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Procalcitonin as an indicator of urosepsis

Authors Sugimoto K, Adomi S, Koike H, Esa A

Received 12 January 2013

Accepted for publication 8 February 2013

Published 26 March 2013 Volume 2013:5 Pages 77—80


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

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Koichi Sugimoto, Shogo Adomi, Hiroyuki Koike, Atsunobu Esa

Department of Urology, NTT West Osaka Hospital, Osaka, Japan

Background: Procalcitonin has been advocated as a marker of bacterial infection, so this study was carried out to determine the usefulness of serum procalcitonin in the early diagnosis of urosepsis.
Methods: The subjects were 37 febrile patients with urinary tract infection in whom we examined the serum procalcitonin concentration at the start of treatment.
Results: Thirty patients had acute pyelonephritis (16 simple, 14 complex), one had emphysematous pyelonephritis, five had acute prostatitis, and one had acute epididymitis. The procalcitonin level was <0.5 ng/mL in 18 patients, ≥0.5 ng/mL in one patient, ≥2 ng/mL in seven patients, and ≥10 ng/mL in 11 patients. Five of the 11 patients with procalcitonin levels ≥ 10 ng/mL had disseminated intravascular coagulation. All patients with urinary tract obstruction and disseminated intravascular coagulation had procalcitonin levels ≥ 10 ng/mL.
Conclusion: Although this retrospective study comprised a small number of patients, we found that procalcitonin was a useful marker for urinary tract infection.

Keywords: procalcitonin, urosepsis, urinary tract infection, urology

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