Scopus Eşleşmesi Bulundu
15
Atıf
48
Cilt
1222-1228
Sayfa
Scopus Yazarları: Şua Sümer, Lütfi Saltuk Demir, Nazlım Aktuğ Demir, Gülperi Çelik, Rengin E. Afsar, Onur Ural
Özet
Background: Procalcitonin (PCT) and C-reactive protein (CRP) are used most widely in the diagnosis/treatment of bacterial infections. These are not infection-specific and may also show increases in other inflammation-causing cases. Aim: To establish a new cut-off value for PCT and CRP to eliminate confusion in the diagnosis and treatment of bacterial infections in haemodialysis (HD) patients. Methods: A total of 1110 patients, 802 with undocumented infection and 308 with documented infection, was included in the study. Results: A total of 802 patients with undocumented infection had a mean CRP value of 12.2 ± 9.6 mg/dL and a mean PCT value of 0.51 ± 0.96 ng/mL and the 308 patients with documented infection had a mean CRP value of 125.9 ± 83.3 mg/dL and a mean PCT value of 13.9 ± 26.9 ng/mL at the time of admittance. In HD patients, the cut-off values for CRP was determined as 19.15 mg/dL and for PCT as 0.685 ng/mL in the presence of infection. The use of these two parameters in combination (CRP ≥19.15 mg/dL and PCT ≥ 0.685 ng/mL) was found to have 95% positive predictive value (PPV) and 93% negative predictive value (NPV) for the diagnosis of infectious diseases in HD patients. When CRP ≥100 mg/dL and PCT ≥5 ng/mL, this was found to have 100% PPV and 94% NPV for the diagnosis of sepsis in HD patients. Conclusion: We specified PCT and CRP cut-off values with high PPV and NPV for revealing the presence of bacterial infection and sepsis in HD patients.
Anahtar Kelimeler (Scopus)
C-reactive protein
chronic renal failure
haemodialysis
infection
procalcitonin
Anahtar Kelimeler
C-reactive protein
chronic renal failure
haemodialysis
infection
procalcitonin
Makale Bilgileri
Dergi
INTERNAL MEDICINE JOURNAL
ISSN
1444-0903
Yıl
2018
/ 11. ay
Cilt / Sayı
48
/ 10
Sayfalar
1222 – 1228
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI
TEŞV Puanı
12,00
Yayın Dili
İngilizce
Kapsam
Uluslararası
Toplam Yazar
6 kişi
Erişim Türü
Basılı+Elektronik
Erişim Linki
Makaleye Git
Alan
Sağlık Bilimleri Temel Alanı-
Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji
YÖKSİS Yazar Kaydı
Yazar Adı
AKTUĞ DEMİR NAZLIM,SÜMER ŞUA,ÇELİK GÜLPERİ,ELSÜRER AFŞAR RENGİN,DEMİR LÜTFİ SALTUK,URAL ONUR
YÖKSİS ID
3528390
Hızlı Erişim
Metrikler
Scopus Atıf
15
TEŞV Puanı
12,00
Yazar Sayısı
6