降钙素原检测减少细菌感染中不必要的抗生素使用

Attabak Toofani Milani, M. Mohammadian, S. Rostaminasab, Roghayeh Paribananaem, Z. Ahmadi, Azim Akbarzadeh khiyavi
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引用次数: 0

摘要

常规诊断试验对临床怀疑细菌感染病例的诊断存在局限性,在某些情况下导致抗生素治疗不当,增加抗生素耐药性。降钙素原(PCT)检测是一种新的诊断方法,可以提高细菌感染的诊断和指导抗生素治疗。血清PCT水平作为细菌感染患者的生物标志物是很有用的。由于细菌感染引起的PCT水平的初始升高,随后的连续PCT水平可用于评估抗生素治疗的有效性和持续时间。根据临床研究结果,在细菌性感染中,将PCT作为鉴别诊断检查,取得了良好的效果。但在临床常规检查中使用PCT之前,还需要进一步的干预研究。本文的目的是研究PCT作为感染诊断生物标志物的可靠性。
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Procalcitonin Testingreduce Unnecessary Antibiotic Use in Bacterial Infection
Conventional diagnostic test have limitations to deferential diagnosis in clinical suspicion ofbacterial infection cases, that in some cases lead to inappropriate antibiotic therapy and increases antibiotic resistance. A new diagnostic insight is procalcitonin (PCT) test to improve diagnosis of bacterial infections and to guide antibiotic therapy. Serum PCT levels are of useful test as a biomarker in patients with bacterial infections for several reasons. Initial rise of PCT levels due to bacterial infection, subsequent sequential PCT levels can be used to assess the effectiveness and duration of antibiotic therapy. Based on clinical researches results, in bacterial infections, promising good results obtained when use of PCT used as differential diagnostic test. But further intervention studies are needed before use of PCT in clinical routine tests. The goal of this review is to study the PCT reliability as infections diagnostic biomarker.
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