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Diagnosing acute appendicitis in children is still a challenge even for experienced clinicians. Failure to recognize this acute condition can result in perforation, with consequent peritonitis, or misdiagnosis can result in negative appendectomies. C-reactive protein in blood can be elavated in children with acute appendicitis. The aim of this research is to compare the diagnostic value of C-reactive protein from the blood and saliva of children with acute appendicitis and to prove wheter the analysis of biomarker from saliva as a minimally invasive procedure can be sufficient for diagnosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with acute appendicitis | Patients with acute appendicitis, after surgery and with pathohistological confirmation |
| |
| Patients without acute appendicitis | Patients without acute appendicitis, after laboratory, clinical and/or radiological exclusion of acute admittance |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood specimen collection for C-reactive protein (CRP) and WBC (white blood cells). Saliva specimen collection for analysis of CRP levels | Diagnostic Test | Blood analysis of CRP and WBC levels Saliva analysis of CRP levels |
| Measure | Description | Time Frame |
|---|---|---|
| Level of CRP in blood | Levels of CRP in blood as measured by ELISA test | 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Level of CRP in saliva | Levels of CRP in saliva as measured by ELISA test | 72 hours |
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Inclusion Criteria:
Exclusion Criteria:
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Patients from 5 to 17 years of age, presenting with acute abdominal pain consistent with diagnosis of acute appendicitis, to Emergency Surgery Department at the University Hospital Split
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Klaudio Pjer MD Milunovic | Contact | +38521556723 | mklaudiopjer@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Zenon Pogorelić, PhD.Prof | University Hospital of Split | Principal Investigator |
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| ID | Term |
|---|---|
| D001064 | Appendicitis |
| ID | Term |
|---|---|
| D059413 | Intraabdominal Infections |
| D007239 | Infections |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |
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