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Sepsis is a common and critical complication in HIV-infected patients and an important marker of high risk of patient death. The widely used diagnostic criteria for sepsis still have many deficiencies and do not allow for good prediction and timely determination of the onset of sepsis. In HIV-infected patients, abnormal activation of monocyte-macrophage is also a key mechanism in the development of their sepsis. Monocyte distribution width (MDW) is a marker of the degree of peripheral blood monocyte activation and has been recommended abroad for the early diagnosis of adult sepsis patients in emergency departments. However, in China, MDW has not been applied to the clinic yet, and the related studies are almost blank. Therefore, it is worthwhile to analyze the monocyte activation status of HIV-infected patients by MDW assay and thus predict the occurrence of sepsis.
This is a prospective observational study, and investigators intend to collect HIV-infected patients in our hospital within 1 year from the conduct of this study and hospitalized, after informed consent, for inclusion in the study. Investigators will collect clinical data, basic laboratory indicators, and test MDW levels of the patients and follow the patients until discharge or death.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HIV infection group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Monocyte distribution width (MDW) | Diagnostic Test | All enrolled patients will receive test with MDW. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with sepsis of admission | Using Sepsis 3.0 as the diagnostic criteria, the sensitivity and specificity of using MDW to diagnose sepsis in HIV-infected patients. | within 28 days |
| Number of deaths of enrolled patients | In HIV infection with sepsis, whether higher MDW score is related to poor prognosis. | within 28 days |
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Inclusion Criteria:
Exclusion Criteria:
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HIV-infected patients hospitalized in our hospital within 1 year since this study was conducted.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jun Chen, Ph.D | Contact | 021-37990333-3222 | qtchenjun@163.com | |
| Tangkai Qi, Ph.D | Contact | 021-37990333-3222 | qitangkai@shphc.org.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Public Health Clinical Center | Recruiting | Shanghai | Shanghai Municipality | 201508 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31107278 | Background | Crouser ED, Parrillo JE, Seymour CW, Angus DC, Bicking K, Esguerra VG, Peck-Palmer OM, Magari RT, Julian MW, Kleven JM, Raj PJ, Procopio G, Careaga D, Tejidor L. Monocyte Distribution Width: A Novel Indicator of Sepsis-2 and Sepsis-3 in High-Risk Emergency Department Patients. Crit Care Med. 2019 Aug;47(8):1018-1025. doi: 10.1097/CCM.0000000000003799. | |
| 32391157 |
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| ID | Term |
|---|---|
| D015658 | HIV Infections |
| D018805 | Sepsis |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
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Whole blood
| Crouser ED, Parrillo JE, Martin GS, Huang DT, Hausfater P, Grigorov I, Careaga D, Osborn T, Hasan M, Tejidor L. Monocyte distribution width enhances early sepsis detection in the emergency department beyond SIRS and qSOFA. J Intensive Care. 2020 May 5;8:33. doi: 10.1186/s40560-020-00446-3. eCollection 2020. |
| 32598299 | Background | Agnello L, Bivona G, Vidali M, Scazzone C, Giglio RV, Iacolino G, Iacona A, Mancuso S, Ciaccio AM, Lo Sasso B, Ciaccio M. Monocyte distribution width (MDW) as a screening tool for sepsis in the Emergency Department. Clin Chem Lab Med. 2020 Oct 25;58(11):1951-1957. doi: 10.1515/cclm-2020-0417. |
| 30118761 | Background | Moreira J, Paixao A, Oliveira J, Jalo W, Manuel O, Rodrigues R, Oliveira A, Tinoco L, Lima J, Grinsztejn B, Veloso VG, Japiassu AM, Lamas CC. Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil. Clin Microbiol Infect. 2019 Jan;25(1):113.e1-113.e3. doi: 10.1016/j.cmi.2018.08.003. Epub 2018 Aug 15. |
| 40094401 | Derived | Sun J, Shao Y, Jiang R, Qi T, Xun J, Shen Y, Zhang R, Qian L, Wang X, Liu L, Wang Z, Sun J, Tang Y, Song W, Xu S, Yang J, Chen Y, Tang YW, Lu H, Chen J. Monocyte distribution width (MDW) as a reliable diagnostic biomarker for sepsis in patients with HIV. Emerg Microbes Infect. 2025 Dec;14(1):2479634. doi: 10.1080/22221751.2025.2479634. Epub 2025 Mar 26. |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |