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降钙素原在新生儿科的可靠性。59例早产儿的经验。

Reliability of procalcitonin in neonatology. Experience in 59 preterm newborns.

作者信息

Spada Serena, Cuccu Antonella, Mussap Michele, Testa Marcella, Puddu Melania, Pisu Cinzia, Burrai Pietrina, Fanos Vassilios

机构信息

Neonatal Pathology and Intensive Therapy, University of Cagliari, Italy.

出版信息

J Matern Fetal Neonatal Med. 2009;22 Suppl 3:96-101. doi: 10.1080/14767050903195450.

DOI:10.1080/14767050903195450
PMID:19925368
Abstract

Procalcitonin (PCT) has been proposed as an interesting marker in the diagnosis, prognosis, and response to treatment of patient with neonatal sepsis. Fifty-nine neonates (34 males and 25 females) with a mean gestational age of approximately 31 weeks and a mean weight of about 1750 g admitted in the Neonatal Intensive Care Unit of Cagliari (Italy) were evaluated in controls and in infected neonates, before and after 48 h of life. From our experience it emerges that PCT is a marker of early and late neonatal sepsis which is reliable in preterm neonates. A cut-off of 0.5 ng/ml starting from the third day of life appears to be capable of ensuring good test sensitivity and specificity.

摘要

降钙素原(PCT)已被提议作为诊断、预测及治疗新生儿败血症患者的一项重要指标。对入住意大利卡利亚里新生儿重症监护病房的59例新生儿(34例男性,25例女性)进行了评估,这些新生儿平均胎龄约31周,平均体重约1750克,分别在出生后48小时内及之后作为对照组和感染组进行观察。根据我们的经验,PCT是新生儿早发性和晚发性败血症的可靠指标,对早产儿同样适用。从出生第三天起,以0.5 ng/ml作为临界值似乎能够确保良好的检测灵敏度和特异性。

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1
Reliability of procalcitonin in neonatology. Experience in 59 preterm newborns.降钙素原在新生儿科的可靠性。59例早产儿的经验。
J Matern Fetal Neonatal Med. 2009;22 Suppl 3:96-101. doi: 10.1080/14767050903195450.
2
Reliability of serum procalcitonin concentrations for the diagnosis of sepsis in neonates.血清降钙素原浓度在新生儿脓毒症诊断中的可靠性
Egypt J Immunol. 2008;15(1):75-84.
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Procalcitonin is not sufficiently reliable to be the sole marker of neonatal sepsis of nosocomial origin.降钙素原作为医院获得性新生儿败血症的唯一标志物,其可靠性不足。
BMC Pediatr. 2006 May 18;6:16. doi: 10.1186/1471-2431-6-16.
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Evaluation of procalcitonin for diagnosis of neonatal sepsis of vertical transmission.降钙素原用于诊断垂直传播所致新生儿败血症的评估。
BMC Pediatr. 2007 Feb 26;7:9. doi: 10.1186/1471-2431-7-9.
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Procalcitonin measurement at 24 hours of age may be helpful in the prompt diagnosis of early-onset neonatal sepsis.在 24 小时龄时测量降钙素原可能有助于早期新生儿败血症的快速诊断。
Int J Infect Dis. 2011 Dec;15(12):e854-8. doi: 10.1016/j.ijid.2011.09.007. Epub 2011 Oct 22.
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Procalcitonin as a screening test for late-onset sepsis in preterm very low birth weight infants.降钙素原作为极低出生体重早产儿晚发性败血症的筛查试验。
J Perinatol. 2005 Jun;25(6):397-402. doi: 10.1038/sj.jp.7211296.
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Lack of specificity of procalcitonin for sepsis diagnosis in premature infants.降钙素原在早产儿脓毒症诊断中缺乏特异性。
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Role of procalcitonin, C-reactive protein, interleukin-6, interleukin-8 and tumor necrosis factor-alpha in the diagnosis of neonatal sepsis.降钙素原、C反应蛋白、白细胞介素-6、白细胞介素-8及肿瘤坏死因子-α在新生儿败血症诊断中的作用
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Procalcitonin as a marker of nosocomial infections in the neonatal intensive care unit.降钙素原作为新生儿重症监护病房医院感染的标志物。
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[Interleukin-6, procalcitonin, C-reactive protein and the immature to total neutrophil ratio (I/T) in the diagnosis of early-onset sepsis in low birth weight neonates].[白细胞介素-6、降钙素原、C反应蛋白及未成熟与总中性粒细胞比值(I/T)在低出生体重新生儿早发型败血症诊断中的应用]
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引用本文的文献

1
Early-Onset Neonatal Sepsis: Still Room for Improvement in Procalcitonin Diagnostic Accuracy Studies.早发型新生儿败血症:降钙素原诊断准确性研究仍有改进空间。
Medicine (Baltimore). 2015 Jul;94(30):e1230. doi: 10.1097/MD.0000000000001230.
2
Biomarkers for diagnosis of neonatal infections: A systematic analysis of their potential as a point-of-care diagnostics.用于新生儿感染诊断的生物标志物:作为一种即时诊断检测方法的潜在性的系统分析。
J Glob Health. 2011 Dec;1(2):201-9.