Slŭncheva B, Vakrilova L, Emilova Z, Iarŭkova N, Shishkova R, Popivanova A
Akush Ginekol (Sofiia). 2006;45(4):42-8.
Considering the high mortality and serios morbilidy associatent with neonatal infections. A competent diagnostic marker also needs to have reasonably high specificity. Good evidence exists to support the use of CRP measurements in conjunction with other established diagnostic tests (such as a white blood cell (WBC) count with differential and blood culture) to establish or exclude the diagnosis of sepsis in full-term or near-term infants. Sepsis was suspected within the first 3 days after birth in. There were 20% early-onset and 53% late-onset episodes of proven sepsis. CRP had sensitivities of 39.4% and 64.6% for proven or probable sepsis and 35.0% and 61.5% for proven sepsis in early-onset and late-onset episodes, respectively. To compare the clinical informative value of and C-reactive protein (CRP) plasma concentrations in the detection of infection and sepsis and in the assessment of severity of sepsis. PCT is a better marker of sepsis than CRP. The course of PCT shows a closer correlation than that of CRP with the severity of infection and organ dysfunction. Diagnostic markers are useful indicators of neonatal bacterial infections C-reactive protein (CRP), procalcitonin (PCT) Intralevcin 6, 8 are early sensitive markers of infection.
考虑到新生儿感染相关的高死亡率和严重发病率。一种有效的诊断标志物还需要具有相当高的特异性。有充分证据支持将CRP检测与其他既定诊断测试(如白细胞(WBC)计数及分类和血培养)结合使用,以确定或排除足月儿或近足月儿败血症的诊断。出生后前3天内怀疑有败血症。确诊败血症的早发型和晚发型发作分别占20%和53%。CRP对确诊或疑似败血症的早发型发作和晚发型发作的敏感性分别为39.4%和64.6%,对确诊败血症的敏感性分别为35.0%和61.5%。为比较C反应蛋白(CRP)血浆浓度在检测感染和败血症以及评估败血症严重程度方面的临床信息价值。降钙素原(PCT)是比CRP更好的败血症标志物。PCT的病程与感染严重程度和器官功能障碍的相关性比CRP更密切。诊断标志物是新生儿细菌感染的有用指标,C反应蛋白(CRP)、降钙素原(PCT)、白细胞介素6、8是感染的早期敏感标志物。