Clinical outcomes associated with procalcitonin algorithms to guide antibiotic therapy in respiratory tract infections

JAMA. 2013 Feb 20;309(7):717-8. doi: 10.1001/jama.2013.697.

Abstract

Clinical question: In patients with respiratory tract infection, is measurement of procalcitonin to guide antibiotic prescriptions associated with reduced antibiotic exposure without increases in all-cause mortality or treatment failure?

Bottom line: The measurement of procalcitonin to guide initiation and duration of antibiotic treatment in patients with respiratory tract infections of varying severity is associated with lower antibiotic exposure without increasing all-cause mortality or treatment failure.

MeSH terms

  • Adult
  • Aged
  • Algorithms*
  • Anti-Bacterial Agents / administration & dosage*
  • Biomarkers / blood
  • Calcitonin / blood*
  • Calcitonin Gene-Related Peptide
  • Drug Administration Schedule
  • Evidence-Based Medicine
  • Female
  • Humans
  • Male
  • Middle Aged
  • Protein Precursors / blood*
  • Randomized Controlled Trials as Topic
  • Respiratory Tract Infections / blood*
  • Respiratory Tract Infections / drug therapy*
  • Respiratory Tract Infections / mortality
  • Severity of Illness Index

Substances

  • Anti-Bacterial Agents
  • Biomarkers
  • CALCA protein, human
  • Protein Precursors
  • Calcitonin
  • Calcitonin Gene-Related Peptide