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Procalcitonin Levels and Sequential Organ Failure Assessment Scores in Secondary Peritonitis
Catherine Paugam-Burtz, MD;
Jean Mantz, MD, PhD;
Hervé Dupont, MD, PhD;
Monique Dehoux, MD, PhD
Arch Surg. 2007;142(8):803.
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We read with great interest the article by Rau et al1 in the February issue of the Archives. The authors have nicely shown that procalcitonin (PCT) monitoring is a fast and reliable approach to assess septic multiorgan dysfunction syndrome and prognosis in secondary peritonitis. We provide additional data suggesting that this conclusion has to be tempered in the early postoperative period in patients in the intensive care unit with septic shock related to secondary peritonitis. We prospectively studied 35 severely, critically ill patients with bacteriological proven secondary peritonitis (median Acute Physiology and Chronic Health Evaluation II score, 18 [interquartile range, 8]). Plasma levels of PCT were measured daily during the first 5 postoperative days. Simultaneously, sequential organ failure assessment scores were recorded. Consistent with the findings by Rau et al, PCT plasma levels were . . . [Full Text of this Article]
AUTHOR INFORMATION
RELATED LETTER
Procalcitonin Levels and Sequential Organ Failure Assessment Scores in Secondary Peritonitis—Reply
Bettina M. Rau
Arch Surg. 2007;142(8):803-804.
EXTRACT
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RELATED ARTICLE
Evaluation of Procalcitonin for Predicting Septic Multiorgan Failure and Overall Prognosis in Secondary Peritonitis: A Prospective, International Multicenter Study
Bettina M. Rau, Isabella Frigerio, Markus W. Büchler, Karl Wegscheider, Claudio Bassi, Pauli A. Puolakkainen, Hans G. Beger, and Martin K. Schilling
Arch Surg. 2007;142(2):134-142.
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