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223813

Comparison between C-Reactive Protein And Interleukin 27 In Early Onset Neonatal Sepsis

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Last updated: 28 Dec 2024

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Abstract

Background: In spite of advancements in newborn care and maternal antibiotic prophylaxis for GBS, early-life sepsis caused by bacterial, viral, or fungal infections is still linked with significant mortality and long-term morbidity. In the first 72 hours of life, early onset neonatal sepsis (EOS) is a considerable source of disease and death. The C-reactive protein (CRP) test seems to be useful in baby septicemia. IL-27 is a heterodimeric cytokine generated by antigen-presenting cells in response to microbial products and inflammatory stimuli. It's said to have originated from the thymus. The purpose of this research was to assess the accuracy of interleukin 27 and C- reactive protein as early indicators for newborn sepsis diagnosis.. Methods: The research was done in neonatal intensive care unit (NICU), and was carried out on 100 newborns split into: Group I (cases): comprised 50 neonates with early onset neonatal sepsis admitted to NICU. Group II (control): contained 50 apparently healthy infants. All topics featured were submitted: Complete blood count (CBC) (CBC). C-reactive protein (CRP), Quantitative CRP and Interleukin 27. Results: The TLC of patients and controls did not change considerably. Median CRP was larger in cases (17) than controls (3), P=0.001. IL-27 levels were increased considerably in patients (773), compared to controls (129), P=0.001. . IL-27 exhibited a significant AUC of 0.856 (P-value <0.001) with a 95 percent confidence interval ranging from 0.783 to 0.929, demonstrating a good ability of diagnosis. The best cut-off point was > 195, with 90 percent sensitivity, specificity, PPV, and NPV. Conclusion: Interleukin 27 is a stronger early indication for neonatal sepsis than c- reactive protein .

DOI

10.21608/bjas.2022.223813

Keywords

Interleukin 27- C - reactive protein, Early onset neonatal sepsis, Biomarker Diagnosis

Authors

First Name

T.M.

Last Name

AKhattab

MiddleName

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Affiliation

Pediatrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

S.R

Last Name

.Abdel Maksoud

MiddleName

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Affiliation

Pediatrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

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First Name

H.I.

Last Name

Abdallah

MiddleName

-

Affiliation

Pediatrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

R.A.

Last Name

Khashaba

MiddleName

-

Affiliation

Clinical and Chemical Pathology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

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Volume

7

Article Issue

2

Related Issue

31999

Issue Date

2022-02-01

Receive Date

2022-02-09

Publish Date

2022-02-01

Page Start

43

Page End

48

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_223813.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=223813

Order

5

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Comparison between C-Reactive Protein And Interleukin 27 In Early Onset Neonatal Sepsis

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Article

Created At

23 Jan 2023