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...

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Main Authors: Tugrul Atay, Kamil Sahin, Murat Elevli, Ala Ustyol, Demet Oguz, Emel Ataoglu, Hatice Nilgun Duru
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
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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.
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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
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