Clinical Study

Procalcitonin-Guided Antibiotics after Surgery for Peritonitis: A Randomized Controlled Study

Table 2

Baseline characteristics.

Procalcitonin group
(n = 79)
Control group
(n = 83)
value

Median age (range), years56 (36–73)57 (36–71)0.776
Males, n (%)46 (58.2%)47 (57%)0.875
ASA 1-2, n (%)46 (58.2%)60 (72.3%)0.07
ASA 3-433 (41.8%)23 (27.7%)
Comorbidities, n (%)
(i) Diabetes mellitus4 (5.1%)4 (4.8%)1.00
(ii) Pulmonary13 (16.5%)7 (8.4%)0.15
(iii) Cardiac29 (36.7%)34 (41%)0.63
(iv) Renal dysfunction9 (11.4%)8 (9.6%)0.80
Needing ICU hospitalization, n (%)10 (12.7%)10 (12.0%)1.00
Mannheim Peritonitis score (points)
(i) All19 (11–25)17 (12–26)1.00
(ii) Subgroup 120 (16–26)21 (15.5–27.5)
(iii) Subgroup 215 (10.8–21.3)15 (10–21)
(iv) Subgroup 324.5 (17.8–29)28 (21–38)
Peritonitis0.91
(i) Trouble exsudat5 (6.3%)7 (8.4%)
(ii) Gastric/duodenal content4 (5.1%)5 (6.0%)
(iii) Fibrinous3 (3.8%)3 (3.6%)
(iv) Purulent53 (67.1%)52 (62.7%)
(v) Fecal14 (17.7%)16 (19.3%)
Peritonitis quadrants0.73
133 (41.8%)28 (33.7%)
210 (12.7%)14 (16.7%)
33 (3.8%)2 (2.4%)
433 (41.8%)39 (47.0%)
Group 1 peritonitis due to GI perforation31330.95
(i) Diverticulitis149
(ii) Perforated ulcer411
(iii) Perforation stent/colonoscopy/biopsy65
(iv) Ischemia–necrosis62
(v) High-velocity trauma02
(vi) Perforated tumor11
(vii) Other03
Group 2 peritonitis due to appendicitis34390.61
Group 3 postoperative peritonitis14110.43
(i) Anastomotic leakage65

ASA: American Society of Anesthesiologists physical status classification system; ICU: intensive care unit.