Diagnostic Performance of the Leuko-CRP Index and Procalcitonin in Patients with Suspected Sepsis who Come to the Emergency Room of the IESS Riobamba Hospital in the period | Stephy Publishers

 


Current Investigations in Clinical and Medical Research - (CICMR)| Stephy Publishers


Abstract

Introduction: Syndrome systemic inflammatory response (SIRS) is activated by the presence of any organic infection to, continuing evolves sepsis, septic shock, multiple organ failure and ends in death.

Objective: Determine the utility leuco index/PCR as diagnostic early sepsis.

Materials and Methods: Research has no experimental, of type descriptive, transverse and retrospective during the period July-December 2017, in patients with suspected bacterial sepsis attending IESS Riobamba Hospital emergency. It is utilize for diagnostic validity to the calculation of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), likelihood ratio and ROC curves.

Results: Se and videnctio as Qua r point of co ho rte of the leuco-PCR index a value of619.82 (AUC:0.85; IC-95%: 0.76-0.9 5; p<0.05) for a procalcitonin greater than or equal to 1ng/dl; while for a procalcitonin most or equal to 0.5ng/dl, an AUC: 0.8 2; CI-95 %; 0.71-0.9 2; p<0.05 ).

Conclusion: The index leuco-PCR is useful in the diagnosis of sepsis, and alternative accesib him and inexpensive compared to procalcitonin.

Keywords: Leukocytes,CRP, Procalcitonin, Sepsis,SIRS

Introduction
Sepsis is the clinical response of the systemic inflammatory response syndrome (SIRS), a complex syndrome, product of the activation of the immune system as a result of defense against an infection of any type, its evolution leads to septic shock and subsequent to multi-organ failure (FMO) the same that can end with death, whose outcome can be modified if a timely diagnosis is made.1 At present, severe sepsis persists as an important cause of morbidity and mortality, causing more than 60% of deaths in patients admitted to the intensive care unit.2 Worldwide there are 6 million deaths annually from misdiagnosed sepsis; in Europe it represents 29% of mortality, in the United States it contributes to 35% of in-hospital deaths and in Colombia mortality reaches up to 33.6%.

To read more #MedicalResearch
https://www.stephypublishers.com/cicmr/pdf/CICMR.MS.ID.000507.pdf

More #Openaccessjournals
https://www.stephypublishers.com/





Comments

Post a Comment

Popular posts from this blog

Journal of Psychological Science and Research - (JPSSR) | Stephy Publishers

Image
  Journal of Psychological Science and Research - (JPSSR) | Stephy Publishers Journal of Psychological Science and Research is an international, peer reviewed open access journal, aims to publish articles on entire spectrum of the science of psychology. JPsSR acts as a source for the latest findings in social, developmental, cognitive, community, and health psychology, as well as behavioral neuroscience and biopsychology. The journal aims to publish high quality articles in the form of original research, review, case reports, mini-review, commentary, proceeding, editorial, etc. #Manuscriptsubmission https://www.stephypublishers.com/submit-manuscript.php More #Openaccessjournals https://www.stephypublishers.com/ # PsychologicalScience https://www.stephypublishers.com/psychological-science-and-research/
Read more
Image
 Resilience, Risk-Taking Behavior and Aggression among Female Volleyball Players – a Preliminary Study The aim of the current study is to investigate the level of risk-taking behavior, resilience and aggression in female volleyball players and the link between these psychological variables and coach’s performance ranking. A Romanian volleyball team ranked 7th out of 11 in the A1 league in the national championship (2022-2023 period) participated at the study. The Romanian adaptation of the Brief Resilience Scale, The Romanian adaptation of Makarowski’s Stimulating and Instrumental Risk Questionnaire, The Romanian adaptation of Makarowski's Aggression Questionnaire and Delphi method (evaluation of female volleyball players by coaches) were used. Analysis of the results reveals that athletes have a low level of perseverance (Go-Ahead factor), a low level of Foul play and a moderate to low level of assertiveness. Also, most athletes registered average or even low levels of resilience
Read more
Image
 Chemo stratigraphic Profile of a Reservoir in Well “X” of Field “Y” Offshore Southern Gabon - Stephy Publishers In a bid to evaluate the elemental and mineralogical content of reservoir samples from the “X” well in the “Y” oil field offshore Southern Gabon, analyses were performed using XRD and XRF. The log view profile of the result inferred that Na, Mg, and Calcite were absent in the shallower series of the reservoir sandstones studied, this observation implies that they are soluble ions that had eroded and refer to warm and humid paleoclimate and a depositional environment that is arid, which corresponds to the continental crust as their source. The plot of Ti and FeO+Mg discriminate the deeper series of the reservoir sandstone samples from the shallower samples. The lower series showed heavier values which implies their origin from Oceanic Crust. These are also the pre-salt facies while the shallower series were more of continental origin and represent the post-salt facies. https:
Read more