Time Course of Procalcitonin and C Reactive Protein in Septic Patients Under Treatment With Corticosteroids
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Purpose
A systemic treatment with corticosteroids has been advocated for various bacterial infectious diseases. Since the production of CRP is down-regulated by corticosteroids, a smaller increase or a more rapid decrease of this acute phase protein will:
- suggest attenuated systemic inflammation, but
- does not necessarily reflect adequate therapy of the infection.
For several reasons (good diagnostic tool for sepsis, induction not decreased by immunosuppressive therapy), procalcitonin could be a better marker for activity of sepsis in patients under corticosteroids. As this issue has not yet been examined the investigators will prospectively study the time-course of PTC and CRP in a well-defined septic patient group, that in adjunction to antibiotic therapy also received systemic corticosteroid treatment and compare it to a similar group without corticosteroid treatment.
| Condition |
|---|
|
Sepsis |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
Eligibility| Ages Eligible for Study: | 50 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Acute exacerbation of chronic obstructive pulmonary disease (COPD) due to bacterial pneumonia
Exclusion Criteria:
- Chronic systemic use of corticosteroids
Contacts and Locations| Switzerland | |
| Ospedale Regionale Bellinzona e Valli | |
| Bellinzona, Ticino, Switzerland, 6500 | |
| Principal Investigator: | Andreas Perren, MD | Ospedale Regionale Bellinzona e Valli, CH-6500 Bellinzona |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00141973 History of Changes |
| Other Study ID Numbers: | CE1408 |
| Study First Received: | September 1, 2005 |
| Last Updated: | May 13, 2008 |
| Health Authority: | Switzerland: Swissmedic |
Keywords provided by Ospedale Regionale Bellinzona e Valli:
|
Procalcitonin Sepsis Corticosteroids |
Additional relevant MeSH terms:
|
Sepsis Infection Systemic Inflammatory Response Syndrome Inflammation Pathologic Processes |
ClinicalTrials.gov processed this record on May 22, 2013