Comparison of WBC, ESR, CRP and PCT serum levels in septic and non-septic burn cases

Barati, M. and Alinejad, F. and Bahar, M.A. and Tabrisi, M.S. and Shamshiri, A.R. and Bodouhi, N.-o.-l. and Karimi, H. (2008) Comparison of WBC, ESR, CRP and PCT serum levels in septic and non-septic burn cases. Burns, 34 (6). pp. 770-774.

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Diagnosis of sepsis is difficult, particularly in cases of burn where signs of sepsis may be present in the absence of a real infection. This study compared serum levels of procalcitonin (PCT), C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and white blood cell (WBC) among 60 burned people with and without infection, in order to assess the value of the information for diagnosis of sepsis. A significantly higher PCT level was observed in the septic group compared to those without sepsis (8.45 ± 7.8 vs. 0.5 ± 1.0, respectively, p < 0.001); no significant differences were found in CRP or WBC levels, neutrophil count or ESR. The area under the receiver operating characteristics curve in the diagnosis of sepsis was 0.97 for PCT (p < 0.001) with sensitivity of 100 and specificity of 89.3. Non-survivors had a mean PCT level significantly higher than that of survivors. Thus the serum PCT level was a highly efficient laboratory parameter for the diagnosis of severe infectious complications after burn, but WBC, neutrophil, ESR and CRP levels were of little value. © 2008 Elsevier Ltd and ISBI.

Item Type: Article
Additional Information: cited By 96
Uncontrolled Keywords: C reactive protein; procalcitonin, adult; area under the curve; article; burn; controlled study; erythrocyte sedimentation rate; female; human; leukocyte count; major clinical study; male; neutrophil count; protein blood level; receiver operating characteristic; sensitivity and specificity; sepsis; survival, Adult; Biological Markers; Blood Sedimentation; Body Temperature; Burns; C-Reactive Protein; Calcitonin; Case-Control Studies; Female; Humans; Leukocyte Count; Male; Prognosis; Protein Precursors; ROC Curve; Sensitivity and Specificity; Sepsis; Severity of Illness Index; Systemic Inflammatory Response Syndrome
Subjects: WR Dermatology
QU Biochemistry. Cell Biology and Genetics
QY Clinical Pathology
Depositing User: Arezoo Ghasemi siani
Date Deposited: 29 Jul 2020 07:41
Last Modified: 29 Jul 2020 07:41

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