Role of Procalcitonin as a Prognostic Marker in Patients with Diabetic Ketoacidosis | ||||
Zagazig University Medical Journal | ||||
Articles in Press, Accepted Manuscript, Available Online from 28 January 2024 | ||||
Document Type: Review Articles | ||||
DOI: 10.21608/zumj.2024.262851.3116 | ||||
View on SCiNiTO | ||||
Authors | ||||
mohamed Elmahdy kamer1; hazem mohamed el ashmawy2; Azza Moustafa Ahmed Abd Elrahman3; Najla Hussien Awad Issa 4 | ||||
1internal medicine ,faculty of medicine ,zagazig university | ||||
2dapartmenr of internal medicine,faculty of medicityine ,zagazig univers | ||||
3Ass. Professor of Clinical Pathology Faculty of Medicine - Zagazig University | ||||
4M.B.B.Ch., Faculty of Medicine, Omar Almokhtar University, Libya | ||||
Abstract | ||||
Diabetic ketoacidosis (DKA) is one dangerous and perhaps fatal side effect of diabetes mellitus. Even in teaching hospitals, DKA is still poorly managed in spite of all the current guidelines. Therefore, it is very important to find clinical and biochemical prognostic indicators of diabetic ketoacidosis in order to lower morbidity and death. Patients who present with DKA are often offered empiric antibiotics because early diagnosis and treatment of infections are critical components of improved patient outcomes. Due to the similarities in patient presentation between infections and DKA, antibiotics are used excessively in both cases. This may result in higher treatment expenses, adverse drug reactions, and an increased chance of antibiotic resistance. Procalcitonin (PCT) is one biomarker that has helped clinicians distinguish infectious etiologies from other conditions. It can also be used to delay the start of antibiotics or stop their course entirely. It is not clear how useful PCT is for determining whether bacterial infection is the cause of diabetic ketoacidosis (DKA). | ||||
Keywords | ||||
Diabetic ketoacidosis; DM; insulin | ||||
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