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205548

Urinary Protein Biomarkers and Renal Angina Index for Detection of Renal Dysfunction in Sick Full-Term Neonates

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Neonatal Genitourinary
Neonatal Infections

Abstract

Background: By the help of urinary proteins, the mechanism of kidney damage can be understood and diagnosis of renal dysfunction in sick neonates can be reached. Objective: Usage of specific urinary proteins to assess renal function in ill full term infants with different early disorders. Methods: One hundred full term infants were included in this cross sectional study. They were grouped by Neonatal Therapeutic Intervention Scoring System (NTISS) into 40 healthy infants, 30 infants manifested by clinical signs of moderate disorders of early neonatal period, 19 infants manifested by severe disorders without acute kidney injury (AKI), and 11 infants manifested by severe disorders and AKI. Renal angina index was estimated, albumin/creatinine ratio and the urinary β2-microglobulin (Uβ2-MG) were evaluated. Results: Means (± SD) of urinary β2-microglobulin (Uβ2-MG) values, albumin/creatinine ratio (ACR) and renal angina index were significantly higher in severely sick infants with AKI group IIIB (p-value 8961 ug/L exhibited a sensitivity of 100%, specificity 93.88%, ACR level >144.2 mg/g displayed a sensitivity of 81.82% and specificity of 93.88% and RAI >9 demonstrated a sensitivity of 81.82% and specificity of 87.76%. Conclusions: Cut off value >9 for  RAI can predict the development of AKI in full term infants that is accompanied with complex disorders affecting all structural elements of the nephron, assessed by increased concentrations of urinary protein markers of glomerular (albumin/creatinine ratio) and tubular (β2-microglobulin) malfunction.

DOI

10.21608/anj.2021.49236.1039

Keywords

full-term, renal malfunction, Acute kidney injury, proteins, renal angina index

Authors

First Name

Balsam

Last Name

Fahmy

MiddleName

S.

Affiliation

Clinical and Chemical Pathology, Kasr Alainy, Faculty of Medicine, Cairo University, Cairo, Egypt.

Email

balsamsherif338@yahoo.com

City

Cairo

Orcid

-

First Name

Manal

Last Name

Abdelmgeed

MiddleName

E.

Affiliation

Pediatric Nephrology, Kasr Alainy, Faculty of medicine, Children`s Hospital, Cairo University, Cairo, Egypt.

Email

manalelsayed@gmail.com

City

Cairo

Orcid

-

First Name

Rasha

Last Name

Galal

MiddleName

E.

Affiliation

Pediatric Nephrology, Kasr Alainy, Faculty of medicine, Children`s Hospital, Cairo University, Cairo, Egypt.

Email

raschaessam@yahoo.com

City

Cairo

Orcid

-

First Name

Ahmed

Last Name

Galal

MiddleName

M.

Affiliation

Neonatology, Al-Galaa teaching hospital, Egypt

Email

galal1632@gmail.com

City

Cairo

Orcid

-

Volume

4

Article Issue

1

Related Issue

30119

Issue Date

2022-01-01

Receive Date

2021-10-18

Publish Date

2022-01-01

Page Start

106

Page End

123

Online ISSN

2636-3569

Link

https://anj.journals.ekb.eg/article_205548.html

Detail API

https://anj.journals.ekb.eg/service?article_code=205548

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