• Paraskevas Filippidis, Leana Hovius, Frederic Tissot, Christina Orasch, Ursula Flückiger, Martin Siegemund, Jean-Luc Pagani, Philippe Eggimann, Oscar Marchetti, Frederic Lamoth, and Fungal Infection Network of Switzerland (FUNGINOS).
• Infectious Diseases Service, Department of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
• J Crit Care. 2024 Aug 1; 82: 154772154772.

PurposeThe objective of this study was to assess the performance of pancreatic stone protein (PSP) monitoring for the detection of sepsis, prediction of outcome and distinction between bacterial and fungal infections in intensive care unit (ICU) patients with complicated abdominal surgery.Materials And MethodsIn this prospective multicenter cohort study, patients with complicated abdominal surgery had serial PSP measurements during their ICU stay. Infectious episodes were classified as bacterial, fungal or mixed. PSPmax (maximal PSP value within 48 h of the diagnosis of infection) and ΔPSP (difference between PSPmax and the preceding PSP value) were used for analyses.ResultsPSPmax was obtained for 118 infectious episodes (68 patients). ΔPSP was available for 73 episodes (48 patients). Both PSPmax and ΔPSP were significantly higher in patients with sepsis and in patients with a fatal outcome. A PSPmax ≥124 ng/ml and a ΔPSP ≥34 ng/ml could detect sepsis with a sensitivity/specificity of 84%/54% and 69%/76%, respectively. There was no significant difference of PSPmax or ΔPSP between patients with bacterial/mixed versus fungal infections.ConclusionsSerial PSP monitoring may be an additional tool for the early detection of sepsis in patients with complicated abdominal surgery who are at high risk of severe infections.Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

24 keywords...

hide…