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Clinical Pediatrics
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Differential Leukocyte Count in Acute Gastroenteritis

An Aid to Early Diagnosis

Shai Ashkenazi

Department of Pediatrics A, Beilinson Medical Center, Petah Tikva, Tel Aviv University Sackler Medical School, Tel Aviv, Israel

Yaakov Amir

Department of Pediatrics A, Beilinson Medical Center, Petah Tikva, Tel Aviv University Sackler Medical School, Tel Aviv, Israel

Gabriel Dinari

Department of Pediatrics A, Beilinson Medical Center, Petah Tikva, Tel Aviv University Sackler Medical School, Tel Aviv, Israel

Tommy Schonfeld

Department of Pediatrics A, Beilinson Medical Center, Petah Tikva, Tel Aviv University Sackler Medical School, Tel Aviv, Israel

Menachem Nitzan

Department of Pediatrics A, Beilinson Medical Center, Petah Tikva, Tel Aviv University Sackler Medical School, Tel Aviv, Israel

The total and differential leukocyte counts of 238 infants with acute gastroenteritis were evaluated as an aid in differentiating between nonbacterial and bacterial infection. In contrast to the total leukocyte count, which was noncontributory, the absolute band count and the ratio between band and total neutrophil count (B/N ratio) were helpful, with the highest values seen in patients with Shigellosis. A B/N ratio greater than 0.10 can help differentiate Shigella, Salmonella, and Campylobacter infections from E. coli and nonbacterial gastroenteritis with a sensitivity of 84.3 per cent and a specificity of 74.5 per cent.

Clinical Pediatrics, Vol. 22, No. 5, 356-358 (1983)
DOI: 10.1177/000992288302200506
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This article has been cited by other articles:


Home page
 American Journal of Medical QualityHome page
D. A. Lemberg, A. S. Day, and M. Brydon
The Role of a Clinical Pathway in Curtailing Unnecessary Investigations in Children With Gastroenteritis
American Journal of Medical Quality, March 1, 2005; 20(2): 83 - 89.
[Abstract] [PDF]