluid accumulation into alveoli is a general finding in acute respiratory distress syndrome (ARDS). Severe acute respiratory failure with ARDS is a complication of influenza A(H1N1) infection. Accordingly, we studied the HBP levels in critically ill patients with infection of influenza A(H1N1).Critically ill patients in four intensive care units (ICUs) with polymerase chain reaction (PCR) confirmed infection of influenza A(H1N1) were prospectively evaluated. We collected clinical data and blood samples at ICU admission and on day 2. Twenty-nine patients participated in the study. Compared with normal plasma levels, the HBP concentrations were highly elevated at baseline and at day 2: 98 ng/mL (62-183 ng/mL) and 93 ng/mL (62-271 ng/mL) (p 0.876), respectively. HBP concentrations were correlated with the lowest ratio of partial pressure of oxygen in arterial blood to fraction of inspired oxygen (PF ratio) during the ICU stay (rho = -0.321, p
Original languageEnglish
Pages (from-to)1122 - 1128
Number of pages7
JournalClinical Microbiology and Infection
Volume19
Issue number12
DOIs
Publication statusPublished - 2013

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