Procalcitonin—An Enigmatic Anxiolytic Biomarker By Brad Spellberg June 29, 2026 0 min Jama Network Open Share Summary Takeaways Listen Insight Report Quiz Top Institutions 1 Procalcitonin has modest sensitivity and specificity for distinguishing bacterial infections from other diseases. 2 Randomized clinical trials (RCTs) of procalcitonin primarily assess its role in guiding antibiotic therapy rather than its diagnostic accuracy. 3 Meta-analyses show that procalcitonin results can lead to significant reductions in antibiotic use and lower patient mortality. 4 A negative procalcitonin result is clinically impactful, whether it is a true or false negative, in guiding antibiotic therapy. 5 Procalcitonin testing is not helpful for determining whether to prolong antibiotic treatment when levels are elevated.