Wu Y Q, Shen J, Zhou Q L, Zhao H W, Liu L R, Liu X
Pediatric Medicine, the Affiliated Hospital of Chengde Medical University, Chengde, China.
J Biol Regul Homeost Agents. 2016 Oct-Dec;30(4):1107-1113.
Neonatal septicemia (NS) is a common cause of death of newborn infants, hence early diagnosis and treatment are of the utmost importance. However, lack of specific clinical symptoms and late detection delay a correct diagnosis. It is therefore of great importance to establish auxiliary indexes for the early diagnosis of NS. To evaluate the value of interleukin (IL-6 and IL-8) in the diagnosis of NS, a prospective study was carried out. Seventy-five newborns who developed septicemia and received treatment in our hospital from January 2013 to December 2014 were selected as research subjects; also, 50 healthy newborns were set as a control group. The levels of serum IL-6 and IL-8 were compared between the two groups. Results demonstrated that levels of C-reactive protein (CRP), IL-6 and IL-8 of the septicemia group were higher than those of the control group on admission, although the difference had no statistical significance (P less than 0.05); the septicemia group had higher sequential organ failure assessment (SOFA) scores but lower pediatric critical illness scores (PCIS) compared to the control group (P less than 0.05); levels of CRP, IL-6 and IL-8 were in positive correlation to the SOFA scores and in negative correlation to PCIS. Analysis of receiver operating characteristics (ROC) curve demonstrated that the sensitivity, specificity and accuracy were 85.7%, 80.2% and 81.8%, respectively, when IL-6 level was set as 32 pg/mL, 78.1%, 64.2% and 66.9%, respectively when IL-8 level was set as 54 pg/mL, and 71.4%, 86.3% and 82.7% respectively, when detection of IL-6 and IL-8 were combined together. Hence it can be concluded that: IL-6 and IL-8 are involved in inflammatory reactions; levels of IL-6 and IL-8 were correlated to the severity of the infection; the value of IL-6 is higher than that of IL-8 in the diagnosis of neonatal septicemia and the combined detection of IL-6 and IL-8 can improve the accuracy of the diagnosis of neonatal septicemia.
新生儿败血症(NS)是新生儿死亡的常见原因,因此早期诊断和治疗至关重要。然而,缺乏特异性临床症状以及检测延迟会延误正确诊断。因此,建立NS早期诊断的辅助指标具有重要意义。为评估白细胞介素(IL-6和IL-8)在NS诊断中的价值,开展了一项前瞻性研究。选取2013年1月至2014年12月在我院发生败血症并接受治疗的75例新生儿作为研究对象;另设50例健康新生儿作为对照组。比较两组血清IL-6和IL-8水平。结果显示,败血症组入院时C反应蛋白(CRP)、IL-6和IL-8水平高于对照组,差异无统计学意义(P<0.05);败血症组序贯器官衰竭评估(SOFA)评分高于对照组,而儿科危重病评分(PCIS)低于对照组(P<0.05);CRP、IL-6和IL-8水平与SOFA评分呈正相关,与PCIS呈负相关。受试者工作特征(ROC)曲线分析表明,以IL-6水平为32 pg/mL时,敏感性、特异性和准确性分别为85.7%、80.2%和81.8%;以IL-8水平为54 pg/mL时,分别为78.1%、64.2%和66.9%;IL-6和IL-8联合检测时,分别为71.4%、86.3%和82.7%。由此可得出结论:IL-6和IL-8参与炎症反应;IL-6和IL-8水平与感染严重程度相关;IL-6在新生儿败血症诊断中的价值高于IL-8,联合检测IL-6和IL-8可提高新生儿败血症诊断的准确性。