Özlem Cakır Madenci1, Sezer Yakupoğlu2, Nur Benzonana3, Nihal Yücel4, Derya Akbaba4, Asuman Orçun Kaptanağası4. 1. Dr. Lütfi Kırdar Kartal Research and Training Hospital, Biochemistry Laboratory, İstanbul, Turkey. Electronic address: ocmadenci@hotmail.com. 2. Dr. Lütfi Kırdar Kartal Research and Training Hospital, Burn Center Anaesthesia and Reanimation Clinic, Turkey. 3. Dr. Lütfi Kırdar Kartal Research and Training Hospital, Infectious Diseases and Clinical Microbiology, Turkey. 4. Dr. Lütfi Kırdar Kartal Research and Training Hospital, Biochemistry Laboratory, İstanbul, Turkey.
Abstract
BACKGROUND: Diagnosing sepsis is difficult in burn patients because of the inflammatory mediators that alter postburn metabolic profile. Here, we compare a new marker presepsin with procalcitonin (PCT), c-reactive protein (CRP) and white blood cell (WBC) in diagnosis and follow up of sepsis in burn patients. METHODS: Patients admitted to burn center of our institute were prospectively investigated. Presepsin, PCT, CRP and WBC levels were measured at admission and every 6h for first day and daily thereafter. At all timing samples, patients were classified as sepsis or non-sepsis according to the current American Burn Association Consensus Criteria (ABA) 2007. RESULT: 37 adult patients were evaluated. A total data of 611 time points were supplied. Sepsis time points differ significantly from non-sepsis in presepsin (p < 0.0001), PCT (p = 0.0012) and CRP (p < 0.0001) levels. Non-surviving patient results differ significantly from survivors in presepsin (p < 0.0001), PCT (p = 0.0210) and CRP (p = 0.0008). AUC-ROC % values for diagnosing sepsis were 83.4% for presepsin, 84.7% for PCT, 81.9% for CRP and 50.8% for WBC. Sepsis patients had significantly different presepsin, CRP and WBC but not PCT levels on their first day of sepsis compared to previous days. CONCLUSION: Plasma presepsin levels have comparable performance in burn sepsis.
BACKGROUND: Diagnosing sepsis is difficult in burn patients because of the inflammatory mediators that alter postburn metabolic profile. Here, we compare a new marker presepsin with procalcitonin (PCT), c-reactive protein (CRP) and white blood cell (WBC) in diagnosis and follow up of sepsis in burn patients. METHODS:Patients admitted to burn center of our institute were prospectively investigated. Presepsin, PCT, CRP and WBC levels were measured at admission and every 6h for first day and daily thereafter. At all timing samples, patients were classified as sepsis or non-sepsis according to the current American Burn Association Consensus Criteria (ABA) 2007. RESULT: 37 adult patients were evaluated. A total data of 611 time points were supplied. Sepsis time points differ significantly from non-sepsis in presepsin (p < 0.0001), PCT (p = 0.0012) and CRP (p < 0.0001) levels. Non-surviving patient results differ significantly from survivors in presepsin (p < 0.0001), PCT (p = 0.0210) and CRP (p = 0.0008). AUC-ROC % values for diagnosing sepsis were 83.4% for presepsin, 84.7% for PCT, 81.9% for CRP and 50.8% for WBC. Sepsispatients had significantly different presepsin, CRP and WBC but not PCT levels on their first day of sepsis compared to previous days. CONCLUSION: Plasma presepsin levels have comparable performance in burn sepsis.
Authors: Juan J Egea-Guerrero; Carmen Martínez-Fernández; Ana Rodríguez-Rodríguez; Angélica Bohórquez-López; Angel Vilches-Arenas; María Pacheco-Sánchez; Juan M Guerrero; Francisco Murillo-Cabezas Journal: Plast Surg (Oakv) Date: 2015 Impact factor: 0.947