A Comparative Study of the Effectiveness of Serum C-reactive Protein and Serum Pentraxin-3 Levels in the Diagnosis and Follow-up of Neonatal Sepsis
Aim:Neonatal sepsis is a disease with multisystemic involvement accompanied by bacteremia in the first 28 days of life and in which the pathogen micro-organism spreads to different systems via the blood. Laboratory tests with high sensitivity and specificity are needed for the early diagnosis of neo...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Galenos Yayinevi
2022-01-01
|
Series: | Haseki Tıp Bülteni |
Subjects: | |
Online Access: |
http://www.hasekidergisi.com/archives/archive-detail/article-preview/a-comparative-study-of-the-effectiveness-of-serum-/50843
|
_version_ | 1797915655498891264 |
---|---|
author | Tugrul Atay Kamil Sahin Murat Elevli Ala Ustyol Demet Oguz Emel Ataoglu Hatice Nilgun Duru |
author_facet | Tugrul Atay Kamil Sahin Murat Elevli Ala Ustyol Demet Oguz Emel Ataoglu Hatice Nilgun Duru |
author_sort | Tugrul Atay |
collection | DOAJ |
description | Aim:Neonatal sepsis is a disease with multisystemic involvement accompanied by bacteremia in the first 28 days of life and in which the pathogen micro-organism spreads to different systems via the blood. Laboratory tests with high sensitivity and specificity are needed for the early diagnosis of neonatal sepsis. The purpose of this study was to investigate the effectiveness of pentraxin 3 in neonatal sepsis.Methods:This prospective clinical study was performed between November, 2015, and March, 2016, with 49 newborns diagnosed with sepsis and under monitoring at the neonatal intensive care unit and with Tollner sepsis scores of 5 or above and with 35 healthy neonates. Blood was collected from every patient diagnosed with sepsis for complete blood count, C-reactive protein, blood culture and pentraxin 3 measurements.Results:No significant difference was determined between the patient and control groups in terms of birth weight or gender. C-reactive protein, leukocyte, and pentraxin 3 levels were found to differ significantly between the healthy newborns in the control group and the septic patients. A significant correlation was observed between pentraxin 3 levels and serum C-reactive protein levels (r=0.44, p<0.05). The area under the curve was statistically significant at logistic regression analysis (area: 0.782).Conclusions:The data from our study show that pentraxin 3 may represent a valuable marker in the differential diagnosis of neonatal sepsis. |
first_indexed | 2024-04-10T12:45:03Z |
format | Article |
id | doaj.art-39b4e370dcd94073918fde3d5e51e0f2 |
institution | Directory Open Access Journal |
issn | 1302-0072 2147-2688 |
language | English |
last_indexed | 2024-04-10T12:45:03Z |
publishDate | 2022-01-01 |
publisher | Galenos Yayinevi |
record_format | Article |
series | Haseki Tıp Bülteni |
spelling | doaj.art-39b4e370dcd94073918fde3d5e51e0f22023-02-15T16:14:05ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882022-01-01601333910.4274/haseki.galenos.2021.730813049054A Comparative Study of the Effectiveness of Serum C-reactive Protein and Serum Pentraxin-3 Levels in the Diagnosis and Follow-up of Neonatal SepsisTugrul Atay0Kamil Sahin1Murat Elevli2Ala Ustyol3Demet Oguz4Emel Ataoglu5Hatice Nilgun Duru6 University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Pediatrics, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Pediatrics, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Pediatrics, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Pediatrics, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Pediatrics, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Pediatrics, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Pediatrics, Istanbul, Turkey Aim:Neonatal sepsis is a disease with multisystemic involvement accompanied by bacteremia in the first 28 days of life and in which the pathogen micro-organism spreads to different systems via the blood. Laboratory tests with high sensitivity and specificity are needed for the early diagnosis of neonatal sepsis. The purpose of this study was to investigate the effectiveness of pentraxin 3 in neonatal sepsis.Methods:This prospective clinical study was performed between November, 2015, and March, 2016, with 49 newborns diagnosed with sepsis and under monitoring at the neonatal intensive care unit and with Tollner sepsis scores of 5 or above and with 35 healthy neonates. Blood was collected from every patient diagnosed with sepsis for complete blood count, C-reactive protein, blood culture and pentraxin 3 measurements.Results:No significant difference was determined between the patient and control groups in terms of birth weight or gender. C-reactive protein, leukocyte, and pentraxin 3 levels were found to differ significantly between the healthy newborns in the control group and the septic patients. A significant correlation was observed between pentraxin 3 levels and serum C-reactive protein levels (r=0.44, p<0.05). The area under the curve was statistically significant at logistic regression analysis (area: 0.782).Conclusions:The data from our study show that pentraxin 3 may represent a valuable marker in the differential diagnosis of neonatal sepsis. http://www.hasekidergisi.com/archives/archive-detail/article-preview/a-comparative-study-of-the-effectiveness-of-serum-/50843 c-reactive proteinnewbornpentraxinsepsis |
spellingShingle | Tugrul Atay Kamil Sahin Murat Elevli Ala Ustyol Demet Oguz Emel Ataoglu Hatice Nilgun Duru A Comparative Study of the Effectiveness of Serum C-reactive Protein and Serum Pentraxin-3 Levels in the Diagnosis and Follow-up of Neonatal Sepsis Haseki Tıp Bülteni c-reactive protein newborn pentraxin sepsis |
title | A Comparative Study of the Effectiveness of Serum C-reactive Protein and Serum Pentraxin-3 Levels in the Diagnosis and Follow-up of Neonatal Sepsis |
title_full | A Comparative Study of the Effectiveness of Serum C-reactive Protein and Serum Pentraxin-3 Levels in the Diagnosis and Follow-up of Neonatal Sepsis |
title_fullStr | A Comparative Study of the Effectiveness of Serum C-reactive Protein and Serum Pentraxin-3 Levels in the Diagnosis and Follow-up of Neonatal Sepsis |
title_full_unstemmed | A Comparative Study of the Effectiveness of Serum C-reactive Protein and Serum Pentraxin-3 Levels in the Diagnosis and Follow-up of Neonatal Sepsis |
title_short | A Comparative Study of the Effectiveness of Serum C-reactive Protein and Serum Pentraxin-3 Levels in the Diagnosis and Follow-up of Neonatal Sepsis |
title_sort | comparative study of the effectiveness of serum c reactive protein and serum pentraxin 3 levels in the diagnosis and follow up of neonatal sepsis |
topic | c-reactive protein newborn pentraxin sepsis |
url |
http://www.hasekidergisi.com/archives/archive-detail/article-preview/a-comparative-study-of-the-effectiveness-of-serum-/50843
|
work_keys_str_mv | AT tugrulatay acomparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT kamilsahin acomparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT muratelevli acomparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT alaustyol acomparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT demetoguz acomparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT emelataoglu acomparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT haticenilgunduru acomparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT tugrulatay comparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT kamilsahin comparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT muratelevli comparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT alaustyol comparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT demetoguz comparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT emelataoglu comparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis AT haticenilgunduru comparativestudyoftheeffectivenessofserumcreactiveproteinandserumpentraxin3levelsinthediagnosisandfollowupofneonatalsepsis |