| Revista: | Annals of hepatology |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000412886 |
| ISSN: | 1665-2681 |
| Autores: | Marciano, Sebastián1 Haddad, Leila1 Martínez, Alfredo P2 Posadas, María L3 Piñero, Federico1 Mora, Gonzalo J1 Guerrero, Laura N2 Ridruejo, Ezequiel1 Mandó, Oscar G1 Giunta, Diego H3 Gadano, Adrián C1 |
| Instituciones: | 1Hospital Italiano de Buenos Aires, Unidad de Hígado, Buenos Aires. Argentina 2Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno", Buenos Aires. Argentina 3Hospital Italiano de Buenos Aires, Unidad de Investigación en Medicina Interna, Buenos Aires. Argentina |
| Año: | 2014 |
| Periodo: | Sep-Oct |
| Volumen: | 13 |
| Número: | 5 |
| Paginación: | 541-547 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Aplicado, analítico |
| Resumen en inglés | Bacterial infections are frequent complications in patients with cirrhosis. Since they are associated with poor outcomes, antibiotics are frequently over-prescribed. Surrogate markers of bacterial infections, like procalcitonin, are needed to better discriminate between infected and not infected patients. Aims. To evaluated the diagnostic accuracy of an ultra-sensitive procalcitonin assay for the diagnosis of bacterial infections in patients with cirrhosis. Material and methods. In a single-center prospective study, we determined the basal levels of procalcitonin in 106 episodes of admissions to the emergency department in 84 cirrhotic patients. Patients were classified as infected or not infected by two independent hepatologists blinded to the procalcitonin result. Results. The prevalence of bacterial infection was 28% (29 episodes). The median procalcitonin was significantly higher in the infected group than in the not infected group (0.45 vs. 0.061 ng/mL, p < 0.001). The diagnostic accuracy of procalcitonin for bacterial infection estimated by the ROC curve was 0.95 (CI: 95%, 0.91-0.99). When selecting a cutoff value of 0.098 ng/mL a sensitivity of 97% and a negative predictive value 98% were found. Conclusions. The use of an ultra-sensitive procalcitonin assay identifies patients with cirrhosis at very low risk of bacterial infections |
| Disciplinas: | Medicina |
| Palabras clave: | Diagnóstico, Gastroenterología, Enfermedad hepática, Cirrosis, Sepsis, Antibióticos, Infecciones bacterianas, Procalcitonina, Exactitud diagnóstica |
| Keyword: | Medicine, Diagnosis, Gastroenterology, Hepatic diseases, Cirrhosis, Sepsis, Antibiotics, Bacterial infections, Procalcitonin, Diagnostic accuracy |
| Texto completo: | Texto completo (Ver PDF) |
