Biochemical markers of neonatal sepsis: value of procalcitonin in the emergency setting.

Abstract:

BACKGROUND:We evaluated procalcitonin (PCT) assay in the emergency diagnosis of neonatal bacterial infection, especially in preterm infants, relative to C-reactive protein (CRP) and fibrinogen. METHODS:One hundred and twenty neonates (32 preterm), of whom 21 were infected, were tested. RESULTS:Concentrations of PCT, CRP and fibrinogen in uninfected infants were not affected by gestational age at birth. Concentrations of CRP and PCT increased rapidly during the first 24 h of life, while fibrinogen concentrations increased gradually from birth. All marker concentrations were significantly greater in neonates with bacterial infection. Receiver-operating characterstic analysis showed that optimum cut-off values for fibrinogen, CRP and PCT were 3.0 g/L, 7.5 mg/L and 2.5 microg/L respectively, for the diagnosis of sepsis at birth. CONCLUSIONS:Determination of PCT is of value in excluding bacterial infection in neonates since it has a negative predictive value of 93%.

journal_name

Ann Clin Biochem

authors

Guibourdenche J,Bedu A,Petzold L,Marchand M,Mariani-Kurdjian P,Hurtaud-Roux MF,Aujard Y,Porquet D

doi

10.1258/0004563021901874

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

130-5

issue

Pt 2

eissn

0004-5632

issn

1758-1001

journal_volume

39

pub_type

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