Annals On Call Podcast

Procalcitonin in the Diagnosis of Bacterial Infection

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Feb 28, 2022
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INSIGHT

Procalcitonin Identifies Bacterial Infections

  • Procalcitonin rises in response to bacterial infections but remains low in viral infections due to interferon-mediated gene suppression.
  • Measuring two levels spaced hours apart improves diagnostic accuracy, as early values may be misleading.
ADVICE

Rapid Procalcitonin Testing Essential

  • Ensure rapid procalcitonin assay turnaround for effective clinical use.
  • Results should be available quickly, ideally within an hour to inform treatment decisions.
ADVICE

Repeat Procalcitonin in Pneumonia Diagnosis

  • For suspected community-acquired pneumonia, obtain initial procalcitonin to distinguish bacterial from viral causes.
  • If initial procalcitonin is low, repeat in six hours to catch early bacterial infection that may not yet raise levels.
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