Análisis comparativo de la proteína C reactiva frente a la procalcitonina en la predicción de infecciones respiratorias bacterianas en adultos
DOI:
https://doi.org/10.63969/5axbjt60Palabras clave:
proteína C reactiva, procalcitonina, infección respiratoria bacteriana, biomarcadores, diagnósticoResumen
Este artículo de revisión compara el rendimiento diagnóstico y pronóstico de la proteína C reactiva (CRP) y la procalcitonina (PCT) en la detección de infecciones bacterianas respiratorias en adultos. Se analizó evidencia publicada entre 2004 y 2025, incluyendo estudios observacionales, ensayos clínicos y metaanálisis. Los hallazgos muestran que la CRP presenta mayor sensibilidad, mientras que la PCT ofrece mejor especificidad y una respuesta cinética más rápida al inicio y resolución de la infección. La combinación de ambos biomarcadores surge como una estrategia equilibrada para mejorar la precisión diagnóstica, optimizar el uso de antibióticos y apoyar los programas de vigilancia antimicrobiana. Se discuten las implicaciones clínicas, las limitaciones metodológicas y las áreas de investigación futura, destacando la necesidad de protocolos diagnósticos estandarizados y estudios de costo-efectividad.
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Derechos de autor 2025 José Alberto Trejo Santiago, Ana Paula Calderón Aguirre, Jorge Angel Velasco Espinal, Ingrid Monserrat Jaimes Hernández, José Uriel Cornejo Quezada, Alexa Fernanda Uriostegui Navarro, Javier Gerardo Pérez Aparicio (Autor/a)

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