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Clinical evaluation of technetium-99m infecton for the localisation of bacterial infection.

Abstract
The aim of the study was to distinguish infection from inflammation in patients with suspected infection using technetium-99m Infecton. Ninety-nine patients (102 studies) referred for infection evaluation underwent imaging with 400 MBq 99mTc-Infecton at 1 and 4 h. Most patients had appropriate microbiological tests and about half (56) had radiolabelled white cell scans as well. No adverse effects were noted in any patient. The clinical efficacy of 99mTc-Infecton depended in part on whether imaging was undertaken during antibiotic therapy for infection or not. In consultation with the microbiologist, 5-14 days of appropriate and successful antibiotic therapy was considered adequate to classify some results as true-negatives. The figures for sensitivity and specificity of 99mTc-Infecton for active or unsuccessfully treated infection were 83% and 91% respectively. It is concluded that 99mTc-Infecton imaging contributed to the differential diagnosis of inflammation. It is being used as the first imaging modality when bacterial infection is suspected.
AuthorsK E Britton, S Vinjamuri, A V Hall, K Solanki, Q H Siraj, J Bomanji, S Das
JournalEuropean journal of nuclear medicine (Eur J Nucl Med) Vol. 24 Issue 5 Pg. 553-6 (May 1997) ISSN: 0340-6997 [Print] Germany
PMID9142737 (Publication Type: Journal Article)
Chemical References
  • Anti-Infective Agents
  • Ciprofloxacin
  • Technetium
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Infective Agents (therapeutic use)
  • Bacterial Infections (diagnostic imaging)
  • Ciprofloxacin (therapeutic use)
  • Diagnosis, Differential
  • Female
  • Humans
  • Inflammation (diagnosis)
  • Leukocytes
  • Male
  • Middle Aged
  • Radionuclide Imaging
  • Sensitivity and Specificity
  • Technetium

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