Skip to content
2000
Volume 4, Issue 1
  • ISSN: 0250-6882
  • E-ISSN: 0250-6882

Abstract

Background

Presepsin is a soluble analog of CD14, recently validated as a new biomarker for sepsis. Different cut-off levels of Presepsin for the diagnosis of sepsis have been proposed however, the optimum threshold for early clinical discrimination of sepsis from non-infectious conditions remains unknown.

Objective

This work was undertaken to define the reference interval of Presepsin for Sepsis according to the CLSI C28-A3c approved guideline.

Methods

Reference individuals (N=72) receiving in-patient care at ICU for sepsis and complications were selected for the study. Presepsin concentrations were measured by enzyme-linked immunosorbent assay. Reference limits were calculated using the non-parametric robust method.

Results

Overall, the reference range for Presepsin in sepsis patients was 24.2 -872.2 pg/mL (90% confidence interval). Peak values for males were relatively higher than for females and the presepsin concentrations were influenced by age.

Conclusion

Proposed reference interval could assist in accurate and early diagnosis of sepsis which would eventually improve the outcome in patients of all age groups.

© 2023 The Author(s). Published by Bentham Science Publisher. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
Loading

Article metrics loading...

/content/journals/nemj/10.2174/04666230203113102
2023-04-14
2025-01-19
Loading full text...

Full text loading...

/deliver/fulltext/nemj/4/1/NEMJ-4-1-E030223213419.html?itemId=/content/journals/nemj/10.2174/04666230203113102&mimeType=html&fmt=ahah

References

  1. FukadaA. KitagawaY. MatsuokaM. SakaiJ. ImaiK. TarumotoN. OriharaY. KawamuraR. TakeuchiS. MaesakiS. MaedaT. Presepsin as a predictive biomarker of severity in COVID‐19: A case series.J. Med. Virol.20219319910110.1002/jmv.2616432530491
    [Google Scholar]
  2. VandijckD.M. DecruyenaereJ.M. BlotS.I. The value of sepsis definitions in daily ICU-practice.Acta Clin. Belg.200661522022610.1179/acb.2006.03717240735
    [Google Scholar]
  3. KeeleyA HineP The recognition and management of sepsis and septic shock: a guide for non-intensivists.Postgrad Med J.2017931104626634
    [Google Scholar]
  4. PrevisdominiM GiniM CeruttiB DolinaM Predictors of positive blood cultures in critically ill patients: a retrospective evaluation.Croat Med J.20125313039
    [Google Scholar]
  5. GiavarinaD. CartaM. Determination of reference interval for presepsin, an early marker for sepsis.Biochem. Med. (Zagreb)2015251646810.11613/BM.2015.00725672468
    [Google Scholar]
  6. RhodesA. EvansL.E. AlhazzaniW. LevyM.M. AntonelliM. FerrerR. KumarA. SevranskyJ.E. SprungC.L. NunnallyM.E. RochwergB. RubenfeldG.D. AngusD.C. AnnaneD. BealeR.J. BellinghanG.J. BernardG.R. ChicheJ.D. CoopersmithC. De BackerD.P. FrenchC.J. FujishimaS. GerlachH. HidalgoJ.L. HollenbergS.M. JonesA.E. KarnadD.R. KleinpellR.M. KohY. LisboaT.C. MachadoF.R. MariniJ.J. MarshallJ.C. MazuskiJ.E. McIntyreL.A. McLeanA.S. MehtaS. MorenoR.P. MyburghJ. NavalesiP. NishidaO. OsbornT.M. PernerA. PlunkettC.M. RanieriM. SchorrC.A. SeckelM.A. SeymourC.W. ShiehL. ShukriK.A. SimpsonS.Q. SingerM. ThompsonB.T. TownsendS.R. Van der PollT. VincentJ.L. WiersingaW.J. ZimmermanJ.L. DellingerR.P. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016.Intensive Care Med.201743330437710.1007/s00134‑017‑4683‑628101605
    [Google Scholar]
  7. GallieraE. MassaccesiL. de VecchiE. BanfiG. RomanelliM.M.C. MedicineL. Clinical application of presepsin as diagnostic biomarker of infection: overview and updates.Clinical Chemistry and Laboratory Medicine (CCLM)2019581111710.1515/cclm‑2019‑064331421036
    [Google Scholar]
  8. ZhangX. LiuD. LiuY.N. WangR. XieL.X. The accuracy of presepsin (sCD14-ST) for the diagnosis of sepsis in adults: a meta-analysis.Crit. Care201519132310.1186/s13054‑015‑1032‑426357898
    [Google Scholar]
  9. ShozushimaT. TakahashiG. MatsumotoN. KojikaM. EndoS. OkamuraY. Usefulness of presepsin (sCD14-ST) measurements as a marker for the diagnosis and severity of sepsis that satisfied diagnostic criteria of systemic inflammatory response syndrome.J. Infect. Chemother.201117676476910.1007/s10156‑011‑0254‑x21560033
    [Google Scholar]
  10. EndoS. SuzukiY. TakahashiG. ShozushimaT. IshikuraH. MuraiA. NishidaT. IrieY. MiuraM. IguchiH. FukuiY. TanakaK. NojimaT. OkamuraY. Usefulness of presepsin in the diagnosis of sepsis in a multicenter prospective study.J. Infect. Chemother.201218689189710.1007/s10156‑012‑0435‑222692596
    [Google Scholar]
  11. UllaM. PizzolatoE. LucchiariM. LoiaconoM. SoardoF. FornoD. MorelloF. LupiaE. MoiraghiC. MengozziG. BattistaS. Diagnostic and prognostic value of presepsin in the management of sepsis in the emergency department: a multicenter prospective study.Crit. Care2013174R16810.1186/cc1284723899120
    [Google Scholar]
  12. Chenevier-GobeauxC. TrabattoniE. RoelensM. BorderieD. ClaessensY.E. Presepsin (sCD14-ST) in emergency department: The need for adapted threshold values?Clin. Chim. Acta20144271343610.1016/j.cca.2013.09.01924076253
    [Google Scholar]
/content/journals/nemj/10.2174/04666230203113102
Loading
/content/journals/nemj/10.2174/04666230203113102
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test