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142467

The Role of Interleukin-6 in Predicting the Development of Meconium Aspiration Syndrome in Infants Born with Meconium-Stained Amniotic Fluid; A Retrospective Analytical Study

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Matern. fet. med.
Neonatal Infections
Neonatal Respiratory

Abstract

Background: Since it is not always possible clinically and radiographically to predict the development of meconium aspiration syndrome (MAS) in infants born with meconium-stained amniotic fluid, there is a need for biomarkers that may predict the development of MAS in these infants. Methods: The study was planned in Ankara Zekai Tahir Burak Gynecology Hospital. Among term infants (>37 gestational weeks) born from mothers who had Meconium-Stained Amniotic Fluid (MSAF), the files of 60 patients who met the criteria for inclusion were retrospectively reviewed between January 2014 and May 2014. Results: There was no statistically significant difference between the characteristic features of infants who developed and did not develop MAS. Of the acute phase reactants, CRP, leukocyte count, platelet count, and thetotal neutrophil count did not show a statistically significant difference in both groups. We found that IL-6 was significantly higher in infants who developed MAS. The cut-off value for IL-6 was 51 with 62% sensitivity and 96% specificity. Morbidities such as pneumothorax and persistent pulmonary hypertension were observed more frequently in newborns who developed MAS and required longer mechanical ventilation, surfactant therapy, nasal CPAP support, inotropic support, and free oxygen therapy. Conclusions: We found that interleukin 6 is a good marker in predicting the development of meconium aspiration syndrome. We believe that this biomarker can be very useful when assessed with clinical and radiographic findings.

DOI

10.21608/anj.2021.57430.1020

Keywords

Newborn, meconium aspiration, meconium-stained, amniotic fluid, Interleukin-6

Authors

First Name

Sadrettin

Last Name

Ekmen

MiddleName

-

Affiliation

Department of Pediatrics, Neonatology Division, Karabuk University Faculty of Medicine, Karabuk, Turkey

Email

sadrettinekmen@hotmail.com

City

-

Orcid

-

First Name

Turan

Last Name

Derme

MiddleName

-

Affiliation

Health Sciences University Ankara City Hospital, Neonatal Intensive Care Clinic, Ankara, Turkey

Email

drturanderme@gmail.com

City

-

Orcid

-

First Name

Halil

Last Name

Değirmencioğlu

MiddleName

-

Affiliation

Department of Pediatrics, Neonatology Division, Niğde Ömer Halisdemlr University Faculty of Medicine, Niğde, Turkey

Email

hdegirmencioglu@gmail.com

City

-

Orcid

-

First Name

Fuat

Last Name

Canpolat

MiddleName

Emre

Affiliation

Health Sciences University Ankara City Hospital, Neonatal Intensive Care Clinic, Ankara, Turkey

Email

femrecan@gmail.com

City

-

Orcid

-

First Name

Nurdan

Last Name

Uraş

MiddleName

-

Affiliation

Department of Pediatrics, Neonatology Division, İstinye University Faculty of Medicine, İstanbul, Turkey

Email

nurdanuras@yahoo.com

City

-

Orcid

-

Volume

3

Article Issue

1

Related Issue

21096

Issue Date

2021-01-01

Receive Date

2020-12-10

Publish Date

2021-01-25

Page Start

107

Page End

124

Online ISSN

2636-3569

Link

https://anj.journals.ekb.eg/article_142467.html

Detail API

https://anj.journals.ekb.eg/service?article_code=142467

Order

7

Type

Original Article

Type Code

959

Publication Type

Journal

Publication Title

Annals of Neonatology Journal

Publication Link

https://anj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023