The use of procalcitonin in the diagnosis of bone and joint infection

A systemic review and meta-analysis

C. J. Shen, M. S. Wu, K. H. Lin, W. L. Lin, H. C. Chen, J. Y. Wu, M. C H Lee, C. C. Lee

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Only a few studies have investigated the use of PCT in the diagnosis of bone and joint infection, and these studies have had relatively small sample sizes. We performed a systematic review and meta-analysis of the diagnostic performance of serum procalcitonin (PCT) in the identification of osteomyelitis and septic arthritis in patients who present with fever and orthopedic symptoms. EMBASE, MEDLINE, and Cochrane databases and the reference lists of relevant articles were searched, with no language restrictions, through February 2012. All original studies that reported the use of serum PCT alone or in comparison with other biomarkers for diagnosis of osteomyelitis and septic arthritis were included. Seven studies qualified for inclusion. These studies enrolled a total of 583 patients with suspected bone or joint infection, 131 of whom had confirmed osteomyelitis or septic arthritis. Analysis of the PCT data indicated a bivariate pooled sensitivity of 0.67 (95 % CI: 0.37-0.88), specificity of 0.90 (95 % CI: 0.78-0.96), a positive likelihood ratio (LR+) of 6.48 (95 % CI: 2.28-14.6), and a negative likelihood ratio (LR-) of 0.37 (95 % CI: 0.16-0.84). Use of a lower PCT cut-off value (0.2-0.3 ng/mL) improved the LR + to 6.66 and the LR- to 0.15. Analysis of the three studies that also measured serum C-reactive protein (CRP) indicated that CRP had an LR + of 1.39 (95 % CI: 1.17-1.65) and an LR- of 0.40 (95 % CI: 0.12-1.36). Our results indicate that PCT may be more suitable as an aid for rule-in diagnosis rather than for exclusion of septic arthritis or osteomyelitis and that use of a lower cut-off value for serum PCT may improve its diagnostic performance.

Original languageEnglish
Pages (from-to)807-814
Number of pages8
JournalEuropean Journal of Clinical Microbiology and Infectious Diseases
Volume32
Issue number6
DOIs
Publication statusPublished - Jun 2013
Externally publishedYes

Fingerprint

Calcitonin
Meta-Analysis
Joints
Infectious Arthritis
Bone and Bones
Osteomyelitis
Infection
C-Reactive Protein
Serum
Protein C
MEDLINE
Sample Size
Orthopedics
Blood Proteins
Fever
Language
Biomarkers
Databases

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

The use of procalcitonin in the diagnosis of bone and joint infection : A systemic review and meta-analysis. / Shen, C. J.; Wu, M. S.; Lin, K. H.; Lin, W. L.; Chen, H. C.; Wu, J. Y.; Lee, M. C H; Lee, C. C.

In: European Journal of Clinical Microbiology and Infectious Diseases, Vol. 32, No. 6, 06.2013, p. 807-814.

Research output: Contribution to journalArticle

Shen, C. J. ; Wu, M. S. ; Lin, K. H. ; Lin, W. L. ; Chen, H. C. ; Wu, J. Y. ; Lee, M. C H ; Lee, C. C. / The use of procalcitonin in the diagnosis of bone and joint infection : A systemic review and meta-analysis. In: European Journal of Clinical Microbiology and Infectious Diseases. 2013 ; Vol. 32, No. 6. pp. 807-814.
@article{ab6684477695473fbf1ff6d18ea761d6,
title = "The use of procalcitonin in the diagnosis of bone and joint infection: A systemic review and meta-analysis",
abstract = "Only a few studies have investigated the use of PCT in the diagnosis of bone and joint infection, and these studies have had relatively small sample sizes. We performed a systematic review and meta-analysis of the diagnostic performance of serum procalcitonin (PCT) in the identification of osteomyelitis and septic arthritis in patients who present with fever and orthopedic symptoms. EMBASE, MEDLINE, and Cochrane databases and the reference lists of relevant articles were searched, with no language restrictions, through February 2012. All original studies that reported the use of serum PCT alone or in comparison with other biomarkers for diagnosis of osteomyelitis and septic arthritis were included. Seven studies qualified for inclusion. These studies enrolled a total of 583 patients with suspected bone or joint infection, 131 of whom had confirmed osteomyelitis or septic arthritis. Analysis of the PCT data indicated a bivariate pooled sensitivity of 0.67 (95 {\%} CI: 0.37-0.88), specificity of 0.90 (95 {\%} CI: 0.78-0.96), a positive likelihood ratio (LR+) of 6.48 (95 {\%} CI: 2.28-14.6), and a negative likelihood ratio (LR-) of 0.37 (95 {\%} CI: 0.16-0.84). Use of a lower PCT cut-off value (0.2-0.3 ng/mL) improved the LR + to 6.66 and the LR- to 0.15. Analysis of the three studies that also measured serum C-reactive protein (CRP) indicated that CRP had an LR + of 1.39 (95 {\%} CI: 1.17-1.65) and an LR- of 0.40 (95 {\%} CI: 0.12-1.36). Our results indicate that PCT may be more suitable as an aid for rule-in diagnosis rather than for exclusion of septic arthritis or osteomyelitis and that use of a lower cut-off value for serum PCT may improve its diagnostic performance.",
author = "Shen, {C. J.} and Wu, {M. S.} and Lin, {K. H.} and Lin, {W. L.} and Chen, {H. C.} and Wu, {J. Y.} and Lee, {M. C H} and Lee, {C. C.}",
year = "2013",
month = "6",
doi = "10.1007/s10096-012-1812-6",
language = "English",
volume = "32",
pages = "807--814",
journal = "European Journal of Clinical Microbiology and Infectious Diseases",
issn = "0934-9723",
publisher = "Springer Verlag",
number = "6",

}

TY - JOUR

T1 - The use of procalcitonin in the diagnosis of bone and joint infection

T2 - A systemic review and meta-analysis

AU - Shen, C. J.

AU - Wu, M. S.

AU - Lin, K. H.

AU - Lin, W. L.

AU - Chen, H. C.

AU - Wu, J. Y.

AU - Lee, M. C H

AU - Lee, C. C.

PY - 2013/6

Y1 - 2013/6

N2 - Only a few studies have investigated the use of PCT in the diagnosis of bone and joint infection, and these studies have had relatively small sample sizes. We performed a systematic review and meta-analysis of the diagnostic performance of serum procalcitonin (PCT) in the identification of osteomyelitis and septic arthritis in patients who present with fever and orthopedic symptoms. EMBASE, MEDLINE, and Cochrane databases and the reference lists of relevant articles were searched, with no language restrictions, through February 2012. All original studies that reported the use of serum PCT alone or in comparison with other biomarkers for diagnosis of osteomyelitis and septic arthritis were included. Seven studies qualified for inclusion. These studies enrolled a total of 583 patients with suspected bone or joint infection, 131 of whom had confirmed osteomyelitis or septic arthritis. Analysis of the PCT data indicated a bivariate pooled sensitivity of 0.67 (95 % CI: 0.37-0.88), specificity of 0.90 (95 % CI: 0.78-0.96), a positive likelihood ratio (LR+) of 6.48 (95 % CI: 2.28-14.6), and a negative likelihood ratio (LR-) of 0.37 (95 % CI: 0.16-0.84). Use of a lower PCT cut-off value (0.2-0.3 ng/mL) improved the LR + to 6.66 and the LR- to 0.15. Analysis of the three studies that also measured serum C-reactive protein (CRP) indicated that CRP had an LR + of 1.39 (95 % CI: 1.17-1.65) and an LR- of 0.40 (95 % CI: 0.12-1.36). Our results indicate that PCT may be more suitable as an aid for rule-in diagnosis rather than for exclusion of septic arthritis or osteomyelitis and that use of a lower cut-off value for serum PCT may improve its diagnostic performance.

AB - Only a few studies have investigated the use of PCT in the diagnosis of bone and joint infection, and these studies have had relatively small sample sizes. We performed a systematic review and meta-analysis of the diagnostic performance of serum procalcitonin (PCT) in the identification of osteomyelitis and septic arthritis in patients who present with fever and orthopedic symptoms. EMBASE, MEDLINE, and Cochrane databases and the reference lists of relevant articles were searched, with no language restrictions, through February 2012. All original studies that reported the use of serum PCT alone or in comparison with other biomarkers for diagnosis of osteomyelitis and septic arthritis were included. Seven studies qualified for inclusion. These studies enrolled a total of 583 patients with suspected bone or joint infection, 131 of whom had confirmed osteomyelitis or septic arthritis. Analysis of the PCT data indicated a bivariate pooled sensitivity of 0.67 (95 % CI: 0.37-0.88), specificity of 0.90 (95 % CI: 0.78-0.96), a positive likelihood ratio (LR+) of 6.48 (95 % CI: 2.28-14.6), and a negative likelihood ratio (LR-) of 0.37 (95 % CI: 0.16-0.84). Use of a lower PCT cut-off value (0.2-0.3 ng/mL) improved the LR + to 6.66 and the LR- to 0.15. Analysis of the three studies that also measured serum C-reactive protein (CRP) indicated that CRP had an LR + of 1.39 (95 % CI: 1.17-1.65) and an LR- of 0.40 (95 % CI: 0.12-1.36). Our results indicate that PCT may be more suitable as an aid for rule-in diagnosis rather than for exclusion of septic arthritis or osteomyelitis and that use of a lower cut-off value for serum PCT may improve its diagnostic performance.

UR - http://www.scopus.com/inward/record.url?scp=84878259278&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878259278&partnerID=8YFLogxK

U2 - 10.1007/s10096-012-1812-6

DO - 10.1007/s10096-012-1812-6

M3 - Article

VL - 32

SP - 807

EP - 814

JO - European Journal of Clinical Microbiology and Infectious Diseases

JF - European Journal of Clinical Microbiology and Infectious Diseases

SN - 0934-9723

IS - 6

ER -