Evidence map›Paper›PMID 42216119›Full record

ArticleBMC infectious diseases2026

Association of procalcitonin levels with multidrug-resistant bloodstream infections: a prospective cohort study.

Durga Shankar Meena, Gopal Krishana Bohra, Manika Malik, Naman Lodha, Deepak Kumar, Naresh Midha, Vibhor Tak, Amit Kumar Rohila, Mithu Banerjee, Mahendra Kumar Garg

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Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Durga Shankar MeenaDivision of Infectious Diseases, Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, 342005, India. dsmims14@gmail.com.ORCID http://orcid.org/0000-0001-9524-5278
Gopal Krishana BohraDivision of Infectious Diseases, Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, 342005, India.
Manika MalikDepartment of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, India.
Naman LodhaDepartment of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, India.
Deepak KumarDivision of Infectious Diseases, Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, 342005, India.
Naresh MidhaDivision of Infectious Diseases, Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, 342005, India.
Vibhor TakDepartment of Microbiology, All India Institute of Medical Sciences, Jodhpur, India.
Amit Kumar RohilaDepartment of Trauma and Emergency, All India Institute of Medical Sciences, Jodhpur, India.
Mithu BanerjeeDepartment of Biochemistry, All India Institute of Medical Sciences, Jodhpur, India.
Mahendra Kumar GargDepartment of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProcalcitonin (PCT) is widely used for early detection of bloodstream infections. However, limited data correlate PCT levels with infection aetiology, especially in identifying multidrug-resistant (MDR) pathogens.

methodsThis prospective study included patients with bloodstream infections (BSIs) from January 2022 to April 2024. Patients with positive blood cultures and simultaneous PCT testing were enrolled. The primary objective was to evaluate the association between PCT levels and MDR bacteremia. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic performance of PCT.

resultsA total of 317 patients with positive blood cultures met the inclusion criteria. Of these, 186 (58.7%) had MDR bacteremia, while 131 (41.3%) were due to non-MDR pathogens. Gram-negative (GN) bacteremia accounted for 238 cases, and Gram-positive (GP) bacteremia for 79 cases. Median PCT values were significantly higher in MDR bacteremia (9.6, IQR: 3.4-17.1 ng/mL) compared to non-MDR (1.5, IQR: 0.5-4 ng/mL, p < 0.001). ROC analysis showed an area under the curve (AUC) of 0.71 for PCT and 0.47 for CRP in predicting MDR bacteremia. For GN bacteremia prediction, the AUC was 0.61 for PCT and 0.39 for CRP. PCT values were highest in urinary tract infections, followed by pneumonia and soft tissue infections (11.75, 5.65, and 5.1 ng/mL, respectively).

conclusionsPCT demonstrated moderate ability to discriminate MDR bacteremia. However, these results do not support its use as a standalone marker and must be interpreted with clinical and microbiological findings.

Indexed as

BacteremiaDrug Resistance, Multiple, BacterialProcalcitoninAgedAnti-Bacterial AgentsBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesROC CurveAnti-Bacterial AgentsBiomarkersProcalcitoninBacteremiaBloodstream infectionsCRPMDRProcalcitonin

Identifiers

PMID42216119
PMCPMC13430779

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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.