Laboratory aid to the diagnosis and therapy of infection in the neonate

Despite the advances in perinatal and neonatal care and use of newer potent antibiotics, the incidence of neonatal sepsis remains high and the outcome is still severe. For years, investigators have sought a test or panel of tests able to identify septic neonates accurately and rapidly in order to o...

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Main Authors: Gaetano Chirico, Cristina Loda
Format: Article
Language:English
Published: MDPI AG 2011-03-01
Series:Pediatric Reports
Online Access:http://www.pagepress.org/journals/index.php/pr/article/view/2198
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author Gaetano Chirico
Cristina Loda
author_facet Gaetano Chirico
Cristina Loda
author_sort Gaetano Chirico
collection DOAJ
description Despite the advances in perinatal and neonatal care and use of newer potent antibiotics, the incidence of neonatal sepsis remains high and the outcome is still severe. For years, investigators have sought a test or panel of tests able to identify septic neonates accurately and rapidly in order to obtain an early diagnosis and develop a specific effective treatment for a successful outcome. In addition to the standard procedures (blood, CSF, and urine cultures), such panels have included a combination of haematological investigations (total, differential and immature cell counts), and levels of acute-phase reactants (principally CRP and procalcitonin), and cytokines (such as IL-6 or neutrophil CD64). Furthermore, the science of proteomics and genomics has been applied to the search for biomarkers, production of protein profiles and genetic polymorphisms that can rapidly help the prediction, early diagnosis, and treatment of human diseases, but, for now, data are as yet insufficient to confirm their validity.
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spelling doaj.art-e24bafb886bd440aa9ba15b038e8d99d2022-12-21T19:46:38ZengMDPI AGPediatric Reports2036-749X2036-75032011-03-0131e1e110.4081/pr.2011.e11410Laboratory aid to the diagnosis and therapy of infection in the neonateGaetano ChiricoCristina LodaDespite the advances in perinatal and neonatal care and use of newer potent antibiotics, the incidence of neonatal sepsis remains high and the outcome is still severe. For years, investigators have sought a test or panel of tests able to identify septic neonates accurately and rapidly in order to obtain an early diagnosis and develop a specific effective treatment for a successful outcome. In addition to the standard procedures (blood, CSF, and urine cultures), such panels have included a combination of haematological investigations (total, differential and immature cell counts), and levels of acute-phase reactants (principally CRP and procalcitonin), and cytokines (such as IL-6 or neutrophil CD64). Furthermore, the science of proteomics and genomics has been applied to the search for biomarkers, production of protein profiles and genetic polymorphisms that can rapidly help the prediction, early diagnosis, and treatment of human diseases, but, for now, data are as yet insufficient to confirm their validity.http://www.pagepress.org/journals/index.php/pr/article/view/2198
spellingShingle Gaetano Chirico
Cristina Loda
Laboratory aid to the diagnosis and therapy of infection in the neonate
Pediatric Reports
title Laboratory aid to the diagnosis and therapy of infection in the neonate
title_full Laboratory aid to the diagnosis and therapy of infection in the neonate
title_fullStr Laboratory aid to the diagnosis and therapy of infection in the neonate
title_full_unstemmed Laboratory aid to the diagnosis and therapy of infection in the neonate
title_short Laboratory aid to the diagnosis and therapy of infection in the neonate
title_sort laboratory aid to the diagnosis and therapy of infection in the neonate
url http://www.pagepress.org/journals/index.php/pr/article/view/2198
work_keys_str_mv AT gaetanochirico laboratoryaidtothediagnosisandtherapyofinfectionintheneonate
AT cristinaloda laboratoryaidtothediagnosisandtherapyofinfectionintheneonate