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282302

Thiobarbituric Acid Reactive Substance Cord Blood as a Diagnostic Marker of Early-onset Neonatal Sepsis in Preterm Neonates

Article

Last updated: 28 Dec 2024

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Abstract

Background: Neonatal sepsis (NS) promotes unbalanced production of oxidant and anti-oxidant substances, causing excess of free oxygen radicals which may lead to tissue damage. NS carries high risk of morbidity and mortality, thus identification of biomarker to optimize early diagnosis and therapeutic interventions is highly desirable. Objectives: to detect cord blood thiobarbituric acid reactive substance (TBARS) in preterm neonates with maternal risk factor for sepsis as predictors of early onset neonatal sepsis (EOS). Methodology: cord TBARS was measured in 80 preterm neonates with antenatal risk factors for EOS, and classified into two groups: sepsis (n=25) and no-sepsis (n=55). Results: TBARS was significantly higher in sepsis than no-sepsis groups 10.50 (6.5 – 20.5) vs 3.00 (2.2 - 3.8) nmol/ml, (p=0.000). TBARS was significantly higher in culture proven sepsis than negative culture patients. TBARS was significantly higher in died neonates than survivors. Conclusion: cord TBARS in preterm neonates with maternal risk factor for sepsis can be used as diagnostic and prognostic biomarker for EOS.

DOI

10.21608/ejmm.2019.282302

Keywords

Oxidative Stress, Preterm, Neonatal sepsis, tbars

Authors

First Name

Rania

Last Name

Ismail

MiddleName

I.H.

Affiliation

Pediatrics Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Hebatallah

Last Name

Shaaban

MiddleName

A.

Affiliation

Background: Neonatal sepsis (NS) promotes unbalanced production of oxidant and anti-oxidant substances, causing excess of free oxygen radicals which may lead to tissue damage. NS carries high risk of morbidity and mortality, thus identification of biomarker to optimize early diagnosis and therapeutic interventions is highly desirable. Objectives: to detect cord blood thiobarbituric acid reactive substance (TBARS) in preterm neonates with maternal risk factor for sepsis as predictors of early onset neonatal sepsis (EOS). Methodology: cord TBARS was measured in 80 preterm neonates with antenatal risk factors for EOS, and classified into two groups: sepsis (n=25) and no-sepsis (n=55). Results: TBARS was significantly higher in sepsis than no-sepsis groups 10.50 (6.5 – 20.5) vs 3.00 (2.2 - 3.8) nmol/ml, (p=0.000). TBARS was significantly higher in culture proven sepsis than negative culture patients. TBARS was significantly higher in died neonates than survivors. Conclusion: cord TBARS in preterm neonates with maternal risk factor for sepsis can be used as diagnostic and prognostic biomarker for EOS.

Email

heba_ali@med.asu.edu.eg

City

-

Orcid

-

First Name

Menat Allah

Last Name

Shaaban

MiddleName

A.

Affiliation

Clinical pathology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Emam

MiddleName

M.

Affiliation

Armed forces Hospital, Alexandria, Egypt

Email

-

City

-

Orcid

-

Volume

28

Article Issue

1

Related Issue

39190

Issue Date

2019-01-01

Receive Date

2023-01-25

Publish Date

2019-01-01

Page Start

1

Page End

7

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_282302.html

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https://ejmm.journals.ekb.eg/service?article_code=282302

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1

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Thiobarbituric Acid Reactive Substance Cord Blood as a Diagnostic Marker of Early-onset Neonatal Sepsis in Preterm Neonates

Details

Type

Article

Created At

28 Dec 2024