A Procalcitonin-Based Algorithm to Guide Antibiotic Therapy in Secondary Peritonitis following Emergency Surgery: A Prospective Study with Propensity Score Matching Analysis
Ting-Shuo Huang,
Shie-Shian Huang,
Yu-Chiau Shyu,
Chun-Hui Lee,
Shyh-Chuan Jwo,
Pei-Jer Chen and
Huang-Yang Chen
PLOS ONE, 2014, vol. 9, issue 3, 1-7
Abstract:
Background: Procalcitonin (PCT)-based algorithms have been used to guide antibiotic therapy in several clinical settings. However, evidence supporting PCT-based algorithms for secondary peritonitis after emergency surgery is scanty. In this study, we aimed to investigate whether a PCT-based algorithm could safely reduce antibiotic exposure in this population. Methods/Principal Findings: From April 2012 to March 2013, patients that had secondary peritonitis diagnosed at the emergency department and underwent emergency surgery were screened for eligibility. PCT levels were obtained pre-operatively, on post-operative days 1, 3, 5, and 7, and on subsequent days if needed. Antibiotics were discontinued if PCT was
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0090539
DOI: 10.1371/journal.pone.0090539
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