Research Article

Diagnostic Accuracy of Procalcitonin, Neutrophil-to-Lymphocyte Ratio, and C-Reactive Protein in Detection of Bacterial Infections and Prediction of Outcome in Nonneutropenic Febrile Patients with Lung Malignancy

Table 1

Clinical and demographic characteristics of bacteria-infected group and TF group in NNLCPs with fever.

CharacteristicsBacteria-infected group (N = 311)TF group (N = 277)

Age, median (range) (years)65 (35, 87)64 (28, 84)
Sex
 Male n (%)246 (79.1)189 (68.2)
 Female n (%)65 (20.9)88 (31.8)
Pathological type
 AC n (%)131 (42.1)139 (50.2)
 SCC n (%)106 (34.1)73 (26.4)
 SCLC n (%)54 (17.4)56 (20.2)
Others n (%)20 (6.4)9 (3.2)
 Tumor stage
 I n (%)55 (17.7)30 (10.8)
 II n (%)18 (5.8)13 (4.7)
 III n (%)84 (27.0)82 (29.6)
 IV n (%)135 (43.4)133 (48.0)
Not available, EMR n (%)19 (6.1)19 (6.9)
Hematological parameters
 WBC median (range) (109/L)8.87 (0.89, 42.54)5.57 (0.82, 29.36)
 LYM median (range) (109/L)0.83 (0.05, 6.07)1.11 (0.08, 8.14)
 NEU median (range) (109/L)7.15 (0.73, 41.32)3.82 (0.63, 23.21)
 MON median (range) (109/L)0.62 (0.02, 3.83)0.53 (0.04, 3.51)
 RBC median (range) (1012/L)3.87 (1.48, 5.50)4.02 (1.54, 5.72)
 Hb median (range) (g/L)120 (46, 169)124 (51, 172)
 PLT median (range) (109/L)202 (2, 567)217 (19, 772)
 NLR median (range)8.70 (0.83, 190.38)3.63 (0.69, 39.00)
 PLR median (range)226.83 (2.38, 1480.00)189.68 (10.58, 857.14)
 LMR median (range)1.45 (0.18, 62.50)1.98 (0.31, 22.44)
Microorganisma
 Gram-positive bacteria n (%)44 (13.8)
  Staphylococcus aureus n (%)20 (6.3)
  Streptococcus pneumoniae n (%)15 (4.7)
  Others n (%)9 (2.8)
 Gram-negative bacteria n (%)274 (86.2)
  Klebsiella pneumoniae n (%)68 (21.4)
  Haemophilus influenzae n (%)58 (18.2)
  Pseudomonas aeruginosa n (%)44 (13.9)
  Escherichia coli n (%)30 (9.4)
  Acinetobacter baumannii n (%)17 (5.4)
  Moraxella catarrhalis n (%)14 (4.4)
  Others n (%)43 (13.5)

aSeven patients were identified by MDI as having simultaneous infection with two types of bacteria. NNLCPs: nonneutropenic lung cancer patients; TF: tumor fever; AC: adenocarcinoma; SCC: squamous cell carcinoma; SCLC: small cell lung cancer; EMR: electronic medical records; WBC: white blood cell; LYM: lymphocyte; NEU: neutrophil; MON: monocyte; NLR: neutrophil-to-lymphocyte ratio; PLR: platelet-to-lymphocyte ratio; LMR: lymphocyte-to-monocyte ratio; MDI: microbiologically documented infection.