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Procalcitonin (PCT) is a reliable infection marker in newborns. Elevated PCT levels in infants indicate a higher likelihood of infection, distinguishing them from non-infective cases.

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Area of Science:

  • Biochemistry
  • Neonatal Medicine
  • Clinical Diagnostics

Background:

  • Procalcitonin (PCT) is a calcitonin precursor produced in thyroid C cells.
  • Microbial toxins and inflammatory mediators can trigger PCT release.
  • PCT serves as a crucial biomarker for infection diagnosis.

Purpose of the Study:

  • To analyze Procalcitonin (PCT) values in newborns at risk for infection.
  • To establish reference PCT levels for neonatal infection assessment.
  • To evaluate the reliability of PCT as an infection index in neonates.

Main Methods:

  • Retrospective analysis of 1356 PCT values from 224 at-risk newborns in 2019.
  • Selected PCT values obtained within 24 hours of blood culture sampling.
  • Compared PCT levels between newborns with positive and negative blood cultures.

Main Results:

  • Newborns with positive blood cultures showed significantly higher PCT levels (17.061 ng/mL) than those with negative cultures (4.6 ng/mL).
  • No significant difference in PCT was observed between preterm and term infants with negative blood cultures.
  • Established distinct PCT values for non-infective neonates.

Conclusions:

  • Procalcitonin (PCT) is a reliable indicator of infection in newborns.
  • Neonatal PCT reference ranges differ from those in older children and adults.
  • This study provides valuable PCT data for diagnosing infections in neonates.