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NEUTROPHIL GELATINASE-ASSOCIATED LIPOCALIN LEVEL IN THE BLOOD AS A PREDICTOR OF EARLY AND LATE ONSET NEONATAL SEPSIS

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Last updated: 04 Jan 2025

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Abstract

Objective: The aim of this study is to assess the blood neutrophil gelatinase-associated lipocalin (NGAL) level in septic newborns and its role as early biomarker in neonatal sepsis. Subject and Methods:The study group consisted of forty neonates was diagnosed as neonatal sepsis and the control group included twenty newborns. Inclusion criteria were formerly sought in our subjects who were diagnosed using the clinical signs and laboratory findings of sepsis. The results of white blood cell and platelet counts, immature/total neutrophil ratio, CRP and NGAL values were evaluated in both groups. Enzyme linked zorbant immunoassay methods were used to determine the NGAL levels. Results: The mean NGAL level was found to be 174.42 ± 56.54, 249.44 ± 88.69, 56.04 ± 7.10 ng/ml in patients with early onset, late onset neonatal sepsis and   in healthy subjects respectively (p<0.001). When the NGAL levels were compared between both groups, the specificity was 95%, sensitivity was  95%, negative estimation value was 86.4% and positive estimation value was 97.4%.and cut off level 88 ng/ml. Conclusion: these findings indicate that  NGAL level is a good early indicator for the  diagnosis of nenatal sepsis.

DOI

10.21608/azjp.2015.101775

Keywords

early diagnosis, NGAL, Sepsis

Authors

First Name

Manal

Last Name

Mohamed Zahe

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Orcid

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First Name

Soma

Last Name

Abd Allah Mohamed

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First Name

Nagwa

Last Name

Abdel Ghaffar Mohamed

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First Name

Ali

Last Name

Abdelaziz Ali

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First Name

Raghda

Last Name

Hussien Abd Allah

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Volume

18

Article Issue

2

Related Issue

15402

Issue Date

2015-06-01

Receive Date

2020-07-08

Publish Date

2015-06-01

Page Start

1,521

Page End

1,540

Print ISSN

1110-7774

Online ISSN

3009-7770

Link

https://azjp.journals.ekb.eg/article_101775.html

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https://azjp.journals.ekb.eg/service?article_code=101775

Order

20

Type

Original Article

Type Code

1,135

Publication Type

Journal

Publication Title

Al-Azhar Journal of Pediatrics

Publication Link

https://azjp.journals.ekb.eg/

MainTitle

NEUTROPHIL GELATINASE-ASSOCIATED LIPOCALIN LEVEL IN THE BLOOD AS A PREDICTOR OF EARLY AND LATE ONSET NEONATAL SEPSIS

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Article

Created At

22 Jan 2023