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降钙素原指导下的抗生素管理

Procalcitonin Guided Antibiotic Stewardship.

作者信息

Kiya Girum Tesfaye, Asefa Elsah Tegene, Abebe Gemeda, Mekonnen Zeleke

机构信息

School of Medical Laboratory Sciences, Jimma University, Jimma, Ethiopia.

Department of Internal Medicine, Jimma University, Jimma, Ethiopia.

出版信息

Biomark Insights. 2024 Nov 17;19:11772719241298197. doi: 10.1177/11772719241298197. eCollection 2024.

Abstract

Despite infection and sepsis being a major public health challenge, early detection and timely management are often hindered by several factors. These includes the similarity of clinical presentations between infectious and non-infectious conditisons, as well as limitations of current diagnostic methods such as lengthy turnaround times and low sensitivity. Consequently, there is increasing interest in identifying biomarkers that can quickly and accurately differentiate bacterial sepsis from other inflammatory processes, whether infectious or non-infectious. Procalcitonin has emerged as one of the most extensively studied and utilized biomarkers in managing infection and sepsis, especially within the framework of antibiotic stewardship. This review aims to examine the role of Procalcitonin in guiding antibiotic stewardship. It explores the production and release of procalcitonin and its relevance in the context of infection and sepsis. The discussion focus on the clinical and economic impacts of using procalcitonin to guide the initiation and discontinuation of antibiotics in managing these conditions.

摘要

尽管感染和脓毒症是一项重大的公共卫生挑战,但早期检测和及时处理常常受到多种因素的阻碍。这些因素包括感染性和非感染性疾病临床表现的相似性,以及当前诊断方法的局限性,如周转时间长和灵敏度低。因此,人们越来越关注能够快速、准确地区分细菌性脓毒症与其他炎症过程(无论感染性还是非感染性)的生物标志物。降钙素原已成为在管理感染和脓毒症,尤其是在抗生素管理框架内,研究和应用最为广泛的生物标志物之一。本综述旨在探讨降钙素原在指导抗生素管理中的作用。它探讨了降钙素原的产生和释放及其在感染和脓毒症背景下的相关性。讨论聚焦于使用降钙素原指导抗生素的起始和停用对这些疾病管理的临床和经济影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2135/11571249/4050857bafa4/10.1177_11772719241298197-fig1.jpg

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