1. Introduction
Sepsis is a medical emergency in which rapid assessment and repeated reassessment are essential. No single laboratory marker can confirm or exclude sepsis, but complementary biomarkers can add objective information while clinicians evaluate infection, organ dysfunction, microbiology, imaging and source control.
PCT and IL-6 provide different views of the host response. IL-6 reflects early inflammatory activation, while PCT is more closely associated with systemic bacterial infection and often remains elevated longer. Used together and interpreted as trends, they can support a clearer picture of disease evolution in the ICU.
2. Why PCT and IL-6 Work Better Together
The value of combined testing comes from complementary timing and clinical interpretation rather than from a single universal cut-off.
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Marker
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What it adds
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Key limitation
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IL-6
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Sensitive but not specific for bacterial infection; may rise after surgery, trauma or other inflammatory stress.
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PCT
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Adds context for systemic bacterial infection and is useful for serial monitoring and antimicrobial review.
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May remain low in very early or localized infection and can be influenced by timing, renal dysfunction and major tissue injury.
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Practical interpretation Focus on direction of change. A persistent or secondary rise should prompt reassessment for uncontrolled infection, inadequate source control, complications or a non-infectious inflammatory process.
3. A Practical ICU Testing Framework
At presentation
Clinical exam, cultures, lactate, organ-function assessment + baseline PCT and IL-6
6–24 hours
Repeat biomarkers when clinically indicated; focus on direction and rate of change
Ongoing ICU review
Integrate trends with source control, microbiology, hemodynamics and response to therapy
Antibiotic review
Use PCT only with clinical evaluation; never as the sole reason to start or stop treatment
4. Poclight C5000 Assay Information
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Assay
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Sample
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Volume
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Time
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Measuring range
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Storage / stability
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PCT
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Serum / Plasma
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200 µL
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5 min
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0.02-100 ng/mL
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2-30°C / 18 months
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IL-6
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Serum / Plasma
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100 µL
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15 min
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1.5-5000 pg/mL
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2-30°C / 18 months
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Our standout features:
1. Small Sample Volume & Rapid Results
Small sample volume of serum or plasma needed, with 5-15 minute turnaround, ideal for fast clinical decisions.
2. Freeze-dried reagents: no cold chain, 18 months shelf life, simplifying storage and transport.
3. High accuracy and excellent precision (CV < 5%)
4. Applicable with the C5000 POC CLIA Analyzer: 3-Step Operation, Maintenance-Free