Hi Adrian

Does procalcitonin really distinguish bacterial from other causes of SIRS/inflammation better than, say, CRP? Junior doctors in the UK are taught that essentially you can't ignore a CRP of 100mg/L or more without excluding bacterial infection (ie. it's usually bugs that would do that). Also, I think the half life is around about 24 - 36 hours.

Sorry if this is a silly question!

Tom Morris
Infectious Diseases SpR, Leicester, UK


On Fri, 9 Nov 2012 09:09:47 -0700
 Adrian Verdin Z. <[email protected]> wrote:
Hello
In one of the hospitals that I work we used a lot
The level of procalcitonin in the blood stream of healthy individuals is below the limit of detection (10 pg/mL) of clinical assays.The level of procalcitonin raises in a response to a proinflammatory stimulus, especially of bacterias origin. In this case, it is produced mainly by the cells of the lung and the intestine. It does not raise significantly with viral or non-infectious inflammations. With the derangements that a severe infeccion with an associated systemic response brings, the blood levels of procalcitonin may rise to 100 ng/ml. In serum, procalcitonin has a half-life of 25 to 30 hours. Remarkably the high procalcitonin levels produced during infections are not followed by a parallel increase in calcitonin or serum calcium levels.

Rewarts

Dr. Adrián Verdín Z.
Terapia intensiva
Anestesia
614 159 3883 cell
614 1800 800 ext 16574


El 09/11/2012, a las 06:40, "patty jasper" <[email protected]> escribió:

Hi Everyone, We are just starting to use Procalcitonin at our facility and I was wondering what has been the general experience with it? Has anyone used it in the OB population? Has anyone used it in the pediatric population? Thanks Patty Garrity-Jasper, RN Clinical Educator Mercy General Sacramento, CA
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