Significantly higher procalcitonin levels could differentiate Gram-negative sepsis from Gram-positive and fungal sepsis. 2013

Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
Institute of Clinical Biochemistry and Laboratory Diagnostics, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, U nemocnice 2, 12000, Prague 2, Czech Republic.

Procalcitonin (PCT) levels can distinguish between infectious and non-infectious systemic inflammatory response. However, there are some differences between Gram-negative (G-), Gram-positive (G+), and fungal bloodstream infections, particularly in different cytokine profiles, severity and mortality. The aim of current study was to examine whether PCT levels can serve as a distinguishing mark between G+, G-, and fungal sepsis as well. One hundred and sixty-six septic patients with positive blood cultures were examined on C-reactive protein (CRP) and PCT on the same date of blood culture evaluation. The median (interquartile range, IQR) of CRP and PCT in G+, G-, and fungal cohorts and comparison of measured values between groups were made using the Kruskal-Wallis test with subsequent Bonferroni's corrections, with p < 0.05. In 83/166 (50 %) of blood cultures, G+ microbes, 78/166 (47 %) G- rods, and 5/166 (3 %) fungi were detected. PCT concentrations (ng/ml) were significantly higher in G- compared to other cohorts: 8.90 (1.88; 32.60) in G-, 0.73 (0.22; 3.40) in G+, and 0.58 (0.35; 0.73) in fungi (p < 0.00001). CRP concentrations did not differ significantly in groups. Significantly higher PCT levels could differentiate G- sepsis from G+ and fungemia. In contrast to CRP, PCT is a good discriminative biomarker in different bloodstream infections.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009181 Mycoses Diseases caused by FUNGI. Fungus Diseases,Fungal Diseases,Fungal Infections,Fungus Infections,Disease, Fungal,Disease, Fungus,Diseases, Fungal,Diseases, Fungus,Fungal Disease,Fungal Infection,Fungus Disease,Fungus Infection,Infection, Fungal,Infection, Fungus,Infections, Fungal,Infections, Fungus
D011498 Protein Precursors Precursors, Protein
D002097 C-Reactive Protein A plasma protein that circulates in increased amounts during inflammation and after tissue damage. C-Reactive Protein measured by more sensitive methods often for coronary heart disease risk assessment is referred to as High Sensitivity C-Reactive Protein (hs-CRP). High Sensitivity C-Reactive Protein,hs-CRP,hsCRP,C Reactive Protein,High Sensitivity C Reactive Protein
D002116 Calcitonin A peptide hormone that lowers calcium concentration in the blood. In humans, it is released by thyroid cells and acts to decrease the formation and absorptive activity of osteoclasts. Its role in regulating plasma calcium is much greater in children and in certain diseases than in normal adults. Thyrocalcitonin,Calcitonin(1-32),Calcitrin,Ciba 47175-BA,Eel Calcitonin,Calcitonin, Eel,Ciba 47175 BA,Ciba 47175BA
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

Related Publications

Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
January 2016, Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences,
Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
January 2015, Disease markers,
Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
February 2018, Turkish journal of anaesthesiology and reanimation,
Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
June 2013, Diagnostic microbiology and infectious disease,
Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
June 1999, Infectious disease clinics of North America,
Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
July 2021, Journal of medical microbiology,
Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
September 2017, Platelets,
Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
August 1999, Critical care medicine,
Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
January 2019, Journal of burn care & research : official publication of the American Burn Association,
Helena Brodská, and Karin Malíčková, and Václava Adámková, and Hana Benáková, and Markéta Marková Šťastná, and Tomáš Zima
June 1996, Acta paediatrica (Oslo, Norway : 1992),
Copied contents to your clipboard!