Abstract | OBJECTIVE: METHODS: Patients with systemic autoimmune diseases who were admitted to our hospitals due to either a suspected deterioration of their primary diseases or an infectious disease were enrolled. Serum PCT levels were measured in 99 serum samples of 98 patients who had elevated serum C-reactive protein (CRP) levels; 29 samples were obtained from patients with bacterial infections, and 70 samples were obtained from patients with disease deterioration without a detectable infection. The diagnostic accuracy, sensitivity, and specificity for identifying a bacterial infection were estimated using the receiver-operating characteristic curve. Multiple logistic regression analysis was also done with PCT level, age, sex, steroid dose, and use of immunosuppressive agents. RESULTS: Serum PCT levels were higher in the bacterial infection group than in the disease flare group (mean +/- SD, 4.539 +/- 9.677 vs 0.116 +/- 0.127; p < 0.0001). The diagnostic accuracy of PCT for bacterial infection was 0.797, sensitivity 53.3%, and specificity 97.1%. On multivariate analysis, the odds ratio of a PCT > or = 0.5 ng/ml was significant (OR 59.085, 95% CI 7.705 453.088, p < 0.0001) for identifying bacterial infection. CONCLUSION:
|
Authors | Kenichiro Tamaki, Yoshinori Kogata, Daisuke Sugiyama, Takashi Nakazawa, Saori Hatachi, Gohichi Kageyama, Kunihiro Nishimura, Akio Morinobu, Shunichi Kumagai |
Journal | The Journal of rheumatology
(J Rheumatol)
Vol. 35
Issue 1
Pg. 114-9
(Jan 2008)
ISSN: 0315-162X [Print] Canada |
PMID | 18050369
(Publication Type: Evaluation Study, Journal Article)
|
Chemical References |
- Biomarkers
- CALCA protein, human
- Protein Precursors
- Calcitonin
- Calcitonin Gene-Related Peptide
|
Topics |
- Adult
- Aged
- Autoimmune Diseases
(blood, complications, diagnosis)
- Bacterial Infections
(blood, diagnosis)
- Biomarkers
(blood)
- Calcitonin
(blood)
- Calcitonin Gene-Related Peptide
- Diagnosis, Differential
- Female
- Humans
- Male
- Middle Aged
- Odds Ratio
- Protein Precursors
(blood)
- Sensitivity and Specificity
|