AUTHOR=Hamo Zohar , Azrad Maya , Nitzan Orna , Sagie Asaf , Tkhawkho Linda , Binyamin Dana , Peretz Avi 

TITLE=Role of Single Procalcitonin Test on Admission as a Biomarker for Predicting the Severity of Clostridium difficile Infection

JOURNAL=Frontiers in Microbiology

VOLUME=8

YEAR=2017

URL=https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2017.02532

DOI=10.3389/fmicb.2017.02532

ISSN=1664-302X

ABSTRACT=<p><bold>Objective:</bold> To evaluate whether serum Procalcitonin (PCT) at the early stage of infection can serve as a potential biomarker for determining <italic>Clostridium difficile</italic> infection (CDI) severity.</p><p><bold>Methods:</bold> Fifty-four patients diagnosed with CDI were enrolled in the study. Serum samples were obtained within a median time of 24–48 h of the lab result for presence of <italic>C. difficile</italic>. PCT levels were measured by chemiluminescence immunoassay. Demographic, clinical, and prognostic data concerning the patients were retrospectively collected from medical records. The illness severity score was determined according to “Score indices for <italic>C. difficile</italic> infection severity.”</p><p><bold>Results:</bold> We found that serum PCT levels were significantly higher in patients with moderate disease, compared to patients with mild disease (<italic>p</italic> = 0.0032). Additionally, PCT was correlated with mortality (<italic>p</italic> = 0.0002), white blood cell count (<italic>p</italic> = 0.019), and community-acquired disease (<italic>p</italic> = 0.0345).</p><p><bold>Conclusion:</bold> Early measurement of PCT may serve as a biomarker for early prediction of CDI severity, which is of great importance due to the high risk of complications and death.</p>