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Keller, Dennis ; Mester, Patricia ; Räth, Ulrich ; Krautbauer, Sabrina ; Schmid, Stephan ; Greifenberg, Verena ; Müller, Martina ; Kunst, Claudia ; Buechler, Christa ; Pavel, Vlad

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

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftInternational Journal of Molecular Sciences
Verlag:MDPI
Band:25
Nummer des Zeitschriftenheftes oder des Kapitels:17
Seitenbereich:S. 9294
Datum27 August 2024
InstitutionenMedizin > Lehrstuhl für Innere Medizin I
Identifikationsnummer
WertTyp
10.3390/ijms25179294DOI
Stichwörter / Keywordscalprotectin; biomarker; critical care; bloodstream infections; COVID-19
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-591848
Dokumenten-ID59184

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