Yazarlar |
Hakan Guven
Ondokuz Mayis Üniversitesi, Turkey |
Levent Altintop
Ondokuz Mayis Üniversitesi, Turkey |
Ahmet Baydin
Ondokuz Mayis Üniversitesi, Turkey |
Saban Esen
Ondokuz Mayis Üniversitesi, Turkey |
Dursun Aygun
Ondokuz Mayis Üniversitesi, Turkey |
Murat Hokelek
Ondokuz Mayis Üniversitesi, Turkey |
Prof. Dr. Zahide DOĞANAY
Kastamonu Üniversitesi, Türkiye |
Yuksel Bek
Ondokuz Mayis Üniversitesi, Turkey |
Özet |
Researchers and clinicians have been investigating and implementing various methods of early diagnosis for sepsis before documentation of infection. The aim of this study was to outline the efficiency of procalcitonin (PCT), C-reactive protein (CRP), and white blood cell count (WBC) in determining the early diagnosis of sepsis in the emergency department. Between January 1999 and September 2000, 34 patients with signs of systemic inflammatory response syndrome (SIRS) were enrolled in the study. The patients were divided into 2 groups according to nonsuspected sepsis and suspected sepsis clinically. Admission PCT was significantly higher in suspected sepsis group (median 68.7 μg/L; lower [L] = 15.24 μg/L, upper [U] = 120.54 μg/L) compared with the unsuspected sepsis group (.23 μg/L; L = .10 μg/L, U = .44 μg/L). PCT values were compared with WBC and CRP levels. Predictive accuracy for sepsis expressed as area under the receiver operating characteristic (ROC) curve was .88 for PCT, .44 for WBC, and .34 for CRP. PCT can probably be used as a predictive marker in bacterial infections in emergency departments. Copyright 2002, Elsevier Science (USA). All rights reserved. |
Anahtar Kelimeler |
C-reactive protein | Emergency departments | Procalcitonin | Sepsis |
Makale Türü | Özgün Makale |
Makale Alt Türü | SCOPUS dergilerinde yayımlanan tam makale |
Dergi Adı | American Journal of Emergency Medicine |
Dergi ISSN | 0735-6757 |
Makale Dili | İngilizce |
Basım Tarihi | 01-2002 |
Cilt No | 20 |
Sayı | 3 |
Sayfalar | 202 / 206 |
Doi Numarası | 10.1053/ajem.2002.33005 |
Atıf Sayıları | |
SCOPUS | 69 |