Journal of Dali University ›› 2020, Vol. 5 ›› Issue (2): 76-79.DOI: 10. 3969 / j. issn. 2096-2266. 2020. 02. 017

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The Role and Application of Serum Procalcitonin in Infections of Patients Suffering Severe Traffic#br# Trauma on Yunnan-Tibet Highway

Li Qian, Yang Zhengbiao, Zhu Qiyu, Zhang Shengmei   

  1. (Department of Clinical Laboratory, 32268 Army of Chinese PLA, Dali, Yunnan 671003, China)
  • Received:2019-02-07 Revised:2019-05-05 Online:2020-02-15 Published:2020-02-15

Abstract: Objective:Toinvestigatetheclinicaleffectsofserum procalcitonininpatientswhosufferedseveretraffictraumaonYunnan-
Tibet Highway. Methods: From January 2015 to December 2017, 1 396 patients with severe head injuries, liver and spleen ruptures,
thoracoabdominal injuries or multiple injuries who were admitted to 32268 Army of Chinese PLA after traffic accidents on Yunnan-Tibet
Highway were selected and observed for PCT, blood culture and secretion culture. The value of PCT in diagnosing the infections of
patients who suffered severe traffic trauma on Yunnan-Tibet Highway was analyzed. Results: The PCT level of patients in the infected
group was significantly higher than that in the control group[(5.38±2.71)vs.(0.56±0.42)ng/mL, P<0.01]; the area under ROC curve of
PCT in the diagnosis of patients who suffered severe traffic trauma on Yunnan-Tibet Highway was[0.897(0.778-0.981), P < 0.01]; The
positive rate of blood culture was 16.39% and PCT was 80.60% in the infected group after 24 hours of fever. PCT level of patients infected
with gram-negative bacilli was significantly higher than that of patients infected with gram-positive bacilli. Conclusion: PCT can be
used as a diagnostic index for infections of patients who suffered severe traffic trauma on Yunnan-Tibet Highway.

Key words: procalcitonin, Yunnan-Tibet Highway, severe, traffic injuries, infection