Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/26/2025

Procalcitonin Level Elevations with Steroid Use

Clinical Implications of False Elevations

  • The American Journal of Kidney Diseases guidelines recommend against unnecessary antibiotic use in the absence of confirmed bacterial infection, as false elevations in PCT may lead to such misuse 1
  • In patients with sepsis, PCT levels may guide steroid therapy decisions, but interpretation must account for potential false elevations, as suggested by Critical Care Medicine 2