Clinical Relevance
C-reactive protein (CRP) is the best known among the acute-phase proteins, a group of proteins whose concentration increases in blood as a response to inflammatory disorders (acute-phase response). CRP is normally present in low concentration in blood of healthy individuals (< 5 mg/L). It is elevated up to 500 mg/L in acute inflammatory processes associated with bacterial infections, postoperative conditions or tissue damage already after 6 hours reaching a peak at 48 hours. The measurement of CRP represents a useful laboratory test for the detection of acute infection as well as for monitoring inflammatory processes; among others in acute rheumatic and gastrointestinal diseases. CRP testing shows various advantages in comparison to the erythrocyte sedimentation rate (ESR) and the leukocyte count. In fact, it is more sensitive, the increase occurs earlier and its levels return to the reference range more rapidly after healing.
Advantages of CRP
Advantages of DiaSys CRP IS | Disadvantages of Erithrocyte sedimentation rate (ESR) | Disadvantages of latex agglutination slides | |
---|---|---|---|
Limit of detection | 5 mg/L (capillary blood) 2 mg/L (plasma) | Not applicable | > 6 – 10 mg/L (serum) |
Quantitative? | Quantitative results | Not applicable | Qualitative or semi-quantitative results, no exact quantification possible |
Differentiation of borderline cases from positive and negative cases | True differentiation | No true differentiation Unspecific screening | No true differentiation |
Reaction time after start of inflammation | Early 4 - 6 h | Late 24 - 48 h | Early 4 - 6 h |
Suitability for therapeutic monitoring | Given, fast reaction | Limited, slow | Limited |
Processing | Fully automated | Manual and automated Person dependent visual assessment (manual) Vertical position of sample or sample tray (manual) | Manual Person dependent visual assessment |
Stability | In serum and plasma: 15 days at 20 - 25°C | Highly influenced by temperature (correct results only at 23°C) Sample stability only 2h at room temperature | In serum and plasma: 15 days at 20 - 25°C |
Contamination risk | Minimized | Dependent on test tube | High |
Traceability | International reference material ERM-DA474/IFCC | None | Test dependent |
Control material | TruLab CRP, two different levels | None | Only positive and negative controls |