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العنوان
Procalcitonin in diagnosis of infection in patients with liver cirrhosis /
الناشر
Mahmoud Gouda Ali Mohammed Omar ,
المؤلف
Mahmoud Gouda Ali Mohammed Omar
تاريخ النشر
2015
عدد الصفحات
157 P. :
الفهرس
Only 14 pages are availabe for public view

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Abstract

Background: Bacterial infections are a major cause of morbidity and mortality among patients with liver cirrhosis. Procalcitonin (PCT) is a prohormone that has been used as a marker for the diagnosis of bacterial infections.It may have a role in infections related to liver cirrhosis. Objectives:The study aims to evaluate the role of Procalcitonin as a marker of infection in patients with liver cirrhosis. Methods:Plasma level of Procalcitoninwill be measured in 60 age and sex matched patients with liver cirrhosis(40 with clinical signs of infections and 20 without clinical signs of infections), 15 post-liver transplant patients (8 with clinical signs of infections and 7 without clinical signs of infections)and 15 healthy control subjects. Conclusion:At cut off point of 0.6 ng/ml, the sensitivity, specificity,positive predictive value (+PV) and negative predictive value (-PV) of procalcitonin were 87.50 % , 83.33 %,85.7% and 85.4% respectively. Area under ROC Curve was 0.932.Area under ROC curve of procalcitonin was higher (0.932) than that of CRP (0.875),The sensitivity of procalcitonin were better than that of CRP with highly significant p-value < 0.001.This indicates the superiority of procalcitonin in diagnosis of infection rather than CRP