Diagnostic Value of Serum and Cerebrospinal Fluid Procalcitonin in Differentiation Bacterial from Aseptic Meningitis
Diagnostic Value of Serum and Cerebrospinal Fluid Procalcitonin in Differentiation Bacterial from Aseptic Meningitis
نویسندگان: ژینوس بیات ماکو
کلمات کلیدی: Key words: Bacterial meningitis, aseptic meningitis, serum procalcitonin, Serum and Cerebrospinal
Fluid (CSF), morbidity rates, Lactate Dehydrogenase (LDH), Statistical data’s, etiological
factors, C- Reactive Protein (CRP), diagnosing acute, lymphocyte meningitis
نشریه: , 4 , 6 , 2010
| نویسنده ثبت کننده مقاله |
ژینوس بیات ماکو |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
دانشکده پزشکی |
| کد مقاله |
58143 |
| عنوان فارسی مقاله |
Diagnostic Value of Serum and Cerebrospinal Fluid Procalcitonin in Differentiation Bacterial from Aseptic Meningitis |
| عنوان لاتین مقاله |
Diagnostic Value of Serum and Cerebrospinal Fluid Procalcitonin in Differentiation Bacterial from Aseptic Meningitis |
| ناشر |
5 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
بلی |
| عنوان نشریه (خارج از لیست فوق) |
|
| نوع مقاله |
سایر موارد |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح یک – ISI - Web of Science |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
American Journal of Infectious Diseases website |
| Abstract: Problem statement: Acute bacterial meningitis is one of the most important causes of
medical emergency diseases, which can cause high mortality and morbidity rates. Early antibiotic
therapy is life saving in bacterial meningitis. One of the most common etiologies of acute meningitis is
viral. Differentiation between bacterial and Aseptic meningitis is mandatory, which leads to avoid useless
administration of antibiotics. Various diagnostic tests are available for diagnosis of acute bacterial
meningitis; one of these tests is serum procalcitonin. Approach: This survey is a descriptive crosssectional
study. During a 2 year period 50 patients over 13 years old who were admitted to Sina and
Emam Reza hospitals of Tabriz University of Medical Sciences with presumptive diagnosis of acute
meningitis were selected. Serum and Cerebrospinal Fluid (CSF) procalcitonin of the patients were
measured by semiquantative chromatographic PCT-Q Assay. Statistical data's of the patients were
analyzed by SPSS 15. Results: 38% of the patients had acute bacterial and 62% aseptic meningitis, on the
basis of positive clinical and lab tests. 0.5ng mL−1 of serum pricalcitonin was cut off point, which correlated
to sensitivity of 100%, positive predictive value of 82.6%, specificity of 87.09% and negative predictive
value of 100%. CSF procalcitonin cut off of 0.5ng mL−1 had sensitivity of 100% specificity of 84.21%,
positive predictive value of 88.88% and negative predictive value of 90.62%. Conclusion: Serum
procalcitonin cut off of 0.5 ng mL−1 has sensitivity and negative predictive value of 100%. This test can
be a valuable measure in screening and differentiation of bacterial from aseptic meningitis |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| Diagnostic Value of Serum and Cerebrospinal Fluid Procalcitonin in Differentiation Bacterial from Aseptic.pdf | 1395/03/30 | 93318 | دانلود |