Abstract
in order to stablish the most reliable marker for distinguishing urinary tract infection, we recorderd the clinical features and admission lukocyte count, ESR, CRPand procalcitoninin80 childrenaged2 mounth-10 years admitted with a first episod of UTI. Fifty children with mean age 4/89with 30 children with mean age 5/20 were compared.ESR, WBCand PCTbut no CRP were significantly higher in patient with upper UTI.(p< 0/0001).PCThad the best performance (0/5ng)with sensivity, spesifity and positive and negative predictive value of %63,%8 3/3,%87/8and564/1respectively.PCTcutt of value 2ng/mlalso had sensivity, spesifity and positive and negative vale of %50,%96/6,%96/2and%53/7 respectively.PCT was more sensitive and specific for the diagnosis of upperversus lower urinary tract infectionthan CRP.serumPCT is abetter marker than CRP for early prediction of pyelonephritis in children with a first epuisode of UTI.
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Sadeghi-Bojd, S., Hashemi, M. 1001 Procalcitonon as Early Marker in Upper Urinary Tract Infection. Pediatr Res 68 (Suppl 1), 498 (2010). https://doi.org/10.1203/00006450-201011001-01001
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DOI: https://doi.org/10.1203/00006450-201011001-01001