Skip to main content

Usefulness of Presepsin Concentrations for Differentiating Sepsis Severity | Chapter 06 | New Horizons in Medicine and Medical Research Vol. 6

 The importance of early detection and treatment of sepsis is critical for a better clinical outcome. For the quick diagnosis of sepsis, many sepsis biomarkers are commonly employed. This study looked into the diagnostic accuracy of presepsin, procalcitonin (PCT), and C-reactive protein (CRP) in distinguishing sepsis severity, as well as their link with the Sepsis-related Organ Failure Assessment (SOFA) score.

100 septic patients from two university clinical centres were enrolled in the trial during two time periods. The Sepsis-3 definitions were used to stratify the patients. Biomarkers and the SOFA score were measured four times during the illness. A sandwich ELISA kit was used to measure presepsin. A generalised linear mixed effects model was used to assess changes in biomarker concentrations and SOFA score values during the illness, as well as to quantify differences across severity groups. Multivariate analysis was used to look into the relationship between biomarkers and SOFA score.

Patients with septic shock (n=34) exhibited substantially higher presepsin concentrations on admission than patients with sepsis (n=66), with mean vs. SD of 128.547.6 ng/mL vs. 88.665.6 ng/mL, respectively (p0.001). PCT and CRP concentrations were not substantially different between sepsis severity groups. There was also a high association between presepsin and SOFA score (p0.0001).

Conclusions: In the research groups, presepsin showed a strong ability to differentiate septic shock from sepsis. The severity of sepsis was not differentiated by PCT or CRP.

Author(S) Details

Ajete Aliu-Bejta
ICU Department, University Clinic of Infectious Diseases, Alexander Flemingu, 10000 Pristina, Kosovo.

Anita Atelj
ICU Department, University Hospital for Infectious Diseases “Dr. Fran Mihaljevic”, Mirogojska 8, 10000 Zagreb, Croatia.

Mentor Kurshumliu
“PROLAB” Biochemical Laboratory, Mark Dizdari, 10000 Pristina, Kosovo.

Shemsedin Dreshaj
ICU Department, University Clinic of Infectious Diseases, Alexander Flemingu, 10000 Pristina, Kosovo.

Bruno Barsic
ICU Department, University Hospital for Infectious Diseases “Dr. Fran Mihaljevic”, Mirogojska 8, 10000 Zagreb, Croatia.

View Book:- https://stm.bookpi.org/NHMMR-V6/article/view/6437

Labels:

Comments

Post a Comment

Popular posts from this blog

Greening Regional Airports: A Vision for Carbon Neutral Infrastructure | Chapter 12 | Contemporary Perspective on Science, Technology and Research Vol. 3

 This study provides an overview of the energy demand of a regional airport, divided into individual time horizons. The electrification of aircraft systems raises the question of whether airports will be among the largest electricity consumers in our infrastructure in the future. Sustainability and especially emission reductions are significant challenges for airports that are currently being addressed. The Clean Sky 2 project GENESIS addresses the environmental sustainability of hybrid-electric 50-passenger aircraft systems in a life cycle perspective to support the development of a technology roadmap for the transition to sustainable and competitive electric aircraft systems. This article originates from the GENESIS research and describes various options for ground power supply at a regional airport. Potential solutions for airport infrastructure with a short (2030), medium (2040), and long (2050) time horizon are proposed. In addition to the environmental and conservation benefi...
Post a Comment
Read more

Study on Processing Method Influences the Effect of Cassava (Manihot esculenta) Consumption on Blood Lipid Profile in Rats | Chapter 8 | Current Research and Development in Chemistry Vol.1

Cassava is consumed in many tropical countries and is fast becoming the major raw material of many diets, especially in the bakery, brewery and pharmaceutical industries. In a study to determine the effects of various formulations of Cassava feeds on blood lipid profile in rats. Forty adult Wistar rats weighing between 120 and 150 g were divided into 4 groups of 10 rats each. The rats were acclimatized for one week; fed with different formulations of Cassava feeds adlibitum, after which the rats were allotted into groups. Group 1 was fed on Garri; group 2 on Cassava flour; group 3 on Tapioca, and the control group (group 4) on normal chow. After 4 weeks, each animal was anaesthetized by exposure to chloroform vapour and blood samples collected by cardiac puncture. Group 1 diet (Garri) significantly increased HDL-cholesterol (HDL-C) concentration and significantly decreased LDL-cholesterol (LDL-C) concentration (p<0.05) compared with the control group. In Group 2 (Cassava flour), t...
Post a Comment
Read more

Ethnopharmacological Survey among Traditional Medicine Practitioners in Abidjan (Côte d'Ivoire) for the Management of Pathologies such as Malaria, ENT Diseases, Diarrhea, Typhoid Fever and Anemia | Chapter 05 | New Horizons in Medicine and Medical Research Vol. 8

 Traditional Medicine Practitioners (TMPs) of Côte d'Ivoire are familiar with the therapeutic herbs. Medicinal plants have been shown to be useful in the treatment of common diseases such as malaria (KROA, 2004) and diabetes (N'GUESSAN et al, 2013) in several studies and scientific study. In the Abidjan District, the current policy is to integrate traditional medicine and pharmacopoeia into the national health system in order to improve population health coverage, particularly in the management of commonly encountered diseases such as malaria, ENT diseases, diarrhoea, typhoid fever, and anaemia. This research aims to increase the use of traditional medicine and pharmacopoeia in the national health system. Over the course of three months, fifty (50) PMTs in the District of Abidjan participated in this study. Plant therapists accounted for 30 of the 50 PMTs polled at the end of the study, or 60%. Traditional medicine centres use 61 types of medicinal plants from 36 famili...
Post a Comment
Read more