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).