Diagnostic Performance of the Leuko-CRP Index and Procalcitonin in Patients with Suspected Sepsis who Come to the Emergency Room of the IESS Riobamba Hospital in the period July-December 2017

Abstract

Introduction: Syndrome systemic inflammatory response (SIRS) is activated by the presence of any organic infection to, continuing evolves sepsis, septic shock, multiple organ failure and ends in death. Objective: Determine the utility leuco index/PCR as diagnostic early sepsis. Materials and Methods: Research has no experimental, of type descriptive, transverse and retrospective during the period July-December 2017, in patients with suspected bacterial sepsis attending IESS Riobamba Hospital emergency. It is utilize for diagnostic validity to the calculation of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), likelihood ratio and ROC curves. Results: Se and videnctio as Qua r point of co ho rte of the leuco-PCR index a value of619.82 (AUC:0.85; IC-95%: 0.76-0.9 5; p<0.05) for a procalcitonin greater than or equal to 1ng/dl; while for a procalcitonin most or equal to 0.5ng/dl, an AUC: 0.8 2; CI-95 %; 0.71-0.9 2; p<0.05 ). Conclusion: The index leuco-PCR is useful in the diagnosis of sepsis, and alternative accesib him and inexpensive compared to procalcitonin.