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Inflammation Research

, Volume 59, Issue 8, pp 581–586 | Cite as

Comparison between procalcitonin and C-reactive protein for early diagnosis of children with sepsis or septic shock

  • José R. FiorettoEmail author
  • Joelma G. Martin
  • Cilmery S. Kurokawa
  • Mário F. Carpi
  • Rossano C. Bonatto
  • Marcos A. de Moraes
  • Sandra M. Q. Ricchetti
Original Research Paper

Abstract

Objective and design

The objective of the paper is to examine the behavior of C-reactive protein (CRP) and procalcitonin (PCT) in the first 12 h of admission and verify which performs better to differentiate children with septic conditions.

Subjects

Septic children aged between 28 days and 14 years were divided into sepsis (SG; n = 46) and septic shock (SSG; n = 41) groups. CRP and PCT were measured at admission (T0) and 12 h later (T12 h). PCT results were classed as: 0.5 ng/ml = sepsis unlikely; ≥0.5 to <2 = sepsis possible; ≥2 to <10 = systemic inflammation; ≥10 = septic shock.

Results

At T0, there was a higher frequency of SSG with PCT >10 compared to SG [SSG: 30 (73.1%) > SG: 14 (30.4%); P < 0.05]. Similar results were observed at T12 h. Pediatric Risk of Mortality I score was significantly higher for SSG patients with higher PCT than SG patients. CRP levels were not statistically different for groups and time points.

Conclusions

PCT was better than CRP for diagnosing sepsis and septic shock, mainly at admission, and is related to disease severity.

Keywords

Procalcitonin C-reactive protein Septic shock Children Critical care 

Notes

Acknowledgments

This study was supported by FAPESP (Fundação de Amparo a Pesquisa do Estado de São Paulo), process number 04/03776-0. We would like to thank the whole team at the PICU and at UNESP Pediatrics Department’s Clinical and Experimental Research Center for helping with data collection and laboratory analyses. We also thank Colin E. Knaggs for text revision.

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Copyright information

© Birkhäuser Verlag, Basel/Switzerland 2010

Authors and Affiliations

  • José R. Fioretto
    • 1
    • 2
    Email author
  • Joelma G. Martin
    • 1
  • Cilmery S. Kurokawa
    • 1
  • Mário F. Carpi
    • 1
  • Rossano C. Bonatto
    • 1
  • Marcos A. de Moraes
    • 1
  • Sandra M. Q. Ricchetti
    • 1
  1. 1.Pediatrics Department, Botucatu Medical SchoolSao Paulo State UniversitySão PauloBrazil
  2. 2.Departamento de Pediatria, Faculdade de Medicina de BotucatuUNESPSão PauloBrazil

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