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Table 7 Description of studies assessing the properties of Sputum IL-8 for identifying bacterial vs non-bacterial AECOPD

From: Biomarkers to guide the use of antibiotics for acute exacerbations of COPD (AECOPD): a systematic review and meta-analysis

Author

Setting

Antibiotics or Steroids in the exclusion criteria (length of exclusion)

GOLD Stage of Cohort

Definition of Bacterial Cause of Exacerbation

Number of Exacerbations

Number of Exacerbations with Bacterial Cause

Mean IL-8 (SD)

Bacterial Exacerbation

Mean IL-8 (SD)

Non-bacterial Exacerbation

Aaron [47]

OP

Steroids

–

Positive sputum culture of pathogen not cultured at baseline

14

1

–

–

Bafadhel [39]

OP

Antibiotics & Steroids

I–IV

Positive sputum culture OR total aerobic count > 107 CFU

158

84

8926 pg/mL

3221 pg/mL

Bathoorn [40]

OP

Steroids

–

High semi-quantitative growth density of PPM on sputum culture

37

8

7.78 μg/mL

1.74 μg/mL

Dal Negro [16]

H

Antibiotics

II

Positive sputum culture > 106 CFU/mL

124

CB = 28

PA = 20

CB = 16,599.6 pg/mL

PA = 16,087.4 pg/mL

NI = 8201.8 pg/mL

V = 9996.0 pg/mL

Sethi [46]

OP

–

I–IV

Molecular typing of strains from sputum

150

84

–

–

Vaitkus [23]

H

Antibiotics (1 month) & Steroids (1 month)

–

Positive sputum culture > 106 CFU/mL

40

18

468 pg/mL

410 pg/mL

Wilkinson [43]

OP

Antibiotics

–

–

39

–

–

–

  1. 7 studies were identified to evaluate the relationship between sputum IL-8 and AECOPD aetiology
  2. OP, Outpatient; H, Hospital; CFU, Colony forming units; PPM, Potentially pathogenic microorganisms; CB, common bacteria; PA, Pseudomonas aeruginosa; NI, Not infective; V, Viral. -, information not provided