Akademik Veri Yönetim Sistemi
ege klinikleri tıp dergisi, cilt.58, sa.3, ss.338-343, 2020 (Hakemli Dergi)
Aim: In this study, we aimed to predict blood culture positivity of patients admitted to Marmara University Department of Emergency Medicine with the preliminary diagnosis of sepsis with their vital parameters and serum Geliş procalcitonin(PCT) levels. Method: This single center, prospective study involved 131 hospitalized patients who met two or more criteria for Quick Sofa (qSOFA) during the period between October 2018 and April 2019 in the Marmara University Emergency Department. The vital parameters of the study patients were recorded and blood tests including PCT, blood cultures and other necessary cultures were taken from the patients and sent to the laboratory. Results: We seperated 131 septic patients into three groups according to their blood culture results. There was no statistically significant difference between the vital parameters of these three groups. When we compared the PCT values of these three groups, we found a statistically significant difference. The median value of PCT in the gram-negative bacterial reproduction in blood culture was 2.2 μg / L (ICA 0.5-13), in the gram-positive bacterial reproduction in blood culture was 5.2 μg / L (ICA 1.6- 24.8) and in the contamination group 0.8 μg / L (ICA 0.3-4.3). According to the Dwass-Steel Critchlow-Fligner method, we found that this difference was due to positive blood culture and contamination group (p = 0.01). Conclusions: As a result of our study, we determined that any vital parameter or serum PCT level was not successful in predicting blood culture results, but serum PCT value could be used to estimate gram (-) bacteremia when the nonreproductive group and the group with gram (-) reproduction were compared.