Procalcitonin
Understanding Procalcitonin
What is Procalcitonin?
A Procalcitonin test measures the level of procalcitonin (PCT), a type of protein that the body produces in response to bacterial infections. This test helps distinguish between bacterial and viral infections, offering valuable insights about the nature of the infection. By doing so, it contributes to more effective and targeted treatment decisions.
Procalcitonin (PCT) is a precursor protein to the hormone calcitonin, typically produced by the thyroid gland under normal conditions. Under ordinary circumstances, PCT exists at low levels in the blood. However, during severe bacterial infections or sepsis, PCT levels rise significantly, serving as a valuable biomarker for microbial infection diagnosis.
Apart from bacterial infections, where PCT levels increase markedly, mild to moderate elevation in PCT levels is observed in various other conditions. These include injury, burns, inflammation, kidney infections, pancreatitis, urinary tract infections, meningitis, tissue damage due to trauma, and heart attack, among others.
A Procalcitonin test is primarily used when there is a suspicion of a systemic infection affecting the entire body, especially in cases of severe illness. Typically employed in hospital settings, particularly for individuals in emergency rooms or those already admitted, the test assists in determining whether bacteria or a virus is the cause behind the infection. It is noteworthy that a Procalcitonin test is not used for detecting routine infections but rather in cases where there is a suspicion of a severe microbial infection, helping doctors to differentiate between bacterial and viral causes and guiding appropriate treatment decisions.
A Procalcitonin test is often conducted when there are symptoms suggestive of a severe bacterial infection or sepsis, such as fever, chills and shivering, rapid heart rate, low blood pressure, difficulty breathing, confusion, etc. Furthermore, a Procalcitonin test is advised for individuals who are at higher risk of getting infections or sepsis including infants, children, older adults, and those with weakened immune systems or with underlying medical problems. Additionally, a Procalcitonin test is valuable for monitoring the therapeutic response to antibacterial therapy.
No special preparation is required before undertaking a Procalcitonin test. However, it is suggested to inform your doctor about any medications or supplements you are currently taking, as these may influence the test results.
Lab test results may vary across different laboratories. Abnormal test results require an expert interpretation, therefore, never try to self-medicate at home based solely on these results, and always consult a doctor for proper understanding of the test results. The insights from a Procalcitonin test will help your doctor make informed decisions regarding the management of your condition. If necessary, the results may guide the prescription of medications like antibiotics ensuring a tailored and effective approach towards your condition.
What is Procalcitonin used for?
A Procalcitonin test is done:
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To help diagnose severe bacterial infections or sepsis.
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To differentiate between bacterial and viral infections.
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To help indicate systemic infections affecting the entire body.
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To help monitor the therapeutic response to antibacterial therapy.
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For individuals at a heightened risk of infections, including infants, children, older adults, or those with weakened immune systems or underlying illnesses.
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To assess the risk of progression from critical illness to severe sepsis and septic shock.
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To diagnose kidney infections in children with urinary tract infections.
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To identify secondary bacterial infection in individuals with tissue damage from trauma surgery, or viral illnesses like pneumonia.
What does Procalcitonin measure?
A Procalcitonin test is useful for early detection of sepsis and severe bacterial infections. PCT serves as a crucial indicator, rising around 3 hours after exposure to a proinflammatory stimulus or bacterial infection and peaking after 6 to 8 hours. This helps distinguish bacterial infections from other causes, facilitating the diagnosis and effective management of various infectious diseases.
Interpreting Procalcitonin results
Interpretations
Normal range (approx.): Below 0.15 ng/mL
Below 0.50 ng/mL: Low risk of severe sepsis
0.50 to 2.00 ng/mL: Borderline risk of severe sepsis
Above 2.00 ng/mL: High risk of severe sepsis
Reference range may vary from lab to lab*
Procalcitonin is almost undetectable in a normal healthy individual. Hence, the results of the Procalcitonin Test are to be interpreted in combination with other tests and clinical findings.