Use of Plasma Procalcitonin Levels as an Adjunct to Clinical Microbiology

被引:105
作者
Gilbert, David N. [1 ,2 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Med Educ, Providence Portland Med Ctr, Portland, OR 97213 USA
[2] Oregon Hlth & Sci Univ, Dept Med, Portland, OR 97213 USA
关键词
C-REACTIVE PROTEIN; RESPIRATORY-TRACT INFECTIONS; CALCITONIN-I GENE; ANTIBIOTIC-TREATMENT; SERUM PROCALCITONIN; BACTERIAL-INFECTION; DIAGNOSTIC MARKER; INFLAMMATION; BIOMARKERS; SEPSIS;
D O I
10.1128/JCM.00655-10
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Procalcitonin (PCT) is synthesized by a large number of tissues and organs in response to invasion by pathogenic bacteria, fungi, and some parasites. Current PCT assays are rapid, specific, and of sufficient sensitivity to detect increases in PCT serum levels within 4 to 6 h of initiation of infection. Clinically, PCT levels may help in decisions regarding the need for empirical antibiotic therapy, "source control" of infection, and duration of antibiotic therapy. The addition of PCT levels to bacterial culture and viral detection results can assist with the separation of colonization and invasion by pathogenic bacteria.
引用
收藏
页码:2325 / 2329
页数:5
相关论文
共 42 条
[1]   Calcitonin precursors:: Early markers of gut barrier dysfunction in patients with acute pancreatitis [J].
Ammori, BJ ;
Becker, KL ;
Kite, P ;
Snider, RH ;
Nylén, ES ;
White, JC ;
Barclay, GR ;
Larvin, M ;
McMahon, MJ .
PANCREAS, 2003, 27 (03) :239-243
[2]   HIGH SERUM PROCALCITONIN CONCENTRATIONS IN PATIENTS WITH SEPSIS AND INFECTION [J].
ASSICOT, M ;
GENDREL, D ;
CARSIN, H ;
RAYMOND, J ;
GUILBAUD, J ;
BOHUON, C .
LANCET, 1993, 341 (8844) :515-518
[3]   Pyocalcitonin assay in systemic inflammation, infection, and sepsis: Clinical utility and limitations [J].
Becker, Kenneth L. ;
Snider, Richard ;
Nylen, Eric S. .
CRITICAL CARE MEDICINE, 2008, 36 (03) :941-952
[4]   Clinical review 167 -: Procalcitonin and the calcitonin gene family of peptides in inflammation, infection, and sepsis:: A journey from calcitonin back to its precursors [J].
Becker, KL ;
Nylén, ES ;
White, JC ;
Müller, B ;
Snider, RH .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (04) :1512-1525
[5]   Procalcitonin kinetics within the first days of sepsis: relationship with the appropriateness of antibiotic therapy and the outcome [J].
Charles, Pierre Emmanuel ;
Tinel, Claire ;
Barbar, Saber ;
Aho, Serge ;
Prin, Sebastien ;
Doise, Jean Marc ;
Olsson, Nils Olivier ;
Blettery, Bernard ;
Quenot, Jean Pierre .
CRITICAL CARE, 2009, 13 (02)
[6]   Diagnostic value of procalcitonin for differentiation between bacterial infection and non-infectious inflammation in febrile patients with active adult-onset Still's disease [J].
Chen, D-Y ;
Chen, Y-M ;
Ho, W-L ;
Chen, H-H ;
Shen, G-H ;
Lan, J-L .
ANNALS OF THE RHEUMATIC DISEASES, 2009, 68 (06) :1074-1075
[7]   Biomarkers in respiratory tract infections:: diagnostic guides to antibiotic prescription, prognostic markers and mediators [J].
Christ-Crain, M. ;
Mueller, B. .
EUROPEAN RESPIRATORY JOURNAL, 2007, 30 (03) :556-573
[8]   Procalcitonin guidance of antibiotic therapy in community-acquired pneumonia a Randomized trial [J].
Christ-Crain, Miriam ;
Stolz, Daiana ;
Bingisser, Roland ;
Muller, Christian ;
Miedinger, David ;
Huber, Peter R. ;
Zimmerli, Werner ;
Harbarth, Stephan ;
Tamm, Michael ;
Mueller, Beat .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2006, 174 (01) :84-93
[9]   Procalcitonin in severe acute respiratory syndrome (SARS) [J].
Chua, AP ;
Lee, KH .
JOURNAL OF INFECTION, 2004, 48 (04) :303-306
[10]  
Hügle T, 2008, CLIN EXP RHEUMATOL, V26, P453