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Določanje plazemske koncentracije feritina pri bolnikih s covid-19
ID Kok, Urška (Author), ID Osredkar, Joško (Mentor) More about this mentor... This link opens in a new window

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Abstract
Decembra 2019 je bil na Kitajskem v mestu Vuhan odkrit prvi primer novega koronovirusa. Virus se je hitro razširil, kar je povzročilo epidemijo na Kitajskem in v marcu 2020 tudi globalno pandemijo. Virus, ki bolezen povzroča, je označen kot SARS-CoV-2. Okužba se prenaša preko kapljic, ki nastajajo v dihalih okuženih ljudi. Večina obolelih ljudi ima blage do zmerne simptome, ki običajno izzvenijo po tednu dni od pojava bolezni. Najpogostejši simptomi so povečana telesna temperatura, utrujenost, motnja vonja ali okusa, prehlad, suh kašelj, slabost, bruhanje, bolečine v mišicah in sklepih. V magistrskem delu smo se osredotočili na koncentracijo feritina, ki je značilni vnetni parameter in je zvišan pri bolnikih s covidom-19. Paciente smo razdelili v tri skupine glede na potek bolezni, in sicer paciente s hujšim potekom bolezni, z blagim potekom in asimptomatske paciente. Vprašanje, ki smo si ga zastavili, je v povezavi s tem, v kolikšnih primerih je koncentracija feritina zvišana v posameznih skupinah pacientov in v kakšni korelaciji so vnetni parametri feritin, CRP in prokalcitonin pri bolnikih s covidom-19. Pri vzorcu moških pacientov nam Dunnov test potrdi statistično pomembne razlike v vrednosti feritina med skupino pacientov brez simptomov in skupino s hujšo obliko covida-19 (p < 0,001 < 0,05), in sicer ima skupina moških pacientov brez simptomov nižjo srednjo vrednost feritina kot skupina moških pacientov s hujšo obliko covida-19. Prav tako zaznamo statistično pomembne razlike med skupino z blažjo obliko in skupino moških pacientov s hujšo obliko covida-19 (p = 0,003 < 0,05). Med skupinama moških pacientov brez simptomov in blažjo obliko ne zaznamo statistično pomembnih razlik v vrednostih feritina (p = 0,398 > 0,05). Pri vzorcu, kjer imamo ženske, potrdimo statistično pomembne razlike med skupino s hujšo obliko covida-19 glede na skupino z asimptomatsko obliko covida-19.

Language:Slovenian
Keywords:koronavirus, covid-19, feritin, vnetni parametri
Work type:Master's thesis/paper
Organization:FFA - Faculty of Pharmacy
Year:2024
PID:20.500.12556/RUL-155915 This link opens in a new window
Publication date in RUL:24.04.2024
Views:409
Downloads:120
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Secondary language

Language:English
Title:Determination of ferritin plasma concentration in patients with COVID-19
Abstract:
In December 2019, the first case of the novel coronavirus was discovered in the city of Wuhan, China. The virus quickly spread, leading to an epidemic in China, and by March 2020, a global pandemic. The virus causing the disease is designated as SARS-CoV-2. The infection spreads through respiratory droplets produced when infected people cough, sneeze, or talk. Most infected individuals experience mild to moderate symptoms which typically resolve within a week of illness onset. The most common symptoms include fever, fatigue, loss of smell or taste, cough, cold, nausea, vomiting, muscle, and joint pains. In our master's thesis, we focused on the concentration of ferritin, a characteristic inflammatory parameter that is elevated in patients with COVID-19. We divided patients into three groups based on the course of the disease: patients with severe, mild, and asymptomatic presentations. The question we aimed to address was the extent to which ferritin concentration is elevated in individual patient groups and the correlation of inflammatory parameters ferritin, CRP, and procalcitonin in patients with COVID-19. In the sample of male patients, Dunn's test confirmed statistically significant differences in ferritin values between the group of patients without symptoms and the group with a severe form of COVID-19 (p < 0.001 < 0.05), with the group of male patients without symptoms having a lower mean ferritin value than the group of male patients with severe COVID-19. Similarly, statistically significant differences were observed between the group with a milder form and the group of male patients with severe COVID-19 (p = 0.003 < 0.05). There were no statistically significant differences in ferritin values between the group of male patients without symptoms and the group with a milder form (p = 0.398 > 0.05). In the sample of female patients, statistically significant differences were confirmed between the group with a severe form of COVID-19 and the group with an asymptomatic form.

Keywords:coronavirus, COVID-19, ferritin, inflammatory parameters

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