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Provedor de dados:  BJM
País:  Brazil
Título:  Procalcitonin and C-reactive protein in differantiating to contamination from bacteremia
Autores:  Oksuz,Lutfiye
Somer,Ayper
Salman,Nuran
Erk,Osman
Gurler,Nezahat
Data:  2014-12-01
Ano:  2014
Palavras-chave:  Procalcitonin
C-reactive protein
Bacteremia
Blood cultures
Contamination
Resumo:  Procalcitonin (PCT) and C-reactive protein (CRP) are important biological markers used in the diagnosis of severe infections. The aim of this study was to evaluate the consistency of blood culture with PCT and CRP in differentiating contamination and non-bacteremia from true bacteremia. In this study blood samples were obtained from 809 febrile patients and analyzed using BACTEC 9120 system. All of positive blood cultures were performed Gram staining. The microorganisms were identified with conventional methods and automated systems. Antibiotic susceptibility tests were made by disc diffusion. PCT levels were analyzed by mini VIDAS device and PCT kit. PCT and CRP levels were analyzed with blood cultures in same times. Kruskal Wallis test, Mann-Whitney U test, Spearman's rho test and ROC curve were used for statistical analyses. The bacteremia group was found to be significantly different from non-bacteremia group and contamination group in terms of both PCT and CRP (p<0.0001). The p values of PCT and CRP in differentiating bacteremia from non-bacteremia were p<0.001 for PCT, p=0.002 for CRP and in differentiating bacteremia from contamination were p<0.001 for PCT, p<0.001 for CRP. PCT is a more useful marker than CRP in the differentiating of true bacteremia from contamination according to the results of this study.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822014000400036
Editor:  Sociedade Brasileira de Microbiologia
Relação:  10.1590/S1517-83822014000400036
Formato:  text/html
Fonte:  Brazilian Journal of Microbiology v.45 n.4 2014
Direitos:  info:eu-repo/semantics/openAccess
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