Research Article

Procalcitonin: A Key Marker in Children with Urinary Tract Infection

Table 1

Studies on diagnostic accuracy of procalcitonin for acute pyelonephritis in children with urinary tract infection.

StudyCity, country 𝑛 Delay for early DMSA scanThreshold used for PCT (ng/mL)Results

Benador, 1998 [22]Geneva, Switz.80Within 5 days>0.6Se: 70%; Sp: 83%

Gervaix, 2001 [21]Geneva, Switz.57Within 5 days≥0.5Se: 74% (56–87); Sp: 85% (62–97)

Smolkin, 2002 [24]Afula, Israel64Within 7 days≥0.5Se: 94%; Sp: 90%; PPV: 86%; NPV: 98%

Pecile, 2004 [16]Udine, Italy100Within 5 days≥0.5Se: 91%; Sp: 70%; PPV: 78%; NPV: 87%
≥0.8Se: 83%; Sp: 94%; PPV: 94%; NPV: 83%
≥1.0Se: 81%; Sp: 94%; PPV: 94%; NPV: 81%

Gurgoze, 2005 [18]Firat, Turkey76Within 7 days>0.5Se: 58%; Sp: 76%

Bigot, 2005 [19]Lille, France42Within 3 days≥0.5Se: 100%; Sp: 87 %; PPV: 86 %; NPV: 100%

Tuerlinckx, 2005 [20]Yvoir, Belgium63Within 3 days≥0.5Se: 68%; Sp: 23%

Güven, 2006 [26] Antalya, Turkey33Within 3 days≥1.7Se: 46%; Sp: 77%
≥0.5Se: 65%; Sp: 38%; PPV: 62%; NPV: 42%
≥1.0Se: 77%; Sp: 45%; PPV: 48%; NPV: 75%
≥2.0Se: 100%; Sp: 43%; PPV: 24%; NPV: 100%

Karavanaki, 2007 [27]Athens, Greece58Within 7 days≥0.5Se: 94%; Sp: 76%; PPV: 68%; NPV: 96%
≥0.8Se: 94%; Sp: 88%; PPV: 80%; NPV: 96%
≥1.0Se: 94%; Sp: 100%; PPV: 100%; NPV: 97%

Belhadj-Tahar, 2008 [23]Toulouse, France183Day 4PCT were significantly higher in patients with early scintigrahic alteration (7.85 versus 2.36 ng/mL)

Kotoula, 2009 [31]Thrase, Greece57Within 7 days≥0.85Se: 89%; Sp: 97%, PPV: 56%; NPV: 91%

Bressan, 2009 [17]Padova, Italy72Within 7 daysResults focused on scars

Nikfar, 2009 [25]Ahvaz, Iran100Within 7 days≥0.5Se: 77% (65–87); Sp: 89% (75–97);
PPV: 92% (81–98); NPV: 71% (56–83)

DMSA scan, Tc-99m dimercaptosuccinic acid scan; NPV, negative predictive value; PCT, Procalcitonin; PPV, positive predictive value; Se, Sensitivity; Sp, Specificity.