Diagnostic Utility of Endocan and Interleukins for Late-Onset Neonatal Sepsis
The aim of this study was to determine the potential of early inflammatory markers to diagnose late-onset neonatal sepsis – interleukin 6 (IL-6), interleukin 8 (IL-8) and endocan (ESM-1), and to compare them with routinely used markers like C-reactive protein (CRP) and procalcitonin (PCT). A prospec...
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Language: | English |
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Medical University - Pleven
2023-12-01
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Series: | Journal of Biomedical & Clinical Research |
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Online Access: | https://jbcr.arphahub.com/article/34682/download/pdf/ |
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author | Preslava Gatseva Alexander Blazhev Zarko Yordanov Victoria Atanasova |
author_facet | Preslava Gatseva Alexander Blazhev Zarko Yordanov Victoria Atanasova |
author_sort | Preslava Gatseva |
collection | DOAJ |
description | The aim of this study was to determine the potential of early inflammatory markers to diagnose late-onset neonatal sepsis – interleukin 6 (IL-6), interleukin 8 (IL-8) and endocan (ESM-1), and to compare them with routinely used markers like C-reactive protein (CRP) and procalcitonin (PCT). A prospective (January, 2022 – January, 2023) clinical-epidemiological study was conducted in a third level NICU in Pleven, Bulgaria. Patients with suspected nosocomial infection and healthy controls were tested. A sandwich ELISA method was used to measure the serum concentrations. Sixty newborns with an average gestational age of 29.75±3.61 gestational weeks were included, of which 35% were symptomatic and infected, 33.3% were symptomatic but uninfected, and 31.7% were asymptomatic controls. The mean values of PCT and IL-6 differ significantly in the three groups. For ESM-1, IL-8 and CRP, the difference was statistically insignificant. The best sensitivity (78%) and negative predictive value (84%) was found for IL-6. The introduction into routine practice of indicators such as PCT and IL-6 may provide an opportunity to promptly optimize the diagnostic and therapeutic approach to LOS. |
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institution | Matheson Library |
issn | 1313-9053 |
language | English |
publishDate | 2023-12-01 |
publisher | Medical University - Pleven |
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series | Journal of Biomedical & Clinical Research |
spelling | doaj-art-f1dfac5edb9b48e2ab2a7c24e1cf57f42025-07-25T07:34:06ZengMedical University - PlevenJournal of Biomedical & Clinical Research1313-90532023-12-0116212413010.2478/jbcr-2023-001634682Diagnostic Utility of Endocan and Interleukins for Late-Onset Neonatal SepsisPreslava GatsevaAlexander BlazhevZarko YordanovVictoria AtanasovaThe aim of this study was to determine the potential of early inflammatory markers to diagnose late-onset neonatal sepsis – interleukin 6 (IL-6), interleukin 8 (IL-8) and endocan (ESM-1), and to compare them with routinely used markers like C-reactive protein (CRP) and procalcitonin (PCT). A prospective (January, 2022 – January, 2023) clinical-epidemiological study was conducted in a third level NICU in Pleven, Bulgaria. Patients with suspected nosocomial infection and healthy controls were tested. A sandwich ELISA method was used to measure the serum concentrations. Sixty newborns with an average gestational age of 29.75±3.61 gestational weeks were included, of which 35% were symptomatic and infected, 33.3% were symptomatic but uninfected, and 31.7% were asymptomatic controls. The mean values of PCT and IL-6 differ significantly in the three groups. For ESM-1, IL-8 and CRP, the difference was statistically insignificant. The best sensitivity (78%) and negative predictive value (84%) was found for IL-6. The introduction into routine practice of indicators such as PCT and IL-6 may provide an opportunity to promptly optimize the diagnostic and therapeutic approach to LOS.https://jbcr.arphahub.com/article/34682/download/pdf/neonateslate-onset sepsisinflammatory markers |
spellingShingle | Preslava Gatseva Alexander Blazhev Zarko Yordanov Victoria Atanasova Diagnostic Utility of Endocan and Interleukins for Late-Onset Neonatal Sepsis Journal of Biomedical & Clinical Research neonates late-onset sepsis inflammatory markers |
title | Diagnostic Utility of Endocan and Interleukins for Late-Onset Neonatal Sepsis |
title_full | Diagnostic Utility of Endocan and Interleukins for Late-Onset Neonatal Sepsis |
title_fullStr | Diagnostic Utility of Endocan and Interleukins for Late-Onset Neonatal Sepsis |
title_full_unstemmed | Diagnostic Utility of Endocan and Interleukins for Late-Onset Neonatal Sepsis |
title_short | Diagnostic Utility of Endocan and Interleukins for Late-Onset Neonatal Sepsis |
title_sort | diagnostic utility of endocan and interleukins for late onset neonatal sepsis |
topic | neonates late-onset sepsis inflammatory markers |
url | https://jbcr.arphahub.com/article/34682/download/pdf/ |
work_keys_str_mv | AT preslavagatseva diagnosticutilityofendocanandinterleukinsforlateonsetneonatalsepsis AT alexanderblazhev diagnosticutilityofendocanandinterleukinsforlateonsetneonatalsepsis AT zarkoyordanov diagnosticutilityofendocanandinterleukinsforlateonsetneonatalsepsis AT victoriaatanasova diagnosticutilityofendocanandinterleukinsforlateonsetneonatalsepsis |