Evidence map›Paper›PMID 27843698›Full record

ArticleBrain and behavior2016

Procalcitonin in cerebrospinal fluid in meningitis: a prospective diagnostic study.

Imanda M E Alons, Rolf J Verheul, Irma Kuipers, Korné Jellema, Marieke J H Wermer, Ale Algra, Gabriëlle Ponjee

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Multi-Route Administration Therapy for IntracranialInternational medical case reports journal · 2026
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  10. Cerebrospinal fluid procalcitonin as a biomarker of bacterial meningitis in neonates.Journal of perinatology : official journal of the California Perinatal Association · 2017
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Imanda M E AlonsDepartment of Neurology MCH Westeinde The Hague The Netherlands.
Rolf J VerheulDepartment of Clinical chemistry LabWest/MCH Westeinde The Hague The Netherlands.
Irma KuipersDepartment of Clinical chemistry LabWest/MCH Westeinde The Hague The Netherlands.
Korné JellemaDepartment of Neurology MCH Westeinde The Hague The Netherlands.
Marieke J H WermerDepartment of Neurology LUMC Leiden The Netherlands.
Ale AlgraDepartment of Clinical Epidemiology LUMC Leiden The Netherlands; Department of Neurology and Neurosurgery Brain Center Rudolph Magnus UMC Utrecht Utrecht The Netherlands; Julius Center for Health Sciences and Patient Care UMC Utrecht Utrecht The Netherlands.
Gabriëlle PonjeeDepartment of Clinical chemistry LabWest/MCH Westeinde The Hague The Netherlands.
University of the West · USThe Hague University of Applied Sciences · NLLeiden University Medical Center · NLLoyola University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBacterial meningitis is a severe but treatable condition. Clinical symptoms may be ambiguous and current diagnostics lack sensitivity and specificity, complicating diagnosis. Procalcitonin (PCT) is a protein that is elevated in serum in bacterial infection. We aimed to assess the value of PCT in cerebrospinal fluid (CSF) in the diagnosis of bacterial meningitis.

methodsWe included patients with bacterial meningitis, both community acquired and post neurosurgery. We included two comparison groups: patients with viral meningitis and patients who underwent lumbar punctures for noninfectious indications. We calculated mean differences and 95% confidence intervals of procalcitonin in CSF and plasma in patients with and without bacterial meningitis.

resultsAverage PCT concentrations in CSF were 0.60 ng mL

conclusionProcalcitonin in CSF was significantly higher in patients with bacterial meningitis when compared with patients with viral or no meningitis. PCT in CSF may be a valuable marker in diagnosing bacterial meningitis, and could become especially useful in patients after neurosurgery.

Indexed as

AdultCalcitoninCommunity-Acquired InfectionsFemaleHumansMaleMeningitis, BacterialMeningitis, ViralMiddle AgedProspective StudiesCalcitoninbacterial meningitiscerebrospinal fluiddiagnostic markerexternal ventricular drainmeningitisneurosurgical interventionprocalcitonin

Identifiers

PMID27843698
PMCPMC5102643
OpenAlexW2507934588

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.