Normal sequential changes in neutrophil CD64 expression after total joint arthroplasty
Neutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early diagnosis of post-operative periprosthetic infection. However, even its normal sequential changes after non-infectious total joint arthroplasty have remained am...
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Published in | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association Vol. 18; no. 6; pp. 949 - 954 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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Tokyo
Elsevier B.V
01.11.2013
Springer Japan Springer Nature B.V |
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Abstract | Neutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early diagnosis of post-operative periprosthetic infection. However, even its normal sequential changes after non-infectious total joint arthroplasty have remained ambiguous. Accordingly, we analyzed 2-week sequential neutrophil CD64 expression changes after total joint arthroplasty in order to clarify its normal postoperative kinetics.
From 41 patients who underwent primary total joint arthroplasties, peripheral blood samples were obtained at 1day before (baseline) and 1, 3, 5, 7, and 14days after surgery, and CD64 expression per cell was quantitatively measured. C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR) and white blood cell count (WBC) were simultaneously measured.
No cases of postoperative local infection were observed. Levels of CD64 significantly elevated from day 1, peaked at day 3, and decreased significantly following day 5. Statistical analysis confirmed that significant differences existed between the baseline level and the levels at days 1 and 3, while no significant differences existed between the baseline level and those at days 5, 7 or 14. In 17 patients, CD64 peaked at over 2,000 molecules/cell, the level reported to be a cutoff value for distinguishing infection. Multiple regression analysis showed that the sole parameter of baseline CD64 level significantly explained the peak CD64 level. Postoperative CD64 peaks ranged from 1.6 to 2.7 times (median 1.9) the baseline levels. CRP, ESR and WBC also showed rapid elevations and all but WBC remained significantly higher than baseline at day 14.
CD64 levels rise significantly, peaking within about 3days following normal total joint arthroplasty, but decrease rapidly to near baseline within about 5days. The data obtained can be expected to form a possible basis for early diagnosis of postoperative periprosthetic infection. |
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AbstractList | Neutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early diagnosis of post-operative periprosthetic infection. However, even its normal sequential changes after non-infectious total joint arthroplasty have remained ambiguous. Accordingly, we analyzed 2-week sequential neutrophil CD64 expression changes after total joint arthroplasty in order to clarify its normal postoperative kinetics.
From 41 patients who underwent primary total joint arthroplasties, peripheral blood samples were obtained at 1day before (baseline) and 1, 3, 5, 7, and 14days after surgery, and CD64 expression per cell was quantitatively measured. C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR) and white blood cell count (WBC) were simultaneously measured.
No cases of postoperative local infection were observed. Levels of CD64 significantly elevated from day 1, peaked at day 3, and decreased significantly following day 5. Statistical analysis confirmed that significant differences existed between the baseline level and the levels at days 1 and 3, while no significant differences existed between the baseline level and those at days 5, 7 or 14. In 17 patients, CD64 peaked at over 2,000 molecules/cell, the level reported to be a cutoff value for distinguishing infection. Multiple regression analysis showed that the sole parameter of baseline CD64 level significantly explained the peak CD64 level. Postoperative CD64 peaks ranged from 1.6 to 2.7 times (median 1.9) the baseline levels. CRP, ESR and WBC also showed rapid elevations and all but WBC remained significantly higher than baseline at day 14.
CD64 levels rise significantly, peaking within about 3days following normal total joint arthroplasty, but decrease rapidly to near baseline within about 5days. The data obtained can be expected to form a possible basis for early diagnosis of postoperative periprosthetic infection. Neutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early diagnosis of post-operative periprosthetic infection. However, even its normal sequential changes after non-infectious total joint arthroplasty have remained ambiguous. Accordingly, we analyzed 2-week sequential neutrophil CD64 expression changes after total joint arthroplasty in order to clarify its normal postoperative kinetics. From 41 patients who underwent primary total joint arthroplasties, peripheral blood samples were obtained at 1 day before (baseline) and 1, 3, 5, 7, and 14 days after surgery, and CD64 expression per cell was quantitatively measured. C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR) and white blood cell count (WBC) were simultaneously measured. No cases of postoperative local infection were observed. Levels of CD64 significantly elevated from day 1, peaked at day 3, and decreased significantly following day 5. Statistical analysis confirmed that significant differences existed between the baseline level and the levels at days 1 and 3, while no significant differences existed between the baseline level and those at days 5, 7 or 14. In 17 patients, CD64 peaked at over 2,000 molecules/cell, the level reported to be a cutoff value for distinguishing infection. Multiple regression analysis showed that the sole parameter of baseline CD64 level significantly explained the peak CD64 level. Postoperative CD64 peaks ranged from 1.6 to 2.7 times (median 1.9) the baseline levels. CRP, ESR and WBC also showed rapid elevations and all but WBC remained significantly higher than baseline at day 14. CD64 levels rise significantly, peaking within about 3 days following normal total joint arthroplasty, but decrease rapidly to near baseline within about 5 days. The data obtained can be expected to form a possible basis for early diagnosis of postoperative periprosthetic infection. BACKGROUNDNeutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early diagnosis of post-operative periprosthetic infection. However, even its normal sequential changes after non-infectious total joint arthroplasty have remained ambiguous. Accordingly, we analyzed 2-week sequential neutrophil CD64 expression changes after total joint arthroplasty in order to clarify its normal postoperative kinetics. PATIENTS AND METHODFrom 41 patients who underwent primary total joint arthroplasties, peripheral blood samples were obtained at 1 day before (baseline) and 1, 3, 5, 7, and 14 days after surgery, and CD64 expression per cell was quantitatively measured. C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR) and white blood cell count (WBC) were simultaneously measured. RESULTSNo cases of postoperative local infection were observed. Levels of CD64 significantly elevated from day 1, peaked at day 3, and decreased significantly following day 5. Statistical analysis confirmed that significant differences existed between the baseline level and the levels at days 1 and 3, while no significant differences existed between the baseline level and those at days 5, 7 or 14. In 17 patients, CD64 peaked at over 2,000 molecules/cell, the level reported to be a cutoff value for distinguishing infection. Multiple regression analysis showed that the sole parameter of baseline CD64 level significantly explained the peak CD64 level. Postoperative CD64 peaks ranged from 1.6 to 2.7 times (median 1.9) the baseline levels. CRP, ESR and WBC also showed rapid elevations and all but WBC remained significantly higher than baseline at day 14. CONCLUSIONCD64 levels rise significantly, peaking within about 3 days following normal total joint arthroplasty, but decrease rapidly to near baseline within about 5 days. The data obtained can be expected to form a possible basis for early diagnosis of postoperative periprosthetic infection. Background Neutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early diagnosis of post-operative periprosthetic infection. However, even its normal sequential changes after non-infectious total joint arthroplasty have remained ambiguous. Accordingly, we analyzed 2-week sequential neutrophil CD64 expression changes after total joint arthroplasty in order to clarify its normal postoperative kinetics. Patients and method From 41 patients who underwent primary total joint arthroplasties, peripheral blood samples were obtained at 1 day before (baseline) and 1, 3, 5, 7, and 14 days after surgery, and CD64 expression per cell was quantitatively measured. C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR) and white blood cell count (WBC) were simultaneously measured. Results No cases of postoperative local infection were observed. Levels of CD64 significantly elevated from day 1, peaked at day 3, and decreased significantly following day 5. Statistical analysis confirmed that significant differences existed between the baseline level and the levels at days 1 and 3, while no significant differences existed between the baseline level and those at days 5, 7 or 14. In 17 patients, CD64 peaked at over 2,000 molecules/cell, the level reported to be a cutoff value for distinguishing infection. Multiple regression analysis showed that the sole parameter of baseline CD64 level significantly explained the peak CD64 level. Postoperative CD64 peaks ranged from 1.6 to 2.7 times (median 1.9) the baseline levels. CRP, ESR and WBC also showed rapid elevations and all but WBC remained significantly higher than baseline at day 14. Conclusion CD64 levels rise significantly, peaking within about 3 days following normal total joint arthroplasty, but decrease rapidly to near baseline within about 5 days. The data obtained can be expected to form a possible basis for early diagnosis of postoperative periprosthetic infection. Neutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early diagnosis of post-operative periprosthetic infection. However, even its normal sequential changes after non-infectious total joint arthroplasty have remained ambiguous. Accordingly, we analyzed 2-week sequential neutrophil CD64 expression changes after total joint arthroplasty in order to clarify its normal postoperative kinetics. From 41 patients who underwent primary total joint arthroplasties, peripheral blood samples were obtained at 1 day before (baseline) and 1, 3, 5, 7, and 14 days after surgery, and CD64 expression per cell was quantitatively measured. C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR) and white blood cell count (WBC) were simultaneously measured. No cases of postoperative local infection were observed. Levels of CD64 significantly elevated from day 1, peaked at day 3, and decreased significantly following day 5. Statistical analysis confirmed that significant differences existed between the baseline level and the levels at days 1 and 3, while no significant differences existed between the baseline level and those at days 5, 7 or 14. In 17 patients, CD64 peaked at over 2,000 molecules/cell, the level reported to be a cutoff value for distinguishing infection. Multiple regression analysis showed that the sole parameter of baseline CD64 level significantly explained the peak CD64 level. Postoperative CD64 peaks ranged from 1.6 to 2.7 times (median 1.9) the baseline levels. CRP, ESR and WBC also showed rapid elevations and all but WBC remained significantly higher than baseline at day 14. CD64 levels rise significantly, peaking within about 3 days following normal total joint arthroplasty, but decrease rapidly to near baseline within about 5 days. The data obtained can be expected to form a possible basis for early diagnosis of postoperative periprosthetic infection.[PUBLICATION ABSTRACT] |
Author | Katoh, Narutaka Kawabata, Chisato Matsui, Toshihiro Nakamura, Shigeru Matsushita, Takashi Hotta, Yuuko Nishimura, Keita Nishino, Jinju |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23943224$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_3389_fimmu_2020_00118 crossref_primary_10_1016_j_arth_2023_08_067 crossref_primary_10_33160_yam_2018_12_006 crossref_primary_10_1177_03000605221129562 crossref_primary_10_3390_jcm9072123 crossref_primary_10_7759_cureus_20124 crossref_primary_10_1302_0301_620X_102B4_BJJ_2019_1271_R1 crossref_primary_10_1007_s00167_015_3921_0 crossref_primary_10_1016_j_jot_2017_05_008 crossref_primary_10_5144_0256_4947_2016_37 crossref_primary_10_1016_j_jos_2016_04_007 crossref_primary_10_1515_raon_2016_0016 crossref_primary_10_17116_hirurgia202010129 |
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Keywords | Erythrocyte Sedimentation Rate White Blood Cell Count CD64 Level CD64 Expression Total Joint Arthroplasty |
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after total knee arthroplasty: a prospective study publication-title: Int Orthop contributor: fullname: Bumrungpanichthaworn – volume: 13 start-page: 319 year: 2002 end-page: 327 ident: bb3890 article-title: Expression of CD64 as a potential marker of neonatal sepsis publication-title: Pediatr Allergy Immunol contributor: fullname: González-Amaro – volume: 60 start-page: 275 year: 2001 end-page: 277 ident: bb3930 article-title: Rise in serum C reactive protein after hip and knee arthroplasties in patients with rheumatoid arthritis publication-title: Ann Rheum Dis contributor: fullname: Belt – volume: 143 start-page: 2295 year: 1989 end-page: 2301 ident: bb3865 article-title: The effect of IFN-gamma and colony-stimulating factors on the expression of neutrophil cell membrane receptors publication-title: J Immunol contributor: fullname: Hogg – volume: 33 start-page: 2416 year: 2006 end-page: 2424 ident: bb3850 article-title: CD64 on neutrophils is a sensitive and specific marker for detection of infection in patients with rheumatoid arthritis publication-title: J Rheumatol contributor: fullname: Tohma – volume: 91 start-page: 1237 year: 2009 end-page: 1242 ident: bb3855 article-title: Neutrophil CD64 expression in the diagnosis of musculoskeletal infection and the impact of antibiotics publication-title: J Bone Joint Surg Br contributor: fullname: Tohma – volume: 15 start-page: 547 year: 2010 end-page: 552 ident: bb3900 article-title: The usefulness of neutrophil CD64 expression in the diagnosis of local infection in patients with rheumatoid arthritis in daily practice publication-title: J Orthop Sci contributor: fullname: Tohma – volume: 107 start-page: 37 year: 1997 end-page: 43 ident: bb3875 article-title: Febrile infection changes the expression of IgGFc receptors and complement receptors in human neutrophils in vivo publication-title: Clin Exp Immunol contributor: fullname: Nikoskelainen – volume: 53 start-page: 54 year: 2003 end-page: 62 ident: bb3910 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Snippet | Neutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early diagnosis of... Background Neutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early... BACKGROUNDNeutrophil CD64 has been reported to be a sensitive and specific infection marker. Its measurement is thus considered to be useful in early diagnosis... |
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SubjectTerms | Aged Analysis of Variance Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - methods Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - methods Biomarkers - blood Blood Sedimentation C-Reactive Protein - metabolism Cohort Studies Female Humans Male Medicine Medicine & Public Health Middle Aged Neutrophils - metabolism Original Original Article Orthopedics Postoperative Complications - blood Postoperative Complications - diagnosis Postoperative Period Predictive Value of Tests Prospective Studies Prosthesis-Related Infections - blood Prosthesis-Related Infections - diagnosis Receptors, IgG - blood Rheumatology Sensitivity and Specificity Time Factors |
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Title | Normal sequential changes in neutrophil CD64 expression after total joint arthroplasty |
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