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Procalcitonin (PCT) is a non hormonal glycoprotein discovered by assicot et al. In 1993. It is mainly produced under the stimulation of bacterial toxins and inflammatory cytokines, and does not increase in non infectious inflammation. At present, it has been used as an important indicator to identify bacteria and sepsis at home and abroad.
PCT concentration (ng/ml) | Clinical significance | Disposal suggestions |
<0.05 | Normal value | |
0.1~0.25 | Bacterial infection is unlikely | Antibiotics are not recommended |
0.25~0.5 | No or mild systemic inflammatory reaction, may be local inflammation or local infection | It is suggested to find out the cause of infection or other causes of PCT elevation and use antibiotics |
0.5~2 | Moderate systemic inflammatory reaction, possibly infection, or other conditions, such as inflammatory trauma, major surgery, cardiogenic shock | It is suggested to identify the possible infection factors. If infection is found, it is recommended to review PCT after 6-24 hours |
2-10 | The most likely cause is sepsis, severe sepsis or septic shock. The risk of organ dysfunction is high | It is recommended to review PCT every day. If PCT remains high (> 4D): reconsider the treatment of sepsis |
≧10 | Almost all of them are severe septicemia or septic shock, often accompanied by organ failure and high risk of death | It is recommended to monitor PCT every day to evaluate the therapeutic effect |
Detection range | sample size | Sample type | Test time |
0.1~100ng/mL | 60μl | Whole blood / serum / plasma | 15min |