A Comparitive Study of Serum Pro-Calcitonin (S- Pct) & C-Reactive Protein ( CRP) in Patients with Sepsis.

Main Article Content

Shraddha Toutem
Virendra C. Patil

Abstract

Background: Studies have shown that, early diagnosis & treatment of sepsis can lower the mortality rates & improved their related outcomes.Furthermore, studies revealed that, S-PCT can used as biomarker for early diagnosis & guiding therapeutic decision for treatment of sepsis. Thus, in our  study our  aim was to evaluate & compare the utility of S-PCT & CRP as diagnostic markers , calculate SOFA score and finally, relate these biomarkers with SOFA score .


Material And Methods: Our study was a single center hospital-based, prospective, observational and non- interventional type of study with total of 58 patients with sepsis.


Results: Out of 58 patients in total, 31 (53.4 %) were males & 27 (46.6%) were females. The mean S-PCT and mean CRP measured as markers of sepsis showed 17.97 (±21.78) ng/mL & 46.81 (±34.21) mg/L respectively. The mean SOFA score of the patients was 8.51 (±3.34). Mean S-PCT levels were higher in patients with a higher SOFA score which was statistically significant.


Conclusion: In our present study we have concluded that, both S-PCT & CRP levels were consistent markers for systemic infection.

Article Details

How to Cite
Shraddha Toutem, & Virendra C. Patil. (2023). A Comparitive Study of Serum Pro-Calcitonin (S- Pct) & C-Reactive Protein ( CRP) in Patients with Sepsis. Journal of Coastal Life Medicine, 11(2), 718–727. Retrieved from https://www.jclmm.com/index.php/journal/article/view/1080
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References

Kaukonen K, Bailey M, Suzuki S, et al. Mortality related to severe sepsis and septic shock among critically Ill patients in Australia and New Zealand, 2000– 2012. JAMA 2014; 311(13): 1308–1316.

Dellinger RP, Levy MM, Rhodes A, et al. Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013; 41:580–637

James D. Faix. Biomarkers of sepsis. Crit Rev Clin Lab Sci. 2013; 50:23–36

Szederjesi J, Almasy E, Lazar A, Huțanu A, Georgescu A. The Role of Angiopoietine-2 in the Diagnosis and Prognosis of Sepsis. J Crit Care Med. 2015; 1:18-23

Patil HV, Patil VC. Comparative study of procalcitonin and C‑reactive protein in patients with sepsis. J Nat Sc BiolMed 2020; 11:93-9.

Enguix-Armada A, Escobar-Conesa R, La Torre AG, De La Torre-Prados MV. Usefulness of several biomarkers in the management of septic patients: C- reactive protein, procalcitonin, presepsin and mid-regional pro-adrenomedullin. Clin Chem Lab Med. 2015 17.

Samraj RS, Zingarelli B, Wong HR. Role of biomarkers in sepsis care. Shock. 2013; 40:358-65.

Lambden, S., Laterre, P. F., Levy, M. M., & Francois, B. The SOFA score-development, utility and challenges of accurate assessment in clinical trials. Critical care (London, England). 2019; 23(1), 374.

American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference. Crit Care Med. 1992;20(6):864–74.

Gregoriano C, Heilmann E, Molitor A, Schuetz P. Role of procalcitonin use in the management of sepsis. J Thorac Dis. 2020 Feb;12(Suppl 1):S5-S15.

Alkholi UM, Abd Al-Monem N, Abd El-Azim AA, Sultan MH. Serum procalcitonin in viral and bacterial meningitis. J Glob Infect Dis. 2011 Jan;3(1):14-8.

Chaudhry H, Zhou J, Zhong Y, Ali MM, McGuire F, Nagarkatti PS, Nagarkatti

M. Role of cytokines as a double-edged sword in sepsis. In Vivo. 2013 Nov- Dec;27(6):669-84.

Kibe S, Adams K, Barlow G. Diagnostic and prognostic biomarkers of sepsis in critical care. J. Antimicrob. Chemother. 2011;66(suppl 2):ii33-40

ArteroA, Zaragoza R et al. Prognostic factors of mortality in patients with community acquired blood stream infection with severe sepsis and septic shock. Journal of Critical Care; 2010; 25; 2; 276-281

Watanbe Y, Oikawa N et al. Ability of procalcitonin to diagnose bacterialinfection and bacteria types compared withbloodculture findings. International Journal of General Medicine. 2016:9; 325–331.

Nargis W, Ibrahim M et al. Procalcitonin versus C-reactive protein: Usefulness as biomarker of sepsis in ICU patient. Int J CritIllnInj Sci 2014;4:195-9

Khan AA, Singh R, Singh PK. Diagnostic and prognostic significance of procalcitonin in septicemia. Int J Adv Med 2017;4:630-4.

Meisner, M., Tschaikowsky, K., Palmaers, T. et al. Comparison of procalcitonin (PCT) and C-reactive protein (CRP) plasma concentrations at different SOFA scores during the course of sepsis and MODS. 1999; Crit Care 3, 45.

Uzzan B, Cohen R, Nicolas P, Cucherat M, Perret GY. Procalcitonin as a diagnostic test for sepsis in critically ill adults and after surgery or trauma: a systematic review and meta-analysis. Crit Care Med 2006;34:1996-2003.

Tang BM, Eslick GD, Craig JC, McLean AS. Accuracy of procalcitonin for sepsis diagnosis in critically ill patients: systematic review and metaanalysis. Lancet Infect Dis. 2007;7:210-7.

Magrini L, Travaglino F, Marino R, et al. Procalcitonin variations after emergency department admission are highly predictive of hospital mortality in patients with acute infectious diseases. Eur Rev Med Pharmacol Sci 2013; 17(suppl 1): 133–142.

Wang H, Yin F, Shen DX, et al. Predictive value of procalcitonin for excluding bloodstream infection: Results of a retrospective study and utility of a rapid, quantitative test for procalcitonin. Journal of International Medical Research 2013; 41: 1671–1681.

Harbarth S, Holeckova K, Froidevaux C, et al. Diagnostic value of procalcitonin, interleukin-6, and interleukin-8 in critically ill patients admitted with suspected sepsis. Am J Respir Crit Care Med 2001; 164:396–402.

Luzzani A, Polati E, Dorizzi R, et al. Comparison of procalcitonin and C-reactive protein as markers of sepsis. Crit Care Med 2003; 31: 1737–1741.

Rau BM, Kemppainen EA, Gumbs AA, Büchler MW, Wegscheider K, Bassi C, et al. Early assessment of pancreatic infections and overall prognosis in severe acute pancreatitis by procalcitonin (PCT): a prospective international multicentre study. AnnSurg. 2007;245:74554.

Castelli, Gian Paolo et al. “Procalcitonin and C-reactive protein during systemic inflammatory response syndrome, sepsis and organ dysfunction.” Critical care (London, England) vol. 8,4 (2004): R234-42.

Sridharan P, Chamberlain RS. The efficacy of procalcitonin as a biomarker in the management of sepsis: slaying dragons or tilting at windmills? Surg Infect (Larchmt). 2013 Dec;14(6):489-511.

Anand D, Das S et al. Inter relationship between procalcitonin and organ failure in sepsis..Ind J Clin Biochem. 2014;29:93–96.

Hur M, Moon HW, Yun YM, Kim KH, Kim HS, Lee KM. Comparison of diagnostic utility between procalcitonin and C-reactive protein for the patients with blood culture-positive sepsis, Korean J Lab Med. 2009 Dec;29(6):529-35.

Wang S, Chen D. [The correlation between procalcitonin, C-reactive protein and severity scores in patients with sepsis and their value in assessment of prognosis]. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2015 Feb;27(2):97-101.

Karlsson S, Heikkinen M, Pettilä V et al. Predictive value of procalcitonin decreases in patients with severe sepsis: a prospective observational study. Crit Care 2010;14: R205.