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Ann Thorac Surg 1982;34:166-175
© 1982 The Society of Thoracic Surgeons


Articles

Serial C-reactive Protein Measurements in Infective Complications Following Cardiac Operation: Evaluation and Use in Monitoring Response to Therapy

Adeeb T.M. Ghoneim, M.R.C.Path, John McGoldrick, F.I.M.L.T., Marian I. Ionescu, M.D.*

From the Department of Microbiology, The University of Leeds, and the Cardiothoracic Unit, The General Infirmary at Leeds, Leeds, England

Accepted for publication October 8, 1981.

* Address reprint requests to Mr. Ionescu, Department of Cardiothoracic Surgery, Leeds General Infirmary, Leeds LS1 3EX, England

Serum C-reactive protein (CRP) was studied serially in 100 patients who underwent cardiac operation and in another 17 patients in whom serious infections including prosthetic valve endocarditis developed in the early postoperative period. Eleven patients with late onset of prosthetic valve endocarditis and infective endocarditis were also investigated. The assay method used was radial immunodiffusion. Patients without postoperative infective complications showed a rapid increase in CRP levels, which reached a peak within 72 hours after operation followed by a progressive decline. The differences between the CRP levels in infected and uninfected patients were significant (p < 0.01). Serial measurements were of prognostic value in evaluating the response to chemotherapy and in predicting the outcome of the disease.




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