37941

Assessment of Calprotectin as a Serodiagnostic Marker for Neonatal Sepsis

Article

Last updated: 01 Jan 2025

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Abstract

Background:  Despite recent advances in neonatal care, sepsis remains a worldwide leading cause of morbidity, mortality and prolonged hospital stay in NICUs, so that the accurate and early diagnosis of neonatal sepsis is a relevant problem. Calprotectin is an antimicrobial, calcium and zinc binding heterocomplex protein that could be used as a nonspecific marker for activation of granulocytes and mononuclear phagocytes. Therefore, calprotectin has been proposed for the diagnosis of inflammatory conditions. Objective: This study aimed to evaluate the diagnostic value of serum Calprotectin in newborns with suspected sepsis.    Methods: This case control study comprised 40 neonates, 20 neonates with suspected clinical sepsis and other 20 healthy neonates with no clinical signs of sepsis as a control group. Serum level of calprotectin was measured for all neonates recruited in this study, by a commercial ELISA assay     Results: Among the cases group, a total of 15 neonates (75%) had positive blood culture. Serum calprotectin levels were significantly higher in septic group than non- septic and control groups as mean Serum Calprotectin was 2.5±0.95  μg/ml, 1.58±0.25 μg/ml and 1.01±0.29 μg/ml, respectively.     Significant positive correlations were found between calprotectin levels and WBCs and IM ratio, while negative correlations were found between its level and lymphocytes and platelets. In our study, Calprotectin sensitivity and specificity values were 92% and 93.3%, respectively. Conclusion: Serum calprotectin levels were significantly higher in neonates with sepsis. Its levels correlated well with other laboratory markers of sepsis and neonatal mortality. It is a sensitive diagnostic marker for neonatal sepsis.

DOI

10.21608/zumj.2019.10031.10980

Keywords

Neonatal sepsis, Diagnosis, serum calprotectin

Authors

First Name

Tarek

Last Name

Attia

MiddleName

Hamed

Affiliation

-

Email

tareqhamed@live.com

City

-

Orcid

-

First Name

Hatem

Last Name

Hussien

MiddleName

Mohammed

Affiliation

-

Email

hatemhussien@yahoo.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Asaad

MiddleName

Morad

Affiliation

-

Email

ahmedmoradasaad@hotmail.com

City

-

Orcid

0000-0002-1422-1117

First Name

Ziad

Last Name

Esmat

MiddleName

Ahmed

Affiliation

-

Email

ziadghost@hotmail.com

City

-

Orcid

0000-0003-3252-7475

Volume

25

Article Issue

4

Related Issue

6063

Issue Date

2019-07-01

Receive Date

2019-06-29

Publish Date

2019-07-01

Page Start

577

Page End

586

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_37941.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=37941

Order

11

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Assessment of Calprotectin as a Serodiagnostic Marker for Neonatal Sepsis

Details

Type

Article

Created At

22 Jan 2023