PROCALCITONIN Evaluation & Use In Victoria, BC
PROCALCITONIN Evaluation & Use In Victoria, BC PROCALCITONIN Evaluation & Use In Victoria, BC
ACCEPTANCE OF TEST Generally good – some sceptics Not a silver bullet – better than CRP NPV and trend most useful of all Rapid uptake & sustained interest from ICU & ER Interest from NICU, Surgery & from upisland
ALGORITHM COMPLIANCE Criteria: Stop Rx & discharge sooner than Std of Care Order PCTs per algorithm Poor compliance with algorithm because: Decision levels too conservative (low) Algorithm & comments often conflict Cerner flags clear, comments not obvious
- Page 1 and 2: PROCALCITONIN Evaluation & Use In V
- Page 3 and 4: SIRS & SEPSIS: SIRS Systemic Infla
- Page 5 and 6: PHYSIOLOGY-1 PCT is the precursor
- Page 7 and 8: THYROID C-CELL
- Page 9 and 10: PHYSIOLOGY-2 Stimulated by bacteri
- Page 11 and 12: CONTENTS SIRS, SEPSIS, PCT HISTORY
- Page 13 and 14: INITIAL EVALUATION Objectives: Eva
- Page 15 and 16: 90 80 y = 0.8418x - 0.4055 R² = 0.
- Page 17 and 18: CONTENTS SIRS, SEPSIS, PCT HISTORY
- Page 19 and 20: INITIAL PCT AND CRP RESULTS CULTURE
- Page 21 and 22: PCT v OTHER MKRS SOFA = Sequential
- Page 23 and 24: THE VALUE OF PCT Decision to treat
- Page 25 and 26: OTHER POSSIBLE VALUE Monitoring pat
- Page 27: IMPLEMENTATION 3 month evaluation
- Page 32 and 33: FALSE RESULTS False negatives not
- Page 34 and 35: CONTENTS SIRS, SEPSIS, PCT HISTORY
- Page 36 and 37: PCT v HRS AFTER BIRTH Brahms’ dat
- Page 38 and 39: OTHER USES FOR PCT Prediction of r
- Page 40: KEY REFERENCES 1. Mirjam Christ-Cra
ACCEPTANCE OF TEST<br />
Generally good – some sceptics<br />
Not a silver bullet – better than CRP<br />
NPV and trend most useful of all<br />
Rapid uptake & sustained interest from<br />
ICU & ER<br />
<strong>In</strong>terest from NICU, Surgery & from upisland
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