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Calprotectin, a Promising Serological Biomarker for the Early Diagnosis of Superinfections with Multidrug-Resistant Bacteria in Patients with COVID-19
Keller, Dennis, Mester, Patricia, Räth, Ulrich, Krautbauer, Sabrina, Schmid, Stephan
, Greifenberg, Verena, Müller, Martina, Kunst, Claudia, Buechler, Christa
und Pavel, Vlad
(2024)
Calprotectin, a Promising Serological Biomarker for the Early Diagnosis of Superinfections with Multidrug-Resistant Bacteria in Patients with COVID-19.
International Journal of Molecular Sciences 25 (17), S. 9294.
Veröffentlichungsdatum dieses Volltextes: 13 Sep 2024 17:29
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.59184
Zusammenfassung
Bacterial and fungal superinfections are common in COVID-19, and early diagnosis can enable timely intervention. Serum calprotectin levels increase with bacterial, fungal, and viral infections. This study evaluated serum calprotectin as a diagnostic and prognostic tool for microbial superinfections in COVID-19. Serum samples from adult patients with moderate and severe COVID-19 were collected ...
Bacterial and fungal superinfections are common in COVID-19, and early diagnosis can enable timely intervention. Serum calprotectin levels increase with bacterial, fungal, and viral infections. This study evaluated serum calprotectin as a diagnostic and prognostic tool for microbial superinfections in COVID-19. Serum samples from adult patients with moderate and severe COVID-19 were collected during hospitalization from 2020 to 2024. Calprotectin levels were measured using an enzyme-linked immunosorbent assay in 63 patients with moderate COVID-19, 60 patients with severe COVID-19, and 34 healthy individuals. Calprotectin serum levels were elevated in patients with moderate COVID-19 compared with controls, and these levels were further increased in the severe cases. Patients with severe COVID-19 and vancomycin-resistant enterococci (VRE) bacteremia had elevated calprotectin levels, but their C-reactive protein and procalcitonin levels were not increased. Fungal superinfections and herpes simplex virus reactivation did not change the calprotectin levels. A calprotectin concentration of 31.29 µg/mL can be used to diagnose VRE bloodstream infection with 60% sensitivity and 96% specificity. These data suggest that serum calprotectin may be a promising biomarker for the early detection of VRE bloodstream infections in patients with COVID-19.
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Details
| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | International Journal of Molecular Sciences | ||||
| Verlag: | MDPI | ||||
|---|---|---|---|---|---|
| Band: | 25 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 17 | ||||
| Seitenbereich: | S. 9294 | ||||
| Datum | 27 August 2024 | ||||
| Institutionen | Medizin > Lehrstuhl für Innere Medizin I | ||||
| Identifikationsnummer |
| ||||
| Stichwörter / Keywords | calprotectin; biomarker; critical care; bloodstream infections; COVID-19 | ||||
| Dewey-Dezimal-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-591848 | ||||
| Dokumenten-ID | 59184 |
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