PROCALCITONIN Evaluation & Use In Victoria, BC
PROCALCITONIN Evaluation & Use In Victoria, BC
PROCALCITONIN Evaluation & Use In Victoria, BC
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THE VALUE OF PCT<br />
Decision to treat with antibiotics:<br />
<br />
High negative predictive value (NPV) – ER Triage,<br />
Culture & treat / admit or discharge<br />
Wait 6-12h & repeat PCT / admit or discharge<br />
Monitoring Treatment<br />
<br />
PCT level tracks severity & progress – trend very useful<br />
Dropping 30-50% /d = successful Rx – continue<br />
Not dropping or increasing - change Rx, reculture<br />
Decision to stop antibiotics<br />
<br />
Unnecessary Rx is risky for patients and costly<br />
>90% drop from peak or
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