Fidalgo Pedro, Nora David, Coelho Luis, Povoa Pedro
Polyvalent Intensive Care Unit, Hospital São Francisco Xavier, CHLO, 1449-005 Lisbon, Portugal.
Nova Medical School, Clinical Medicine, CHRC, New University of Lisbon, 1169-056 Lisbon, Portugal.
J Clin Med. 2022 Feb 18;11(4):1085. doi: 10.3390/jcm11041085.
Sepsis is a life-threatening syndrome characterized by a dysregulated host response to an infection that may evolve rapidly into septic shock and multiple organ failure. Management of sepsis relies on the early recognition and diagnosis of infection and the providing of adequate and prompt antibiotic therapy and organ support. A novel protein biomarker, the pancreatic stone protein (PSP), has recently been studied as a biomarker of sepsis and the available evidence suggests that it has a higher diagnostic performance for the identification of infection than the most used available biomarkers and adds prognostic value. This review summarizes the clinical evidence available for PSP in the diagnosis and prognosis of sepsis.
脓毒症是一种危及生命的综合征,其特征是宿主对感染的反应失调,可能迅速演变为感染性休克和多器官功能衰竭。脓毒症的治疗依赖于对感染的早期识别和诊断,以及提供充分且及时的抗生素治疗和器官支持。一种新型蛋白质生物标志物,即胰石蛋白(PSP),最近已被作为脓毒症的生物标志物进行研究,现有证据表明,与最常用的现有生物标志物相比,它在识别感染方面具有更高的诊断效能,并具有预后价值。本综述总结了PSP在脓毒症诊断和预后方面的现有临床证据。