Abstract:
INTRODUCTION:Despite the advancement in diagnostic modalities of sepsis, it is still a leading cause of morbidity and mortality. Differentiation between sepsis and non-infectious disease states remains a diagnostic challenge. Procalcitonin (PCT) is useful for the diagnosis of sepsis but it varies in cut-off ranges at different clinical settings. The aim of this study was to correlate serum PCT levels with cultures and to evaluate the best cut-off values with high sensitivity and specificity for PCT. METHODOLOGY:This prospective study included 305 patients from different medical wards; the patients were classified into group I: controls (n=46), group II: culture-negative sepsis (n=76) and group III: culture-positive sepsis (n=196). Mean p value <0.05 was considered significant. RESULTS:PCT levels were significantly higher in group II and group III as compared with group I. In group II, the best cut-off point for PCT was 1.3ng/ml with 87.30% sensitivity and 78.26% specificity (area under curve 0.86). In group III, the best cut-off value of 2.20ng/ml with 98.47% sensitivity and 89.13% specificity was found (AUC 0.96). CONCLUSION:Procalcitonin can accurately differentiate culture-negative and culture-positive sepsis from non-infectious diseases, thus making it a promising biomarker in diagnosis of bacterial sepsis.
journal_name
J Infect Public Healthjournal_title
Journal of infection and public healthauthors
Gupta S,Jaswani P,Sharma RK,Agrawal S,Prasad N,Sahu C,Gupta A,Prasad KNdoi
10.1016/j.jiph.2018.11.004subject
Has Abstractpub_date
2019-01-01 00:00:00pages
323-329issue
3eissn
1876-0341issn
1876-035Xpii
S1876-0341(18)30312-5journal_volume
12pub_type
杂志文章abstract:OBJECTIVE:MBL acts as a binding protein that enables uptake of mycobacteria into macrophages. And, TNF-alpha is an important cytokine that is involved in control of mycobacterial infections both in-vivo and in-vitro. A large number of genetic factors exerting susceptibility to tuberculosis has been identified, among wh...
journal_title:Journal of infection and public health
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2018.02.001
更新日期:2018-01-01 00:00:00
abstract::This paper describes a voluntary anonymous survey to investigate the seroprevalence of Hepatitis C (HCV) in children in Glasgow, UK attending a Dental Hospital and the proportion of HCV positive mothers who have a child who is HCV seropositive. The study was undertaken among children and accompanying parents and house...
journal_title:Journal of infection and public health
pub_type: 杂志文章
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journal_title:Journal of infection and public health
pub_type: 杂志文章
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journal_title:Journal of infection and public health
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doi:10.1016/j.jiph.2008.08.006
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2011.03.005
更新日期:2011-08-01 00:00:00
abstract::Brucellosis is an ancient disease that still remains a significant threat to humans and is typically linked to exposure to infected animals and/or consumption of unpasteurized animal products. Despite this history, we have a relatively limited understanding of the host characteristics of this disease; consequently, fu...
journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2012.03.006
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journal_title:Journal of infection and public health
pub_type: 杂志文章
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更新日期:2020-11-21 00:00:00
abstract:BACKGROUND AND AIMS:Prevalence of hepatitis C virus (HCV) in intravenous drug users (IDU) varies in different areas according to socioeconomic and geographical circumstances. The present study was performed to determine seroprevalence of HCV in IDU individuals in Ahvaz, Iran. MATERIALS AND METHODS:142 IDU patients wer...
journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2009.01.001
更新日期:2009-01-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2011.10.003
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Patient-professional interactions and adherence to infection control measures are central to the quality of care and patient safety in healthcare. Persons colonized with methicillin-resistant Staphylococcus aureus (MRSA) describe insufficient support and unprofessional behavior among healthcare personnel. M...
journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2014.02.004
更新日期:2014-09-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2018.08.011
更新日期:2019-01-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2012.12.001
更新日期:2013-04-01 00:00:00
abstract::Rapid tests to diagnose tuberculosis relies on molecular detection of the M. tuberculosis. GeneXpert MTB/RIF test identifies M. tuberculosis and rifampicin resistance. We present a case of simultaneous coinfection with M. tuberculosis and M. avium. M. tuberculosis was detected in the sputum by PCR GeneXpert method. Un...
journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2020.01.006
更新日期:2020-05-01 00:00:00
abstract::Zika virus (ZIKV), an Aedes mosquito-borne flavivirus, has captured public health attention worldwide. Initially, the virus was reported in Africa and Asia. However, the outbreak of ZIKV in Brazil and the United States of America demonstrated the global health risk. Symptoms of ZIKV infection vary from mild fever, ras...
journal_title:Journal of infection and public health
pub_type: 杂志文章,评审
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更新日期:2019-01-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2019.07.002
更新日期:2020-01-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2019.05.018
更新日期:2019-01-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2009.08.001
更新日期:2010-01-01 00:00:00
abstract::This study compares the factors, which influence individuals from the countries of China, Japan and South Korea to obtain any type of influenza vaccines and their perceived concerns about the new strain of the influenza - pandemic (H1N1) 2009. The data analyzed was from the East Asian Social Survey (EASS), Cross-Natio...
journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2016.06.004
更新日期:2017-01-01 00:00:00
abstract::We report a case of Pseudomonas stutzeri endocarditis in Lebanon. The patient had a recent history of prosthetic aortic valve replacement and presented to the emergency department with fever and chills. Transesophageal echocardiography confirmed the presence of a vegetation on the prosthetic valve and blood cultures y...
journal_title:Journal of infection and public health
pub_type: 杂志文章,评审
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2013.02.006
更新日期:2013-08-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2017.05.004
更新日期:2017-01-01 00:00:00
abstract::Brucellosis is a common zoonotic disease throughout the world. Brucella spp. transmit to humans through contact with fluids of infected animals, especially sheep, cattle, and goats. It is also transmitted by ingestion of fluid-derived products of infected animals, such as unpasteurized milk and cheese. Brucella spp. c...
journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2014.07.004
更新日期:2014-11-01 00:00:00
abstract::A man, 26years-old, presented fever, mental confusion and a progressively worsening headache 6days prior to admission. The CSF study was suggestive of meningoencephalitis, the PCR study revealed presence of HSV-1 and ZIKV, while other immunology tests were negative. ZIKV was also identified in serum. The MRI showed te...
journal_title:Journal of infection and public health
pub_type: 杂志文章,评审
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更新日期:2019-01-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2011.06.002
更新日期:2011-09-01 00:00:00
abstract::The adenosine nucleoside analog BCX4430 is a direct-acting antiviral drug under investigation for the treatment of serious and life-threatening infections from highly pathogenic viruses, such as the Ebola virus. Cellular kinases phosphorylate BCX4430 to a triphosphate that mimics ATP; viral RNA polymerases incorporate...
journal_title:Journal of infection and public health
pub_type: 杂志文章,评审
doi:10.1016/j.jiph.2016.04.002
更新日期:2016-05-01 00:00:00
abstract::We evaluated the effectiveness of inactivated influenza vaccine in persons aged ≥45 years with co-morbidities (including essential hypertension) likely to have prompted consideration of prophylactic statin therapy. Using case-control analyses, we measured the impact of vaccination on General Practitioner (GP) reported...
journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2010.09.007
更新日期:2010-12-01 00:00:00
abstract::The purpose of this study was to analyze the characteristics of the diagnosis and treatment of female uterine fibroids based on data mining technology and the medication rule. Clinical literature related to the treatment of uterine fibroids by Chinese National Knowledge Infrastructure (CNKI) from 2004 to 2018 were sea...
journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2019.07.017
更新日期:2020-10-01 00:00:00
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journal_title:Journal of infection and public health
pub_type: 杂志文章,评审
doi:10.1016/j.jiph.2020.06.021
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to evaluate the microbial quality of the well water used as a drinking source in urban and rural households. METHODS:A total of 80 household well water samples were analyzed by the multiple fermentation tube method to determine the presumptive coliform count/most probable numb...
journal_title:Journal of infection and public health
pub_type: 杂志文章
doi:10.1016/j.jiph.2012.03.004
更新日期:2012-06-01 00:00:00