DIAGNOSTIC VALUE OF DETERMINING THE LEVEL OF PROCALCITONIN IN THE PRACTICE OF AN INFECTIOUS DISEASE SPECIALIST

Considering the colossal frequency of infectious diseases among children, pediatricians face the task not only to cure the patient but also to do this as soon as possible with an individual approach to each child. One of the main aspects of diagnosis in febrile children is the differentiation of a...

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Bibliographic Details
Published in:	Voprosy sovremennoĭ pediatrii Vol. 16; no. 4; pp. 334 - 341
Main Authors:	Polyakova, Anastasia S., Bakradze, Maya G., Tatochenko, Vladimir K., Gadlia, Diana D.
Format:	Journal Article
Language:	English
Published:	"Paediatrician" Publishers LLC 01-09-2017
Subjects:	bacterial inflammation markers c-reactive protein fever in children procalcitonin
Online Access:	Get full text
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Summary:	Considering the colossal frequency of infectious diseases among children, pediatricians face the task not only to cure the patient but also to do this as soon as possible with an individual approach to each child. One of the main aspects of diagnosis in febrile children is the differentiation of a bacterial infection from viral one in order to assign timely antibiotic therapy to one patient and to prevent excessive assignment to others. In addition, an important point is to identify the category of patients with a severe bacterial infection, which requires the most attention. The article reveals the main points of a differential diagnosis of bacterial and viral infections, considering clinical symptoms and laboratory parameters: the concentration of procalcitonin, C-reactive protein, and leukocytes. The limits of procalcitonin values for various nosological forms and the possibility of their use in terms of the appointment, continuation or replacement of antibacterial therapy in pediatric practice are described.
ISSN:	1682-5527 1682-5535
DOI:	10.15690/vsp.v16i4.1781