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How should procalcitonin and C-reactive protein levels be interpreted in haemodialysis patients?
INTERNAL MEDICINE JOURNAL 2018 Cilt 48 Sayı 10
Scopus Eşleşmesi Bulundu
15
Atıf
48
Cilt
1222-1228
Sayfa
Özet
Background: Procalcitonin (PCT) and C-reactive protein (CRP) are used most widely in the diagnosis/treatment of bacterial infections. These are not infection-specific and may also show increases in other inflammation-causing cases. Aim: To establish a new cut-off value for PCT and CRP to eliminate confusion in the diagnosis and treatment of bacterial infections in haemodialysis (HD) patients. Methods: A total of 1110 patients, 802 with undocumented infection and 308 with documented infection, was included in the study. Results: A total of 802 patients with undocumented infection had a mean CRP value of 12.2 ± 9.6 mg/dL and a mean PCT value of 0.51 ± 0.96 ng/mL and the 308 patients with documented infection had a mean CRP value of 125.9 ± 83.3 mg/dL and a mean PCT value of 13.9 ± 26.9 ng/mL at the time of admittance. In HD patients, the cut-off values for CRP was determined as 19.15 mg/dL and for PCT as 0.685 ng/mL in the presence of infection. The use of these two parameters in combination (CRP ≥19.15 mg/dL and PCT ≥ 0.685 ng/mL) was found to have 95% positive predictive value (PPV) and 93% negative predictive value (NPV) for the diagnosis of infectious diseases in HD patients. When CRP ≥100 mg/dL and PCT ≥5 ng/mL, this was found to have 100% PPV and 94% NPV for the diagnosis of sepsis in HD patients. Conclusion: We specified PCT and CRP cut-off values with high PPV and NPV for revealing the presence of bacterial infection and sepsis in HD patients.
Web of Science Eşleşmesi Bulundu
11
WoS Atıf
48
Cilt
Article
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Kaynak: INTERNAL MEDICINE JOURNAL · s. 1222-+
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Makale Bilgileri

Dergi INTERNAL MEDICINE JOURNAL
ISSN 1444-0903
Yıl 2018 / 11. ay
Cilt / Sayı 48 / 10
Sayfalar 1222 – 1228
Makale Türü Özgün Makale
Hakemlik Hakemli
Endeks SCI
Yayın Dili İngilizce
Kapsam Uluslararası
Toplam Yazar 6 kişi
Erişim Türü Basılı+Elektronik
Alan Sağlık Bilimleri Temel Alanı- Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji

YÖKSİS Yazar Kaydı

Yazar Adı AKTUĞ DEMİR NAZLIM,SÜMER ŞUA,ÇELİK GÜLPERİ,ELSÜRER AFŞAR RENGİN,DEMİR LÜTFİ SALTUK,URAL ONUR
YÖKSİS ID 3528390