Presepsin as a predictor of septic shock in patients with urinary tract infection

Autor: Yoshitaka Sekine, Kazuhiko Kotani, Daisuke Oka, Hiroshi Nakayama, Yoshiyuki Miyazawa, Takahiro Syuto, Seiji Arai, Masashi Nomura, Hidekazu Koike, Hiroshi Matsui, Yasuhiro Shibata, Masami Murakami, Kazuhiro Suzuki
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Urology, Vol 21, Iss 1, Pp 1-7 (2021)
Druh dokumentu: article
ISSN: 1471-2490
DOI: 10.1186/s12894-021-00906-4
Popis: Abstract Background Recently, presepsin has been reported to be a useful biomarker for early diagnosis of sepsis and evaluation of prognosis in septic patients. However, few reports have evaluated its usefulness in patients with urinary tract infections (UTI). This study aimed to evaluate whether presepsin could be a valuable marker for detecting severe sepsis, and whether it could predict the therapeutic course in patients with UTI compared with markers already used: procalcitonin (PCT) and C-reactive protein (CRP). Methods From April 2014 to December 2016, a total of 50 patients with urinary tract infections admitted to Gunma university hospital were enrolled in this study. Vital signs, presepsin, PCT, CRP, white blood cell (WBC) count, causative agents of urinary-tract infections, and other data were evaluated on the enrollment, third, and fifth days. The patients were divided into two groups: with (n = 11) or without (n = 39) septic shock on the enrollment day, and with (n = 7) or without (n = 43) sepsis on the fifth day, respectively. Presepsin was evaluated as a biomarker for systemic inflammatory response syndrome (SIRS) or septic shock. Results Regarding the enrollment day, there was no significant difference of presepsin between the SIRS and non-SIRS groups (p = 0.276). The median value of presepsin (pg/mL) was significantly higher in the septic shock group (p
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