DIAGNOSTIC VALUE OF DETERMINING THE LEVEL OF PROCALCITONIN IN THE PRACTICE OF AN INFECTIOUS DISEASE SPECIALIST
https://doi.org/10.15690/vsp.v16i4.1781
Abstract
Considering the colossal frequency of infectious diseases among children, pediatricians face the task not only to cure the patient but also to do this as soon as possible with an individual approach to each child. One of the main aspects of diagnosis in febrile children is the differentiation of a bacterial infection from viral one in order to assign timely antibiotic therapy to one patient and to prevent excessive assignment to others. In addition, an important point is to identify the category of patients with a severe bacterial infection, which requires the most attention. The article reveals the main points of a differential diagnosis of bacterial and viral infections, considering clinical symptoms and laboratory parameters: the concentration of procalcitonin, C-reactive protein, and leukocytes. The limits of procalcitonin values for various nosological forms and the possibility of their use in terms of the appointment, continuation or replacement of antibacterial therapy in pediatric practice are described.
Supporting agencies: Support of Thermo Fisher Scientific
About the Authors
Anastasia S. Polyakova
National Medical Research Center of Children’s Health; Pirogov Russian National Research Medical University
Russian Federation
Moscow
Disclosure of interest:
Russian Federation
Moscow
Disclosure of interest:
collaborate with ASTELLAS, Johnson & Johnson, GlaxoSmithKline
Maya G. Bakradze
National Medical Research Center of Children’s Health; Pirogov Russian National Research Medical University
Russian Federation
Moscow
Disclosure of interest:
Russian Federation
Moscow
Disclosure of interest:
collaborate with ASTELLAS, Johnson & Johnson, GlaxoSmithKline
Vladimir K. Tatochenko
National Medical Research Center of Children’s Health
Russian Federation
Moscow
Disclosure of interest:
Russian Federation
Moscow
Disclosure of interest:
collaborate with ASTELLAS, Johnson & Johnson, GlaxoSmithKline
Diana D. Gadlia
National Medical Research Center of Children’s Health
Russian Federation
Moscow
Russian Federation
Moscow
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Polyakova A.S., Bakradze M.G., Tatochenko V.K., Gadlia D.D. DIAGNOSTIC VALUE OF DETERMINING THE LEVEL OF PROCALCITONIN IN THE PRACTICE OF AN INFECTIOUS DISEASE SPECIALIST. Current Pediatrics. 2017;16(4):334-341. (In Russ.) https://doi.org/10.15690/vsp.v16i4.1781
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