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Serum Procalcitonin and Peripheral Venous Lactate for Predicting Dengue Shock and/or Organ Failure: A Prospective Observational Study

Author

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  • Vipa Thanachartwet
  • Varunee Desakorn
  • Duangjai Sahassananda
  • Akanitt Jittmittraphap
  • Nittha Oer-areemitr
  • Sathaporn Osothsomboon
  • Manoon Surabotsophon
  • Anan Wattanathum

Abstract

Background: Currently, there are no biomarkers that can predict the incidence of dengue shock and/or organ failure, although the early identification of risk factors is important in determining appropriate management to reduce mortality. Therefore, we sought to determine the factors associated with dengue shock and/or organ failure and to evaluate the prognostic value of serum procalcitonin (PCT) and peripheral venous lactate (PVL) levels as biomarkers of dengue shock and/or organ failure. Methodology/Principal Findings: A prospective observational study was conducted among adults hospitalized for confirmed viral dengue infection at the Hospital for Tropical Diseases in Bangkok, Thailand between October 2013 and July 2015. Data, including baseline characteristics, clinical parameters, laboratory findings, serum PCT and PVL levels, management, and outcomes, were recorded on pre-defined case report forms. Of 160 patients with dengue, 128 (80.0%) patients had dengue without shock or organ failure, whereas 32 (20.0%) patients developed dengue with shock and/or organ failure. Using a stepwise multivariate logistic regression analysis, PCT ≥0.7 ng/mL (odds ratio [OR]: 4.80; 95% confidence interval [CI]: 1.60–14.45; p = 0.005) and PVL ≥2.5 mmol/L (OR: 27.99, 95% CI: 8.47–92.53; p

Suggested Citation

  • Vipa Thanachartwet & Varunee Desakorn & Duangjai Sahassananda & Akanitt Jittmittraphap & Nittha Oer-areemitr & Sathaporn Osothsomboon & Manoon Surabotsophon & Anan Wattanathum, 2016. "Serum Procalcitonin and Peripheral Venous Lactate for Predicting Dengue Shock and/or Organ Failure: A Prospective Observational Study," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 10(8), pages 1-19, August.
    • Handle: RePEc:plo:pntd00:0004961
    DOI: 10.1371/journal.pntd.0004961
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    References listed on IDEAS

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    1. Dan Liu & Longxiang Su & Gencheng Han & Peng Yan & Lixin Xie, 2015. "Prognostic Value of Procalcitonin in Adult Patients with Sepsis: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-15, June.
    2. Samir Bhatt & Peter W. Gething & Oliver J. Brady & Jane P. Messina & Andrew W. Farlow & Catherine L. Moyes & John M. Drake & John S. Brownstein & Anne G. Hoen & Osman Sankoh & Monica F. Myers & Dylan , 2013. "The global distribution and burden of dengue," Nature, Nature, vol. 496(7446), pages 504-507, April.
    3. Nguyen Tien Huy & Tran Van Giang & Dinh Ha Duy Thuy & Mihoko Kikuchi & Tran Tinh Hien & Javier Zamora & Kenji Hirayama, 2013. "Factors Associated with Dengue Shock Syndrome: A Systematic Review and Meta-Analysis," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 7(9), pages 1-15, September.
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