Evidence map›Paper›PMID 42592595›Full record

ReviewCureus2026

Procalcitonin and C-reactive Protein in Septicaemia: Correlation With Bacterial Profile and Antimicrobial Resistance in ICU Setting.

Vishakha S Pawar, Ravindra V Shinde, Satish Patil

Abstract readReview
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Vishakha S PawarDepartment of Microbiology, Krishna Vishwa Vidyapeeth (Deemed To Be University), Karad, IND.
Ravindra V ShindeDepartment of Microbiology, Krishna Vishwa Vidyapeeth (Deemed To Be University), Karad, IND.
Satish PatilDepartment of Microbiology, Krishna Vishwa Vidyapeeth (Deemed To Be University), Karad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Septicemia remains a major cause of morbidity and mortality among critically ill patients admitted to intensive care units (ICUs), particularly in regions facing a growing burden of antimicrobial resistance. Early diagnosis and prompt initiation of appropriate antimicrobial therapy are essential for improving patient outcomes; however, conventional blood culture methods often require prolonged turnaround times, limiting their utility in urgent clinical decision-making. This narrative review aims to summarize current evidence regarding the epidemiology, microbiological characteristics, antimicrobial resistance patterns, and clinical utility of inflammatory biomarkers in ICU-associated septicemia, with particular emphasis on C-reactive protein (CRP) and procalcitonin (PCT). Relevant peer-reviewed literature was identified through a review of published studies, reviews, and clinical guidelines addressing septicemia, biomarker performance, antimicrobial resistance, and antimicrobial stewardship in critical care settings. Available evidence suggests that gram-negative pathogens remain predominant causes of ICU septicemia and are frequently associated with elevated PCT concentrations due to endotoxin-mediated inflammatory responses. Compared with CRP, PCT generally demonstrates earlier elevation following bacterial infection, greater specificity for bacterial sepsis, and a closer association with disease severity. However, both biomarkers have limitations, particularly in predicting mortality and clinical outcomes. Current evidence supports the use of biomarkers as adjunctive tools rather than standalone diagnostic tests. PCT-guided antimicrobial strategies may contribute to improved antimicrobial stewardship and reduced unnecessary antibiotic exposure in selected patient populations. Overall, optimal management of septicemia requires integration of clinical assessment, microbiological investigations, and biomarker data to support timely and informed therapeutic decisions.

Indexed as

antibiotic stewardship (ams)antimicrobial resistancebacterial infectionc-reactive proteinintensive care unit (icu)procalcitoninsepticaemiaserum biomarkers

Identifiers

PMID42592595
PMCPMC13466075

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Registered trials

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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.