Procalcitonin
What is Procalcitonin?
Procalcitonin (PCT) is a peptide precursor of the hormone calcitonin, and it plays a significant role as a biomarker for bacterial infections, especially sepsis.
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Normally produced in small amounts by the thyroid gland.
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During systemic bacterial infections, many tissues in the body begin producing PCT in large quantities.
- Its levels rise rapidly (within 2–6 hours) in response to bacterial toxins and systemic inflammation
Why Is It Important in Sepsis?
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Helps distinguish bacterial infections from viral or non-infectious causes of inflammation.
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Higher levels of PCT are strongly associated with severe bacterial infections and sepsis.
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It is used to:
Support early diagnose of sepsis
Monitor progression or resolution of infection
Interpreting Procalcitonin Levels
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<0.5 ng/mL: Low risk of severe sepsis and/or septic shock
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>2 ng/mL: High risk of severe sepsis and/or septic shock
Limitations
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PCT can also rise in:
Major surgery
Severe trauma
Certain cancers -
It should not be used alone—clinical context and other tests are essential for accurate diagnosis.

