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Related Experiment Video

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Cecal Ligation Puncture Procedure
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Published on: May 7, 2011

Presepsin in Critical Illness: Current Knowledge and Future Perspectives.

Paolo Formenti1, Miriam Gotti1, Francesca Palmieri1

  • 1Department of Anesthesia and Intensive Care, ASST Nord Milano, Ospedale Bassini, 20097 Cinisello Balsamo, Italy.

Diagnostics (Basel, Switzerland)
|June 27, 2024
PubMed
Summary

Presepsin (PSP) shows promise as a rapid, cost-effective biomarker for identifying infections in intensive care units (ICUs). This review explores its diagnostic accuracy and potential for improving sepsis management.

Keywords:
critical care patientspresepsinsepsis

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Cecal Ligation Puncture Procedure
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Design of Cecal Ligation and Puncture and Intranasal Infection Dual Model of Sepsis-Induced Immunosuppression
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Evaluation of a Reliable Biomarker in a Cecal Ligation and Puncture-Induced Mouse Model of Sepsis
05:28

Evaluation of a Reliable Biomarker in a Cecal Ligation and Puncture-Induced Mouse Model of Sepsis

Published on: December 9, 2022

Area of Science:

  • Biochemistry
  • Immunology
  • Critical Care Medicine

Background:

  • Accurate infection identification in ICUs is crucial but challenged by current diagnostic limitations.
  • Existing methods lack sensitivity, specificity, cost-effectiveness, and rapid turnaround.
  • There is a need for a reliable, accessible, and economical biomarker for early infection detection.

Purpose of the Study:

  • To provide a comprehensive review of presepsin (PSP) as a biomarker in intensive care unit (ICU) settings.
  • To evaluate PSP's diagnostic accuracy, prognostic value, and therapeutic implications for infection and sepsis.
  • To discuss challenges and future research directions for PSP utilization in critical care.

Main Methods:

  • Literature review of studies on presepsin (PSP) in intensive care units (ICUs).
  • Analysis of diagnostic accuracy, including sensitivity and specificity, using various threshold values.
  • Evaluation of prognostic capabilities and impact on treatment decisions.

Main Results:

  • Presepsin (PSP), a marker of monocyte/macrophage activation, shows potential for early sepsis diagnosis.
  • PSP levels correlate with bacterial infection presence and decrease with effective antibiotic treatment.
  • Diagnostic accuracy of PSP for sepsis varies, necessitating further investigation into optimal thresholds and standalone utility.

Conclusions:

  • Presepsin (PSP) is a promising biomarker reflecting cellular immune response to bacterial infections.
  • Further research is needed to establish PSP's definitive role and optimal application in ICU infection management.
  • PSP offers potential advantages over traditional markers like procalcitonin (PCT) and C-reactive protein (CRP) due to its specific mechanism of action.