Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Reach Us +1-947-333-4405


Early Diagnosis Of Bacterial Infections In Surgical Patients. Use Of Pathfast Presepsin Assay | 3155
ISSN: 2161-0681

Journal of Clinical & Experimental Pathology
Open Access

Like us on:

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Early diagnosis of bacterial infections in surgical patients. Use of pathfast presepsin assay

International Conference on Pathology

V. Morabito

Accepted Abstracts: J Clin Exp Pathol

DOI: 10.4172/2161-0681.S1.006

Introduction: Surgical patients are vulnerable to infectious complications during hospitalization because of several factors. Sepsis seems to be a common complication in the postoperative period, and prompt recognition and early intervention are effective ways of reducing mortality in this condition. Various biomarkers have been studied for diagnosing bacterial infections with aim to stop sepsis cascade. Presepsin, which is approximately 13 kDa, has been identified as a protein whose levels increase specifically in the blood of sepsis patients. Additionally, the measurement of presepsin concentrations is useful for evaluating the severity of infection and also for monitoring the clinical responses to therapeutic interventions. In this study, we evaluated the analytical and clinical performance of PATHFAST Presepsin assay system based on the chemiluminescent enzyme immunoassay (CLEIA) principle and its usefulness in the early diagnosis of infection in surgical patients. Material and Methods: We studied 30 adult patients who underwent surgery between November 2011 and January 2012. During this period 17 organ transplants with a graft from cadaveric donor (8 liver transplant, 8 kidney transplant and 1 lung transplant) and 13 abdominal surgical patients were included in this study. Mean age of patients was 53,6 years[range 19-70 yrs], 13 female and 17 male. The heparinized whole blood for PATHFAST Presepsin (PFP) assay was used in the evaluation at 72 hours after surgery. Blood cultures were performed in all patients at moment that PFP test was performed. Results: The mean Presepsin level (Pl) in the 26 patients was 3062,77 pg/mL[range 255-20000 pg/mL]. In particular, in transplant patients Pl was 3034,43? 2880,791 pg/mL[range 894-10000 pg/mL]. All the transplants patients resulted positive at PFP test. Microbiological findings confirmed the presence of bacterial infections within 69?2,5h from enrolment. When the test was performed, 65% transplant patients no showed signs or symptoms of infection. While, in four abdominal surgical patients, the PFP test resulted negative [mean value 325 pg/mL; range (255-370 pg/mL)]. These data were confirmed by negative blood coltures. The PFP test was positive in the six remaining patients with Pl mean value 4963?7653,88 pg/mL [range 578-20000 pg/ mL] with absence of signs or symptoms of infection in 25% of patients. Even these 6 patients had positive blood cultures within 67?1,8h from enrolment. Conclusions: Early diagnosis is essential to improving the results of treatment of infections in particular in transplant recipients where infection represents one of the primary barriers to successful organ transplantation. PFP test highlighted a complete sensitivity(100%) in showing the presence of infection in a very short time (15 min), confirmed by the results of positive blood cultures. Based on the results of the present study it appears that presepsin will soon be widely used as a diagnostic marker of bacterial infection in clinical settings. A greater number of patients is necessary to confirm these data.