How to use C-reactive protein

被引：21
作者：
Dyer, Emma M. [1 ]
Waterfield, Thomas [2 ]
Baynes, Hannah [3 ]
机构：
[1] Kings Coll Hosp London, London, England
[2] Queens Univ Belfast, Sch Med Dent & Biomed Sci, Belfast, Antrim, North Ireland
[3] Kings Coll London, Sch Med Educ, London, England
来源：
ARCHIVES OF DISEASE IN CHILDHOOD-EDUCATION AND PRACTICE EDITION | 2019年 / 104卷 / 03期
关键词：
ANTIBIOTIC-THERAPY;
D O I：
10.1136/archdischild-2018-315079
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
A 3-month-old baby is brought to the paediatric emergency department by their parents because of a fever. You decide to check their inflammatory markers. Their C-reactive protein (CRP) level comes back as 20 mg/L. Does this affect whether or not you start antibiotic therapy? Does it influence your decision to admit or discharge the patient? CRP is a commonly used biochemical test and yet its use is constantly debated and challenged. We look at the current evidence and suggest the best way to use this test in clinical practice.
引用
收藏
页码：150 / 153
页数：4
相关论文
共 50 条
[41]   The Utility of Proadrenomedullin and Procalcitonin in Comparison to C-Reactive Protein as Predictors of Sepsis and Bloodstream Infections in Critically III Patients With Cancer [J].
Debiane, Labib ;
Hachem, Ray Y. ;
Al Wohoush, Iba ;
Shomali, William ;
Bahu, Ramez R. ;
Jiang, Ying ;
Chaftari, Anne-Marie ;
Jabbour, Joseph ;
Al Shuaibi, Munirah ;
Hanania, Alexander ;
Pravinkumar, S. Egbert ;
Schuetz, Philipp ;
Raad, Issam .
CRITICAL CARE MEDICINE, 2014, 42 (12) :2500-2507
[42]   Comparative Impact of C-Reactive Protein Testing in Hospitalized Patients with Acute Respiratory Tract Infection: A Retrospective Cohort Study [J].
Olivier Giannini ;
Rosaria Del Giorno ;
Anna Zasa ;
Luca Gabutti .
Advances in Therapy, 2019, 36 :3186-3195
[43]   Acute Bacterial Osteoarticular Infections: Eight-Year Analysis of C-Reactive Protein for Oral Step-Down Therapy [J].
Arnold, John C. ;
Cannavino, Christopher R. ;
Ross, Mindy K. ;
Westley, Ben ;
Miller, Thomas C. ;
Riffenburgh, Robert H. ;
Bradley, John .
PEDIATRICS, 2012, 130 (04) :E821-E828
[44]   Evaluation of serum high sensitive C-reactive protein, procalcitonin, neopterin and leukocyte on different respiratory infectious disease in Chinese children [J].
Cheng, Han-Rong ;
Li, Dong-Cai ;
Wu, Ben-Qing ;
Yang, Jian-Liang ;
Chen, Li .
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, 2016, 9 (07) :14635-14641
[45]   C-reactive protein, an early marker of community-acquired sepsis resolution: a multi-center prospective observational study [J].
Povoa, Pedro ;
Teixeira-Pinto, Armando M. ;
Carneiro, Antonio H. .
CRITICAL CARE, 2011, 15 (04)
[46]   Early detection of severe sepsis in the emergency room: Diagnostic value of plasma C-reactive protein, procalcitonin, and interleukin-6 [J].
Uusitalo-Seppala, Raija ;
Koskinen, Pertti ;
Leino, Aila ;
Peuravuori, Heikki ;
Vahlberg, Tero ;
Rintala, Esa M. .
SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, 2011, 43 (11-12) :883-890
[47]   Usefulness of Early C-Reactive Protein Kinetics in Response and Prognostic Assessment in Infected Critically III Patients: An Observational Retrospective Study [J].
Pereira, Marta Ayres ;
Rouxinol-Dias, Ana Lidia ;
Vieira, Tatiana ;
Paiva, Jose Artur ;
Pereira, Jose Manuel .
ACTA MEDICA PORTUGUESA, 2019, 32 (12) :737-745
[48]   C-reactive protein- and clinical symptoms-guided strategy in term neonates with early-onset sepsis reduced antibiotic use and hospital stay: a quality improvement initiative [J].
Gyllensvard, Johan ;
Ingemansson, Fredrik ;
Hentz, Elisabet ;
Studahl, Marie ;
Elfvin, Anders .
BMC PEDIATRICS, 2020, 20 (01)
[49]   C-reactive protein- and clinical symptoms-guided strategy in term neonates with early-onset sepsis reduced antibiotic use and hospital stay: a quality improvement initiative [J].
Johan Gyllensvärd ;
Fredrik Ingemansson ;
Elisabet Hentz ;
Marie Studahl ;
Anders Elfvin .
BMC Pediatrics, 20
[50]   A randomized trial to compare procalcitonin and C-reactive protein in assessing severity of sepsis and in guiding antibacterial therapy in Egyptian critically ill patients [J].
Ali, Walid A. ;
Bazan, Naglaa S. ;
Elberry, Ahmed A. ;
Hussein, Raghda R. S. .
IRISH JOURNAL OF MEDICAL SCIENCE, 2021, 190 (04) :1487-1495
12345