Procalcitonin as an early marker of bacterial infection in neutropenic febrile children with acute lymphoblastic leukemia

降钙素原是急性淋巴细胞白血病中性粒细胞减少性发热患儿细菌感染的早期标志物

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作者:Maria Hatzistilianou, Aleka Rekliti, Fanni Athanassiadou, Dorothea Catriu

Conclusions

Serial measurement of PCT levels on a daily basis seems to be helpful for early prediction of severe bacterial infections, monitoring febrile episodes regarding response to antibiotic therapy, and early detection of complications in the infectious process.

Methods

In all groups, blood samples were collected upon admission and then for 7 days on a daily basis. Levels of CRP, PCT, TNF-a, IL-1b, IL-8, and sTNFRII were determined in all blood samples.

Results

We found a highly significant difference in PCT levels between bacterial and nonbacterial episodes. Sensitivity and specificity of PCT were 94 and 96.5%, respectively. Conclusions: Serial measurement of PCT levels on a daily basis seems to be helpful for early prediction of severe bacterial infections, monitoring febrile episodes regarding response to antibiotic therapy, and early detection of complications in the infectious process.

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