Procalcitonin as Point-of-Care Testing Modality for the Diagnosis of Pneumonia in Children With Influenza-like Illness

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dc.contributor.authorHernández-Bou, Susannaen_US
dc.contributor.authorTrenchs, Victoriaen_US
dc.contributor.authorGuirado, Cristinaen_US
dc.contributor.authorCastrillón, Ignacioen_US
dc.contributor.authorLuaces, Carlesen_US
dc.date.accessioned2025-05-09T10:00:41Z
dc.date.available2025-05-09T10:00:41Z
dc.date.issued2024-01
dc.description.abstractObjective: To evaluate the usefulness of procalcitonin (PCT) as a point-of-care testing to screen for radiographic pneumonia among children with influenza-like illness (ILI) and prolonged fever. Methods: A prospective cohort study conducted at the pediatric emergency department of a tertiary hospital. Point-of-care testing for PCT was determined for 185 children aged 3 months to < 18 years with ILI and fever lasting > 4 days seen during the flu season in 2020. A chest radiograph (CXR) was performed for patients with PCT > 0.5 ng/mL. Results: PCT value was > 0.5 ng/mL in 46 (24.9%) patients; a CXR was ordered in all cases except one and 14 (31.1%) of them had radiographic pneumonia (all had a PCT value > 0.7 ng/mL). Among the 139 (75.1%) patients with a PCT value ? 0.5 ng/mL, 137 (98.6%) were managed in the outpatient with symptomatic treatment; the remaining two cases warranted a CXR which was unremarkable in both. At evolution, no radiographic pneumonia was diagnosted in any of them. Conclusion: PCT is a useful tool for point-of-care testing in patients with ILI and fever > 4 days to guide the indication for CXR to rule out radiographic pneumonia and helps in avoiding unnecessary radiation exposure.en_US
dc.identifier.affiliationsPediatric Emergency Department, Hospital Sant Joan de Déu Barcelona, Passeig Sant Joan de Déu, 2,08950 Esplugues de Llobregat, Barcelona, Spainen_US
dc.identifier.affiliationsPediatric Emergency Department, Hospital Sant Joan de Déu Barcelona, Passeig Sant Joan de Déu, 2,08950 Esplugues de Llobregat, Barcelona, Spainen_US
dc.identifier.affiliationsPediatric Emergency Department, Hospital Sant Joan de Déu Barcelona, Passeig Sant Joan de Déu, 2,08950 Esplugues de Llobregat, Barcelona, Spainen_US
dc.identifier.affiliationsPediatric Emergency Department, Hospital Sant Joan de Déu Barcelona, Passeig Sant Joan de Déu, 2,08950 Esplugues de Llobregat, Barcelona, Spainen_US
dc.identifier.affiliationsPediatric Emergency Department, Hospital Sant Joan de Déu Barcelona, Passeig Sant Joan de Déu, 2,08950 Esplugues de Llobregat, Barcelona, Spainen_US
dc.identifier.citationHernández-Bou Susanna, Trenchs Victoria, Guirado Cristina, Castrillón Ignacio, Luaces Carles . Procalcitonin as Point-of-Care Testing Modality for the Diagnosis of Pneumonia in Children With Influenza-like Illness. Indian Pediatrics. 2024 Jan; 61(1): 57-61en_US
dc.identifier.issn0974-7559
dc.identifier.issn0019-6061
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/245706
dc.languageenen_US
dc.publisherThe Indian Academy of Pediatricsen_US
dc.relation.issuenumber1en_US
dc.relation.volume61en_US
dc.source.urihttps://indianpediatrics.net/jan2024/57.pdfen_US
dc.subjectChesten_US
dc.subjectEmergencyen_US
dc.subjectInfluenzaen_US
dc.subjectPneumoniaen_US
dc.subjectRadiographen_US
dc.titleProcalcitonin as Point-of-Care Testing Modality for the Diagnosis of Pneumonia in Children With Influenza-like Illnessen_US
dc.typeJournal Articleen_US
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