Monti M
Service de médecine interne--CHUV et Unité pedagogique, Faculté de biologie et médecine, Lausanne.
Rev Med Suisse. 2013 Oct 30;9(404):2008-10, 2012.
The measure of inflammatory biomarkers such as erythrocyte sedimentation rate, CRP and procalcitonin is widely used for diagnostic and prognostic purposes in patients with fever or inflammatory syndromes. However, their true diagnostic accuracy and usefulness are not well known and are probably overestimated. The purpose of this article is to summarize the current evidence about the accuracy and usefulness of these tests in different contexts of internal medicine.
炎症生物标志物如红细胞沉降率、C反应蛋白和降钙素原的检测在发热或炎症综合征患者中被广泛用于诊断和预后评估。然而,它们真正的诊断准确性和实用性并不为人所知,而且可能被高估了。本文的目的是总结目前关于这些检测在内科不同情况下的准确性和实用性的证据。