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
/ 10. ay
Cilt / Sayı
48
/ 10
Sayfalar
1222 – 1228
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI
Yayın Dili
İngilizce
Kapsam
Uluslararası
Toplam Yazar
6 kişi
Erişim Türü
Elektronik
Erişim Linki
Makaleye Git
Alan
Sağlık Bilimleri Temel Alanı-
Nefroloji
YÖKSİS Yazar Kaydı
Yazar Adı
AKTUĞ DEMİR NAZLIM,SÜMER ŞUA,ÇELİK GÜLPERİ,ELSÜRER AFŞAR RENGİN,DEMİR LÜTFİ SALTUK,URAL ONUR
YÖKSİS ID
3594626
Hızlı Erişim
Metrikler
Scopus Atıf
15
Yazar Sayısı
6