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PRO: Procalcitonin Has Clinical Utility in Children with Community-acquired Pneumonia

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Date 2022 Oct 24
PMID 36275888
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Abstract

Procalcitonin (PCT) is a useful, albeit imperfect, diagnostic aid that can help clinicians make more informed decisions around antibiotic use in children with lower respiratory tract infections (LRTI), including community-acquired pneumonia (CAP). Recent data suggest that a very low PCT concentration has a high negative predictive value to identify a population of children at low risk of typical bacterial infections. Although the preponderance of data on the clinical utility of PCT in LRTI come from adult studies, the potential for benefit is likely greatest in paediatric CAP and other LRTIs where viral aetiologies predominate, yet antibiotics are frequently prescribed.

Citing Articles

Does procalcitonin have clinical utility in the management of paediatric community-acquired pneumonia? A PRO/CON debate.

Chiotos K, Gerber J JAC Antimicrob Resist. 2021; 3(4):dlab153.

PMID: 34704033 PMC: 8531865. DOI: 10.1093/jacamr/dlab153.

References
1.
Gerber J, Kronman M, Ross R, Hersh A, Newland J, Metjian T . Identifying targets for antimicrobial stewardship in children's hospitals. Infect Control Hosp Epidemiol. 2013; 34(12):1252-8. DOI: 10.1086/673982. View

2.
Baer G, Baumann P, Buettcher M, Heininger U, Berthet G, Schafer J . Procalcitonin guidance to reduce antibiotic treatment of lower respiratory tract infection in children and adolescents (ProPAED): a randomized controlled trial. PLoS One. 2013; 8(8):e68419. PMC: 3735552. DOI: 10.1371/journal.pone.0068419. View

3.
Florin T, Byczkowski T, Gerber J, Ruddy R, Kuppermann N . Diagnostic Testing and Antibiotic Use in Young Children With Community-Acquired Pneumonia in the United States, 2008-2015. J Pediatric Infect Dis Soc. 2019; 9(2):248-252. PMC: 7192397. DOI: 10.1093/jpids/piz026. View

4.
Kasem A, Bulloch B, Henry M, Shah K, Dalton H . Procalcitonin as a marker of bacteremia in children with fever and a central venous catheter presenting to the emergency department. Pediatr Emerg Care. 2012; 28(10):1017-21. DOI: 10.1097/PEC.0b013e31826caac2. View

5.
Leroy S, Fernandez-Lopez A, Nikfar R, Romanello C, Bouissou F, Gervaix A . Association of procalcitonin with acute pyelonephritis and renal scars in pediatric UTI. Pediatrics. 2013; 131(5):870-9. DOI: 10.1542/peds.2012-2408. View