Abstract :
Background: This research sought to evaluate the effectiveness of White Blood Cell (WBC) profiles as a screening method for promptly identifying H1N1 infection in individuals exhibiting symptoms of Influenza-like Illness (ILI) and undergoing throat swab testing for H1N1 through the RT-PCR technique.
Materials and Methods: Seventy patients from a tertiary care hospital were included based on specific inclusion and exclusion criteria. Throat swab tests were conducted using RT-PCR, resulting in 35 positive and 35 negative cases for influenza A H1N1. Complete Blood Count (CBC) profiles, including total WBC counts, differential count, neutrophil to lymphocyte ratios, lymphocyte to monocyte ratios, and absolute monocyte count (AMC), were obtained for all subjects.
Results: Analysis of the obtained data revealed that increased symptoms, higher monocyte counts, and an Absolute Monocyte Count (AMC) exceeding 800 cells/mm?3; were indicative of a higher likelihood of H1N1 positivity.
Conclusion: The study suggests that utilizing WBC profiles, particularly the neutrophil to lymphocyte ratios, lymphocyte to monocyte ratios, and AMC, can serve as a valuable screening measure for the early detection of H1N1 infection. This approach may be especially beneficial in peripheral healthcare settings where the standard RT-PCR diagnostic method is time-consuming, enabling timely and appropriate intervention based on CBC results.
Keyword :
H1N1, White blood cell, Monocytes, RT PCR, Influenza, Monocytosis