Evaluation of the relationship between procalcitonin level and the causative pathogen in intensive care patients with sepsis

Author:

Bilgin Melek1ORCID,Aci Recai2ORCID,Keskin Adem3ORCID,Yilmaz Esmeray M4ORCID,Polat Ebru5ORCID

Affiliation:

1. Department of Microbiology, Samsun Training & Research Hospital, Ilkadim, Samsun, 55090, Turkey

2. Department of Biochemistry, Samsun Training & Research Hospital, Ilkadim, Samsun, 55090, Turkey

3. Department of Medicinal Biochemistry, Institute of Health Sciences, Aydin Adnan Menderes University, Efeler, Aydın, 09100, Turkey

4. Department of Clinical Microbiology & Infectious Diseases, Samsun Training & Research Hospital, Ilkadim, Samsun, 55090, Turkey

5. Department of Anesthesiology & Reanimation, Samsun Training & Research Hospital, Ilkadim, Samsun, 55090, Turkey

Abstract

Aim: This study was designed to investigate how procalcitonin (PCT) levels are affected by different pathogens in patients with sepsis. Materials & methods: A total of 110 Gram-positive sepsis, 62 Gram-negative sepsis and 27 fungal sepsis patients were included in the study. Kaplan–Meier and ROC curve analysis was performed to assess PCT levels. Results: PCT levels were 2.36 ng/ml in Gram-negative patients, 0.79 ng/ml in Gram-positive patients and 0.89 ng/ml in fungal patients. The area under the curve for PCT was 0.608, the cutoff value was 1.34, sensitivity was 56.50% the specificity was 56.50%. Conclusion: PCT survival levels of 7.71 ng/ml in Gram-negative patients, 2.65 ng/ml in Gram-positive patients and 1.16 ng/ml in fungal patients can be evaluated to predict survival.

Publisher

Future Medicine Ltd

Subject

Microbiology (medical),Microbiology

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