Ömer HIZLI, Cengiz SİVRİKAYA, Hakan ULUSOY, Zeynep Alev SARISOY, Ahmet Burçin SARISOY, Güven YILDIRIM, Kürşat Murat ÖZCAN

Akut tonsillit hastalarında hızlı antijen tarama testi sonuçları ile laboratuvar bulgularının karşılaştırılması

Amaç: Akut tonsillit hastalarında etkeni saptamada hızlı antijen testinin öneminin ortaya konulması amaçlanmıştır.Gereç ve Yöntem: Polikliniğimize boğaz ağrısı ve yüksek ateş şikâyetleriyle başvurup muayene sonucunda ‘akut tonsillofarenjit’ tanısı alan 36 hastaya poliklinik şartlarında hızlı antijen tarama testi yapıldı, ardından tam kan sayımı, sedimantasyon hızı ve c-reaktif protein düzeyleri tespit edildi. Hastalar hızlı antijen testi pozitifliğine göre iki gruba ayrılarak iki grubun ortalama beyaz küre, c-reaktif protein, eritrosit sedimantasyon hızı, nötrofil- lenfosit oranı ve platelet- lenfosit oranı değerleri istatistiksel olarak karşılaştırdı. Bulgular: Hızlı antijen tarama testi 18 hastada negatif iken 18 hastada pozitif bulundu. Hızlı antijen testi pozitif olanlarda ortalama beyaz küre, c-reaktif protein, eritrosit sedimantasyon hızı, nötrofil- lenfosit oranı ve platelet- lenfosit oranı değerleri sırasıyla 11400± 4100/µlt, 6,1± 4,5 mg/dL, 25,1 ±18 mm/dk, 4,93 ± 2,72 ve 130,6 ±67,2 olarak bulundu. Negatif olan grupta sırasıyla 11800± 3200/µlt, 7,2± 6 mg/dL, 15 ±8 mm/dk, 5,55 ±3,65 ve 135,3 ±37,2 olarak bulundu. İki grup arasında beyaz küre, c-reaktif protein, eritrosit sedimantasyon hızı, nötrofil lenfosit oranı ve platelet lenfosit oranı ortalamaları açısından anlamlı fark saptanmadı (p>0,05). Sonuç: Hızlı antijen tarama testinin pozitif veya negatif olması laboratuvar değerleri ile ilişkilendirilememiş olup, inflamasyon göstergesi olan laboratuvar bulguları viral kaynaklı tonsillit hastalarında da yükselebilmektedir.

Anahtar Kelimeler:

Hızlı antijen, tonsillit, antibiyotik, nötrofil-lenfosit oranı

Comparison of rapid antigen detecting test results with laboratory analysis results in patients with acute tonsillitis

Aim: To reveal the importance of rapid antigen test in detecting the agent in the patients with acute tonsillitis. Material and Method: We performed rapid antigen tests on 36 patients with the complaints of sore throat and fever, who were diagnosed as ‘acute tonsillopharyngitis’ regarding the physical examination results. Then we noted the complete blood count values with c- reactive protein levels and erythrocyte sedimentation rates of all patients. We divided the patients into two groups according to the rapid antigen test results and statistically compared the mean white blood cell, c- reactive protein levels, erythrocyte sedimentation rates, neutrophil- lymphocyte ratios and platelet- lymphocyte ratios of two groups.Results: Rapid antigen test was positive in 18 patients and negative in 18 patients. The mean white blood cell, c- reactive protein, erythrocyte sedimentation rate, neutrophil- lymphocyte ratio and platelet- lymphocyte ratio levels were 11400± 4100/µlt, 6.1± 4.5 mg/dL, 25.1 ±18 mm/min, 4.93 ± 2.72 and 130.6 ±67.2 in positive test group and 11800± 3200/µlt, 7.2± 6 mg/dL, 15 ±8 mm/min, 5.55 ±3.65 and 135.3 ±37.2 in negative test group respectively. The mean white blood cell, c- reactive protein levels, erythrocyte sedimentation rates, neutrophil- lymphocyte ratios and platelet- lymphocyte ratios did not significantly differ between the groups (p>0,05). Conclusion: Rapid antigen test results were not associated with laboratory blood analysis results and inflammation markers may be elevated even in viral infections.

Keywords:

Rapid antigen, tonsillitis, antibiotic, neutrophil-lymphocyte ratio,

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