Your browser doesn't support javascript.
loading
Semi-quantitative Procalcitonin Assay in Critically ill Patients with Respiratory infections / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 205-211, 2009.
Artículo en Coreano | WPRIM | ID: wpr-58893
ABSTRACT

BACKGROUND:

Serum procalcitonin level has been considered prognostic during sepsis and septic shock. We investigated the significance of procalcitonin in critically ill patients with respiratory infections.

METHODS:

The patients who had radiographically diagnosed diffuse lung infiltrations were enrolled on a prospective basis. Bronchoalveolar lavage (BAL) fluid for the purpose of quantitative cultures (> or =10(4) cfu/mL) was obtained from all patients. Serum procalcitonin levels determined by PCT-Q kit were measured on BAL day and classified as follows; 10.0 ng/mL. We analyzed the patient's characteristics according to outcome; favorable or unfavorable, defined as death.

RESULTS:

Patients from the following categories were included medical 17 (47.2%), surgical 9 (25%), and burned 10 (27.8%). APACHE II scores on admission to intensive care unit were 11.5+/-6.89 and 11 (30.6%) had unfavorable outcomes. A procalcitonin level > or =0.5 ng/mL was in 17 (47.2%) of all. On univariate analysis, the frequencies of burn injury, mechanical ventilation, multiple organ failure, and a procalcitonin level > or =0.5 ng/mL were more often increased in patients with unfavorable outcomes than in those with favorable outcomes (p or =0.5 ng/mL was more sensitive in predicting VAP than unfavorable outcome.

CONCLUSION:

A higher procalcitonin level seems to be associated with VAP, but further study is required to know that procalcitonin would be a prognostic marker in critically ill patients with respiratory infections.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Precursores de Proteínas / Respiración Artificial / Infecciones del Sistema Respiratorio / Choque Séptico / Quemaduras / Calcitonina / Análisis Multivariante / Estudios Prospectivos / Enfermedad Crítica / Sepsis Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: Tuberculosis and Respiratory Diseases Año: 2009 Tipo del documento: Artículo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Precursores de Proteínas / Respiración Artificial / Infecciones del Sistema Respiratorio / Choque Séptico / Quemaduras / Calcitonina / Análisis Multivariante / Estudios Prospectivos / Enfermedad Crítica / Sepsis Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: Tuberculosis and Respiratory Diseases Año: 2009 Tipo del documento: Artículo