Relationship between maternal and/or newborn cholesterol levels and neonatal septicemia: protocol for a Ugandan cohort of mother-newborn pairs

Abstract Background Many aspects of microbial dissemination appear to vary with host cholesterol levels. Since neonatal septicemia remains a leading cause of newborn admissions and mortality in resource-limited settings, the contribution of abnormal cholesterol levels in maternal and/or newborn bloo...

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Main Authors: Kenneth Ssebambulidde, Anthony Kayiira, Ivan Segawa, Sylvia Namanda, Victoria Nakibuuka, Victor Musiime, Theresa H. Ward
Format: Article
Language:English
Published: BMC 2022-07-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-022-03494-w
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author Kenneth Ssebambulidde
Anthony Kayiira
Ivan Segawa
Sylvia Namanda
Victoria Nakibuuka
Victor Musiime
Theresa H. Ward
author_facet Kenneth Ssebambulidde
Anthony Kayiira
Ivan Segawa
Sylvia Namanda
Victoria Nakibuuka
Victor Musiime
Theresa H. Ward
author_sort Kenneth Ssebambulidde
collection DOAJ
description Abstract Background Many aspects of microbial dissemination appear to vary with host cholesterol levels. Since neonatal septicemia remains a leading cause of newborn admissions and mortality in resource-limited settings, the contribution of abnormal cholesterol levels in maternal and/or newborn blood to the risk of neonatal septicemia and outcome requires elucidation. We aim to determine a relationship between maternal serum and neonatal cord blood cholesterol levels and neonatal septicemia. Methods This will be a mother-newborn pair cohort study. Approximately 353 pregnant women who are eligible and consent to participate in the study will have blood drawn for a lipid profile. Upon delivery, we will analyse the cord blood cholesterol of their newborns and follow them for 28 days to determine whether the infants develop clinical signs and symptoms suggestive of neonatal septicemia. Relative risk will be used to determine the association between cholesterol and newborn septicemia. Poisson regression will be used to estimate the relative risk (with 95% confidence intervals) of developing septicemia. Discussion Findings from our study will contribute evidence to support the inclusion of lipid profile screening for pregnant women and newborns. Our study will determine whether newborns with abnormal cholesterol or those born to mothers with abnormal cholesterol will require rigorous follow-up in neonatal clinics.
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spelling doaj.art-eff8db37579a4c2cb4a4cc2bf284b4b92022-12-22T01:30:21ZengBMCBMC Pediatrics1471-24312022-07-012211610.1186/s12887-022-03494-wRelationship between maternal and/or newborn cholesterol levels and neonatal septicemia: protocol for a Ugandan cohort of mother-newborn pairsKenneth Ssebambulidde0Anthony Kayiira1Ivan Segawa2Sylvia Namanda3Victoria Nakibuuka4Victor Musiime5Theresa H. Ward6Research Department, Infectious Diseases Institute, Makerere UniversityDepartment of Obstetrics and Gynecology, St Francis Hospital NsambyaCollege of Health Sciences, Makerere UniversityResearch Department, Infectious Diseases Institute, Makerere UniversityDepartment of Pediatrics, St Francis Hospital NsambyaDepartment of Pediatrics, College of Health Sciences, Makerere UniversityDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical MedicineAbstract Background Many aspects of microbial dissemination appear to vary with host cholesterol levels. Since neonatal septicemia remains a leading cause of newborn admissions and mortality in resource-limited settings, the contribution of abnormal cholesterol levels in maternal and/or newborn blood to the risk of neonatal septicemia and outcome requires elucidation. We aim to determine a relationship between maternal serum and neonatal cord blood cholesterol levels and neonatal septicemia. Methods This will be a mother-newborn pair cohort study. Approximately 353 pregnant women who are eligible and consent to participate in the study will have blood drawn for a lipid profile. Upon delivery, we will analyse the cord blood cholesterol of their newborns and follow them for 28 days to determine whether the infants develop clinical signs and symptoms suggestive of neonatal septicemia. Relative risk will be used to determine the association between cholesterol and newborn septicemia. Poisson regression will be used to estimate the relative risk (with 95% confidence intervals) of developing septicemia. Discussion Findings from our study will contribute evidence to support the inclusion of lipid profile screening for pregnant women and newborns. Our study will determine whether newborns with abnormal cholesterol or those born to mothers with abnormal cholesterol will require rigorous follow-up in neonatal clinics.https://doi.org/10.1186/s12887-022-03494-wNeonatal SepticemiaCholesterolMaternal CholesterolNewbornCord blood
spellingShingle Kenneth Ssebambulidde
Anthony Kayiira
Ivan Segawa
Sylvia Namanda
Victoria Nakibuuka
Victor Musiime
Theresa H. Ward
Relationship between maternal and/or newborn cholesterol levels and neonatal septicemia: protocol for a Ugandan cohort of mother-newborn pairs
BMC Pediatrics
Neonatal Septicemia
Cholesterol
Maternal Cholesterol
Newborn
Cord blood
title Relationship between maternal and/or newborn cholesterol levels and neonatal septicemia: protocol for a Ugandan cohort of mother-newborn pairs
title_full Relationship between maternal and/or newborn cholesterol levels and neonatal septicemia: protocol for a Ugandan cohort of mother-newborn pairs
title_fullStr Relationship between maternal and/or newborn cholesterol levels and neonatal septicemia: protocol for a Ugandan cohort of mother-newborn pairs
title_full_unstemmed Relationship between maternal and/or newborn cholesterol levels and neonatal septicemia: protocol for a Ugandan cohort of mother-newborn pairs
title_short Relationship between maternal and/or newborn cholesterol levels and neonatal septicemia: protocol for a Ugandan cohort of mother-newborn pairs
title_sort relationship between maternal and or newborn cholesterol levels and neonatal septicemia protocol for a ugandan cohort of mother newborn pairs
topic Neonatal Septicemia
Cholesterol
Maternal Cholesterol
Newborn
Cord blood
url https://doi.org/10.1186/s12887-022-03494-w
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