Decoding Procalcitonin: Your Guide to This Game-Changing Infection Test
Published: Oct 08, 2023
Procalcitonin testing is changing how doctors diagnose and treat infections. This simple blood test can help distinguish between bacterial and viral infections, potentially reducing unnecessary antibiotic use.
Contents
What Exactly is Procalcitonin?
Procalcitonin is a protein produced by the body in response to bacterial toxins. In healthy people, procalcitonin levels are nearly undetectable. However, these levels can skyrocket within hours of a bacterial infection taking hold. Think of procalcitonin as your body's bacterial alarm system - when bacteria invade, procalcitonin sounds the alert.
How is the Test Performed?
The procalcitonin test is a simple blood test. A small sample of blood is drawn and sent to the laboratory for analysis. Results are typically available within a few hours. The test can be repeated every 1-2 days to monitor levels over time. This allows doctors to track how well an infection is responding to treatment.

Interpreting Procalcitonin Results
Procalcitonin levels are measured in nanograms per milliliter (ng/mL). Generally, levels below 0.1 ng/mL suggest no bacterial infection, while levels above 0.5 ng/mL indicate possible severe bacterial infection. However, interpretation isn't always straightforward. Doctors consider procalcitonin results alongside other clinical information to make treatment decisions.
Limitations of the Test
While procalcitonin is a powerful tool, it's not perfect. Some conditions like severe trauma or surgery can raise levels without infection. Certain bacterial infections, particularly those caused by atypical bacteria, may not significantly increase procalcitonin. The test may be less reliable in people with kidney disease or weakened immune systems. As with any medical test, procalcitonin results should always be interpreted in the context of the patient's overall clinical picture.
Frequently Asked Questions
No, procalcitonin typically remains low in viral infections.
Levels begin to rise within 2-4 hours of infection onset.
No, it's used alongside other tests and clinical assessment.
Antibiotics don't directly affect levels, but successful treatment lowers them.
Coverage varies, check with your insurance provider.
The Future of Infection Diagnosis?
Procalcitonin testing offers exciting potential to improve infection diagnosis and treatment, but it's just one piece of the diagnostic puzzle.
References
- Meisner M. Update on Procalcitonin Measurements. Ann Lab Med. 2014;34(4):263-273.
- Schuetz P, et al. Procalcitonin to initiate or discontinue antibiotics in acute respiratory tract infections. Cochrane Database Syst Rev. 2017;10:CD007498.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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