Utility of Procalcitonin in the Engraftment Phase of Hematopoietic Stem Cell Transplantation in Children

Autor: Koray Yalçın, Dayanat Pashayev, Suna Çelen, Suleimen Zhumatayev, Gülsün Karasu, Vedat Uygun, Volkan Hazar, Akif Yeşilipek
Jazyk: English<br />Turkish
Rok vydání: 2022
Předmět:
Zdroj: Journal of Pediatric Research, Vol 9, Iss 3, Pp 208-213 (2022)
Druh dokumentu: article
ISSN: 2147-9445
2587-2478
DOI: 10.4274/jpr.galenos.2022.82608
Popis: Aim:In hematopoietic stem cell transplantation (HSCT), the phase of engraftment which can be described as an “immunogenic storm”, is also vulnerable to infections and it has been always very hard to discriminate the cause of fever in this special period of HSCT. In this study, we aim to determine if procalcitonin (PCT) could be used to define the cause of fever in the engraftment phase of HSCT.Materials and Methods:This study involves 81 patients who consecutively underwent allogeneic HSCT between October 2017-June 2020 in our pediatric HSCT unit. The patients were divided into two groups due to the origin of the fever during engraftment as infectious fever group (n=42) and the non-infectious fever group (n=39).Results:The median duration of fever for all groups was 4 days (1-11 days) and it was significantly lower in the non-infectious fever group compared to the infectious fever group (3 vs. 4 respectively p=0.001). The median PCT levels was 0.6 ng/mL (0.04-83) for all groups and it was significantly higher in the infectious fever group compared to non-infectious (1.4 vs. 0.3 p
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