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CLIA Procalcitonin

Chemiluminescence kit for the detection of procalcitonin in human serum.

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Catalog Number: CL-PCT100
Size: 100 tests
Clinical topic: Sepsis & Inflammation
Diagnostic panel: COVID-19
SIRS, Sepsis, and Severe Viral Infection
CLIA Procalcitonin
  • Sepsis identification and monitoring
  • Asses sepsis patient progress and mortality risk
  • Signal to start and discontinue of antibiotic treatment in LRTI
  • Differential diagnosis of community-acquired bacterial versus viral pneumonia
  • Differential diagnosis of bacterial versus viral meningitis

Rising or elevated procalcitonin (PCT) level is a marker for severe bacterial infections, more specific than most other inflammatory markers (cytokines, interleukins, and acute-phase reactants). Normally, PCT is expressed in thyroid C-cells and its levels in circulation are very low. As a response to bacterial infection, PCT is secreted by many tissues in large quantity and its blood concentration rises rapidly. Only extremely severe noninfectious stimuli may elevate blood PCT concentrations.
Low background levels, fast response to a triggering event (detectable in 2-4, peaks in 12-24 hours), illness severity-related response, and the dependence of sustained PCT elevations on ongoing inflammatory stimuli make PCT a superior bacterial infection marker.

Early Detection of Sepsis
Sepsis is a life-threatening organ dysfunction that results from the body’s response to infection (Sepsis 3 definition 2016). To improve outcomes of patients with sepsis, it requires early detection and prompt clinical interventions. Fast and specific response of PCT to a bacterial infection makes it helpful for an early and accurate decision to initiate, escalate, and de-escalate therapy based on clinical assessment.

Bacterial Infection Identification and Antibiotic Therapy Management
In patients manifesting acute infection symptoms, the levels of procalcitonin clearly distinguish bacterial from viral infections and identify patients needing antibiotic therapy.
In acute respiratory tract infections, such as low respiratory tract infection (LRTI), community-acquired pneumonia (CAP), acute exacerbation of asthma or COPD, the use of procalcitonin is useful to initiate or discontinue antibiotics; this results in lower risks of mortality, lower antibiotic consumption, and lower risk for antibiotic-related side effects.
PCT measurement aids to differentiate between bacterial and viral meningitis and start with antibiotic treatment promptly. It is also used in the diagnosis of renal involvement in pediatric urinary tract infections.

COVID-19
From accumulating data and reports, that appears that elevated PCT levels on admission are associated with increasing COVID-19 severity and it has been addressed as a predictor of survival in patients with COVID-19. It can assist clinicians in formulating a tailored treatment approach and promptly provide intensive care to those who are in greater need. Monitoring of PCT aids to detect a secondary bacterial infection and its progression.

Technical specifications

Technical data
References
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Technical data

Assay time17 min
Assay stability30 days on board stability / In use stability until the expiration date at storage temperature 2-8 °C
Sample matrix Serum
Sample volume44 µL
Sample stability7 days at 2-8 °C, 24 months at -20 °C
Measuring range125 - 4000 pg/ml
Assay/kit contentReagent Cartridge with specific reagents for the assay, magnetic particles, calibrators
Complementary productsWash buffer, Anchor® Tips, Stackable cuvettes, Trigger solutions
Note

Undiluted samples, optional dilution 20-times.

References

References to CLIA Procalcitonin

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  • Becker KL, Nylén ES, White JC, Müller B, Snider RH Jr. Clinical review 167: Procalcitonin and the calcitonin gene family of peptides in inflammation, infection, and sepsis: a journey from calcitonin back to its precursors. J Clin Endocrinol Metab. 2004 Apr;89(4):1512-25. doi: 10.1210/jc.2002-021444. PMID: 15070906.
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  • Wacker C, Prkno A, Brunkhorst FM, Schlattmann P. Procalcitonin as a diagnostic marker for sepsis: a systematic review and meta-analysis. Lancet Infect Dis. 2013 May;13(5):426-35. doi: 10.1016/S1473-3099(12)70323-7. Epub 2013 Feb 1. PMID: 23375419.
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  • Müller B, Becker KL, Schächinger H, Rickenbacher PR, Huber PR, Zimmerli W, Ritz R. Calcitonin precursors are reliable markers of sepsis in a medical intensive care unit. Crit Care Med. 2000 Apr;28(4):977-83. doi: 10.1097/00003246-200004000-00011. PMID: 10809269.
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  • Viereck V, Gamper M. Re: Kirchin V, Page T, Keegan PE, Atiemo KO, Cody JD, McClinton S, Aluko P. Urethral injection therapy for urinary incontinence in women. Cochrane Database Syst Rev. 2017 Jul 25;7:CD003881. doi: 10.1002/14651858.CD003881.pub4. Neurourol Urodyn. 2018 Sep;37(7):2286-2287. doi: 10.1002/nau.23712. Epub 2018 Aug 28. PMID: 30152530.
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  • Chaudhary S, Bhatta NK, Lamsal M, Chaudhari RK, Khanal B. Serum procalcitonin in bacterial & non-bacterial meningitis in children. BMC Pediatr. 2018 Nov 2;18(1):342. doi: 10.1186/s12887-018-1314-5. PMID: 30388962; PMCID: PMC6215352.
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  • Sitter T, Schmidt M, Schneider S, Schiffl H. Differential diagnosis of bacterial infection and inflammatory response in kidney diseases using procalcitonin. J Nephrol. 2002 May-Jun;15(3):297-301. PMID: 12113602.
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  • Xu JB, Xu C, Zhang RB, Wu M, Pan CK, Li XJ, Wang Q, Zeng FF, Zhu S. Associations of procalcitonin, C-reaction protein and neutrophil-to-lymphocyte ratio with mortality in hospitalized COVID-19 patients in China. Sci Rep. 2020 Sep 14;10(1):15058. doi: 10.1038/s41598-020-72164-7. PMID: 32929124; PMCID: PMC7490259.
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