| dc.description.abstract | Background : Bacteremia is a temporary, intermittent or persistent condition of
bacteria found in blood stream. lt is a serious systemic infection that could tum into
sepsis. The risk factors of bacteremia are long hospitalization, disease severig,
comorbidity, invasive measure, inappropriate antibiotic therapy, immunosuppressant
therapy, and steroid usage. Blood culture examination is the gold standard in
diagnosing bacteremia, but the result come out within 48 to 72 hours. The treatnent
will be delayed which could worsen the condition and cause death.
Method : This study is a diagnostic study which established from February to April
2016 in the Clinical Pathology Department of Haji Adam Malik General Hospital in
Medan. 49 patients with SIRS crileria were suspected with bacteremia in the
Emergency Room and leukocyte, blood cufture and procalcitonin test were done.
Study samples were collected using consecutive sampling method. Statistic analysis
was done using computer program.
Result : Procalcitonin has g6% sensitivity, 88% specificity, 89% positive predictive
value and 95o/o negative predictice value with 0.98% AUC in ROC curve.
Conclusion : Procalcitonin could be used as early supporting diagnostic bacteremia
and treatment respon monitoring. | en_US |
