Usefulness of Serum Procalcitonin Levels in Predicting Tubo-Ovarian Abscess in Patients with Acute Pelvic Inflammatory Disease
Autor: | Abdullah Tuten, Isil Ayhan, Hakan Erenel, Mahmut Oncul, Berna Aslan, Suat Karataş, Nevin Yilmaz, Abdullah Serdar Acikgoz |
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Rok vydání: | 2016 |
Předmět: |
Adult
Calcitonin medicine.medical_specialty Gastroenterology Sensitivity and Specificity Procalcitonin 03 medical and health sciences Leukocyte Count 0302 clinical medicine White blood cell Internal medicine Pelvic inflammatory disease medicine Humans Ovarian Diseases Abscess Retrospective Studies 030219 obstetrics & reproductive medicine biology business.industry C-reactive protein Obstetrics and Gynecology Retrospective cohort study Fallopian Tube Diseases Middle Aged bacterial infections and mycoses medicine.disease tubo-ovarian abscess Surgery medicine.anatomical_structure Reproductive Medicine 030220 oncology & carcinogenesis Absolute neutrophil count biology.protein Female business hormones hormone substitutes and hormone antagonists Biomarkers Pelvic Inflammatory Disease |
Zdroj: | Gynecologic and obstetric investigation. 82(3) |
ISSN: | 1423-002X |
Popis: | We aimed to investigate the clinical importance of serum procalcitonin (PCT) levels in the diagnosis of tubo-ovarian abscess (TOA). Patients diagnosed with pelvic inflammatory disease (PID; n = 36) and patients diagnosed with TOA (n = 42) were included in the study. Sociodemographic characteristics, laboratory and clinical parameters were compared between the 2 groups. Mean PCT level was higher in the TOA group (p = 0.004). Mean length of stay in hospital was longer in patients with TOA (p < 0.001). White blood cell count, neutrophil count, percentage of neutrophils and C-reactive protein levels were higher than normal limits in all patients; however, no differences in these parameters were observed between the groups. A cutoff level of 0.330 ng/ml for PCT revealed 62% sensitivity and 75% specificity in predicting TOA. Serum PCT is a promising inexpensive marker for the diagnosis of TOA in PID patients. |
Databáze: | OpenAIRE |
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