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. 2018 Oct 30;18(12):1385–1396. doi: 10.1016/S1473-3099(18)30479-1

Table 1.

Comparative detection of enterovirus in blood and CSF specimens

Total enterovirus infections (n) Positive blood detection Positive CSF detection p value Blood+/CSF− Blood+/CSF+ Blood–/CSF+ Time between onset of symptoms and venepuncture (h) Time between onset of symptoms and lumbar puncture (h) p value
All patients
Total 317 236 (74%) 272 (86%) 0·001 45 (14%) 191 (60%) 81 (26%) 20 (11–36) 18 (9–32) 0·025
Newborn babies 71 70 (99%) 62 (87%) 0·011 9 (13%) 61 (86%) 1 (1%) 12 (6–25) 9 (5–22) 0·984
Infants 83 76 (92%) 62 (75%) 0·008 21 (25%) 55 (66%) 7 (9%) 16 (8–29) 14 (8–25) 0·131
Children 163 90 (55%) 148 (91%) <0·0001 15 (9%) 75 (46%) 73 (45%) 25 (15–49)* 24 (16–48)* 0·066
Fever without source
Total 55 55 (100%) 41 (75%) 0·0002 14 (25%) 41 (75%) 0 13 (7–27) 12 (7–25) 0·011
Newborn babies 31 31 (100%) 27 (87%) 0·046 4 (13%) 27 (87%) 0 12 (7–23) 10 (5–22) 0·209
Infants 24 24 (100%) 14 (58%) 0·002 10 (42%) 14 (58%) 0 16 (9–33) 15 (10–29) 0·012
Sepsis-like disease
Total 16 16 (100%) 9 (56%) 0·008 7 (44%) 9 (56%) 0 6 (4–15) 6 (4–9) 0·623
Newborn babies 9 9 (100%) 7 (78%) 0·157 2 (22%) 7 (78%) 0 6 (4–13) 6 (4–7) 0·553
Infants 7 7 (100%) 2 (29%) 0·025 5 (71%) 2 (29%) 0 8 (3–26) 8 (4–9) 0·866
Suspected meningitis
Total 246 165 (67%) 222 (90%) <0·0001 24 (10%) 141 (57%) 81 (33%) 23 (13–43) 21 (12–41) 0·266
Newborn babies 31 30 (97%) 28 (90%) 0·317 3 (10%) 27 (87%) 1 (3%) 14 (5–36) 9 (6–25) 0·106
Infants 52 45 (87%) 46 (89%) 0·782 6 (12%) 39 (75%) 7 (13%) 20 (8–32) 15 (8–25) 0·774
Children 163 90 (55%) 148 (91%) <0·0001 15 (9%) 75 (46%) 73 (45%) 25 (15–49)* 24 (16–48)* 0·066

Data are n (%) or median (IQR), unless otherwise indicated. CSF=cerebrospinal fluid. +=enterovirus PCR positive. –=enterovirus PCR negative.

*

Time between onset of symptoms and venepuncture or lumbar puncture was significant between children and infants and between children and newborn babies (p<0·0001).

Time between onset of symptoms and lumbar puncture was significant between infants and newborn babies (p=0·045).