Serum procalcitonin for discrimination of blood contamination from bloodstream infection due to coagulase-negative staphylococci

被引:133
作者
Schuetz, P.
Mueller, B.
Trampuz, A.
机构
[1] Univ Basel Hosp, Dept Infect Dis, CH-4031 Basel, Switzerland
[2] Univ Basel Hosp, Hosp Epidemiol, CH-4031 Basel, Switzerland
[3] Univ Basel Hosp, Dept Internal Med, CH-4031 Basel, Switzerland
关键词
D O I
10.1007/s15010-007-7065-0
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The diagnostic value of serum procalcitonin (PCT) to distinguish blood contamination from bloodstream infection (BSI) due to coagulase-negative staphylococci was evaluated. Patients with BSI had higher PCT concentration than those with blood contamination at day -1, day 0 and day +1 with regard to blood culture collection (p < 0.05), whereas serum C-reactive protein values were significantly higher only on day +1. At a cutoff of 0.1 ng/dl, PCT had a sensitivity of 86% and 100%, and a specificity of 60% and 80% for the diagnosis of BSI on day -1 and 0, respectively. In addition to clinical and microbiological parameters, PCT may help discriminating blood contamination from BSI due coagulase-negative staphylococci.
引用
收藏
页码:352 / 355
页数:4
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