Diagnostic and prognostic value of proadrenomedullin in neonatal sepsis

Korean journal of pediatrics
Sameh Samir FahmeyHeba Hussain

Abstract

Sepsis is a major cause of neonatal morbidity and mortality. Early diagnosis is a major problem because of the lack of specific clinical signs. Therefore, a reliable diagnostic marker is needed to guide the use of antimicrobial agents. The objective of our study was to assess the value of proadrenomedullin (pro-ADM) in establishing the diagnosis and evaluating the prognosis of neonatal sepsis. This study enrolled 60 newborn infants with sepsis proven with positive blood cultures and 30 healthy neonates. Complete blood count, C-reactive protein levels, and pro-ADM levels were obtained from all neonates. The pro-ADM levels were significantly higher (14.39±0.75 nmol/L) in the sepsis group than in the control group (3.12±0.23 nmol/L). The optimal cutoff value for pro-ADM was 4.3 nmol/L, with a sensitivity of 93.3% and a specificity of 86.7%. The pro-ADM levels were also higher in nonsurvivors (P=0.001). Pro-ADM can be used as a reliable biomarker for neonatal sepsis. High pro-ADM levels were associated with mortality and could be an early indicator of disease outcome.

References

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Citations

Aug 4, 2021·European Journal of Pediatrics·Gerasimos Panagiotis Milas, Vasileios Issaris
Nov 4, 2021·Pediatric Research·Istemi Han Celik Mohan Pammi

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Methods Mentioned

BETA
plasma collection
ELISA

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