Diagnostic and prognostic value of procalcitonin blood level studies in patients with purulent-inflammatory diseases of the uterus and its appendages

The authors believe, that patients with purulent-inflammatory diseases of the uterus and its appendages, complicated widespread peritonitis, for values of blood procalcitonin level to 1.13 ng/mL can talk about abdominal sepsis without organ failure, at the level of 1.13-4.5 ng/mL should include developing organ failure 1-2 systems, that is, in this category of patients with high probability there is heavy abdominal sepsis with multiple organ failure laboratory level - disorders of the functioning of core indicators while maintaining homeostasis. If the levels of procalcitonin exceed 4.5 ng/ml, this indicates heavy abdominal sepsis with multiple organ failure in the progression multiple organ failure in multiple organ inconsistency. Reduction of procalcitonin in the postoperative period reflects a decrease in the body's inflammatory response, and reliable increase in the level of procalcitonin (and/or the absence of reduction) from the third day indicates the progression of the disease, which allows us to offer a method in monitoring and evaluating the effectiveness of the therapy.

procalcitonin, purulent-inflammatory diseases of the uterus and its appendages, abdominal sepsis