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Test Code RMCPROCALC Procalcitonin (PCT)*

Performing Laboratory

Rutland Regional Medical Center Laboratory

Specimen Requirements

Specimen Type:
Container/Tube:

Preferred:  Light-green top (lithium heparin gel)

Specimen Fill Volume: Whole tube.

Specimen Minimum Volume: 1 mL

Day(s) Performed

Daily

Analytical Time:

1 hour from specimen arrival

Methodology

Enzyme Linked Fluorescent Assay

Test Classification and CPT Coding

CPT: 84145

Order Code: RMCPROCALC

Result Name / Result Code / Result LOINC:

PCT / RMCL802093 / 33959-8

PCT Interp / RMCL802316 /

Normal Reference Values

 

PCT Concentration

 

 

PCT Interpretations

 

 

Risk or Options for Further Action

 

 

PCT ≤ 0.5 ng/ml

 

 

Low risk for progression to severe systemic infection (severe sepsis/septic shock). Local bacterial infection is possible.

 

 

CAUTION: PCT levels below 0.5 ng/ml do not exclude an infection, because localized infections may be associated with such low levels.

If PCT is measured very early after a bacterial challenge (usually <6 hours), these values may still be low. In this case, PCT should be re-assessed 6-24 hours later.

 

 

PCT > 0.5 and ≤ 2 ng/ml

 

 

Moderate risk for progression to severe systemic infection (severe sepsis/septic shock), but other conditions are known to elevate PCT as well

 

 

The patient should be closely monitored both clinically and by re-assessing PCT within 6-24 hours.

 

 

PCT > 2 ng/ml and < 10 ng/ml

 

 

High risk for progression to severe systemic infection (severe sepsis/septic shock) unless other causes are known

 

 

Systemic infection (sepsis) is likely, unless other causes are known.

 

 

PCT ≥ 10 ng/ml

 

 

High likelihood of severe sepsis or septic shock

 

 

Important systemic inflammatory response, almost exclusively due to severe bacterial sepsis or septic shock.

 

 

 

Specimen Transport Temperature

Refrigerated

Critical Values

None