- Separate parameter
CRP test
C-reactive protein (CRP) is a protein synthesised in the liver in response to an increase in plasma concentration of IL-6 in particular, and to a lesser extent other pro-inflammatory cytokines. It is one of the acute phase reactants and is part of the immune defence system. It activates the complement system, triggering opsonisation (labelling) and phagocytosis (engulfment) of both pathogens and infected cells. Although it is a non-specific marker, it is a useful laboratory parameter in inflammation. A relatively small inflammatory reaction is sufficient to stimulate its secretion.
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About this test
C-reactive protein (CRP) is a protein synthesised in the liver in response to an increase in plasma concentration of IL-6 in particular, and to a lesser extent other pro-inflammatory cytokines. It is one of the acute phase reactants and is part of the immune defence system. It activates the complement system, triggering opsonisation (labelling) and phagocytosis (engulfment) of both pathogens and infected cells. Although it is a non-specific marker, it is a useful laboratory parameter in inflammation. A relatively small inflammatory reaction is sufficient to stimulate its secretion.
Advantages of the CRP test:
- results within 2 working days
- results are discreetly communicated to your profile
- only one parameter can be measured
What´s measured
CRP levels in the blood
C-reactive protein (CRP) levels increase within a few hours after an infectious pathogen enters the body and reach their highest levels 24 to 48 hours after the onset of infection. . A healthy adult usually has a CRP level of less than 3 mg/l, but can have higher levels, up to 10 mg/l.
Basal CRP levels tend to be higher in women than in men, patients on hormone therapy, smokers and obese people, and they also rise with age. A CRP level higher than 10 mg/l may already indicate inflammation, but does not determine its cause or location (1).
In the blood, CRP increases in various infectious inflammations (acute, chronic), but also in non-infectious inflammation (e.g. rheumatoid arthritis, systemic vasculitis, atherosclerotic cardiovascular disease) and traumatic injury. The degree of elevation varies between pathological conditions.
In infections, there is a difference in the degree of increase in viral and bacterial infections. Viral infections are associated with only a slight rise in CRP values in the blood, usually not reaching more than 40-50 mg/l. In bacterial ones, CRP elevations are higher, usually in the hundreds of mg/l. This can help in the rapid differentiation of viral and bacterial infections.
Serum CRP values must always be considered in the context of the current clinical condition and other clinical information.
C-reactive protein (CRP) is a protein synthesized in the liver in response to an increase in plasma concentrations of IL-6 in particular, but also of other pro-inflammatory cytokines. It is one of the acute phase reactants and is part of the immune defence system. It activates the complement system, triggering opsonisation (labelling) and phagocytosis (engulfment) of pathogens and infected cells. Although it is a non-specific marker, in inflammation it is a better indicator than erythrocyte sedimentation rate or leukocyte count. A relatively small inflammatory reaction (bacterial, viral, non-infectious) is sufficient to stimulate its secretion.
CRP is primarily used to quantify the degree of the inflammatory process and to monitor it in severe infectious and autoimmune diseases. It may also be useful in monitoring the response to antibiotic therapy in bacterial infections, as well as for the treatment of non-infectious inflammatory diseases.
Serum CRP values must always be considered in the context of the current clinical condition and other clinical information.
If you need to consult the results of the parameters, we recommend that you contact your GP or internist.
Values of CRP test
High CRP values
Elevated values are observed several hours after the infectious pathogen has entered the body, with a maximum increase in concentration within 24 - 48 hours and may persist for a prolonged period of time. The CRP value and the dynamics of development depend on the type of infection.
In general, in viral infections, values rise only to a small extent, usually not exceeding 40-50 mg/l. In bacterial infections, the values are higher.
Elevated values are also present in various non-infectious inflammatory diseases (e.g. rheumatoid arthritis, non-specific inflammatory bowel disease, systemic vasculitis, etc.).
The rise in CRP concentration is low when the atherosclerotic process is active; therefore, a method accurate in the region of low concentrations, a method with higher sensitivity, must be used. In determining cardiovascular risk, the so-called hs- CRP, high-sensitivity CRP, is determined.
Notice
We do not provide interpretation of the CRP test through our partner uLékaře.cz.
Collection instructions
Please read these instructions carefully well in advance of the collection.
Please bring a valid ID (ID card or passport) to verify your identity.
Testing procedure
How takes place CRP test
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What interests you about the CRP test?
What will the CRP test show?
The CRP is used to quantitatively determine the concentration of C-reactive protein in the blood. This is one of the so-called acute-phase proteins, which are involved in the body's natural immune response. CRP measurement is most commonly used as a measure to distinguish viral from bacterial infections (12).
(12) Mouliou DS, Diseases. 2023 Sep 28;11(4):132.
What will the CRP test show?
The CRP test serves to quantitatively determine the concentration of C-reactive protein in the blood. It belongs to the so-called acute phase proteins that participate in the body's natural immune response. CRP measurement is most often used as a measure to distinguish viral from bacterial infection (12).
(12) Mouliou DS, Diseases. 2023 Sep 28;11(4):132.
What does elevated CRP mean?
A rapid rise in CRP (above 40 mg/l) accompanies a bacterial infection, less usually also a fungal infection. In viral infection, on the other hand, the CRP level rises relatively little (10-40 mg/l). Determining the CRP concentration thus helps the doctor decide whether to start antibiotic treatment (12).
(12) Mouliou DS, Diseases. 2023 Sep 28;11(4):132.
How long does CRP take to fall?
Successful treatment with antibiotics is manifested by a sharp drop in the CRP level; in case of unsuccessful treatment (e.g. trying to cure a viral infection with antibiotics), on the contrary, it persists. The CRP concentration also reveals the risk of postoperative infection - if it does not decrease within three days of the procedure, there is probably an infection or inflammation in the wound.
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You take the CRP test as part of the following tests
Sources
[1]Mouliou DS, Diseases. 2023 Sep 28;11(4):132.1
[2]Zima T. a kol. Laboratorní diagnostika. Třetí, doplněné a přepracované vydání. Galen 2013, 1189 stran. ISBN 978-80-7492-074-5 (pdf)