Serum Calprotectin: A Potential Biomarker for Neonatal Sepsis

Introduction. The correct diagnosis of neonatal sepsis is a relevant problem because sepsis is one of the most important causes of neonatal morbidity, mortality, and prolonged hospital stay. Calprotectin is an antimicrobial, calcium and zinc binding heterocomplex protein that could be used as a nons...

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Main Authors: Lidia Decembrino, Mara De Amici, Margherita Pozzi, Annalisa De Silvestri, Mauro Stronati
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2015/147973
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author Lidia Decembrino
Mara De Amici
Margherita Pozzi
Annalisa De Silvestri
Mauro Stronati
author_facet Lidia Decembrino
Mara De Amici
Margherita Pozzi
Annalisa De Silvestri
Mauro Stronati
author_sort Lidia Decembrino
collection DOAJ
description Introduction. The correct diagnosis of neonatal sepsis is a relevant problem because sepsis is one of the most important causes of neonatal morbidity, mortality, and prolonged hospital stay. Calprotectin is an antimicrobial, calcium and zinc binding heterocomplex protein that could be used as a nonspecific marker for activation of granulocytes and mononuclear phagocytes. Calprotectin has been proposed for the diagnosis of inflammatory conditions. Our aim is to study serum calprotectin as a biomarker for neonatal sepsis diagnosis. Methods. 41 (20 females, 21 males) infants who underwent blood culture due to suspected sepsis were enrolled in the study. Serum calprotectin was measured by a commercial ELISA assay (Calprest, Eurospital, Trieste, Italy). Statistical analysis was performed using the statistical software package Stata 13.1 (Stata Corporation, College Station, Texas, USA). Results. 8 neonates (19.51%) showed sepsis with positive culture and 33 (80.49%) showed suspected sepsis. The optimal cut-off for calprotectin is 2.2 μg/mL with a sensitivity of 62.5% and a specificity of 69.7%. Conclusions. Calprotectin may be considered a promising early, sensitive, specific marker of sepsis thanks to the importance of calprotectin in defense mechanisms and physiological functions of the immune system.
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spelling doaj-art-5cb5f31de6c84fb08f44993af57bc6c32025-02-03T01:27:37ZengWileyJournal of Immunology Research2314-88612314-71562015-01-01201510.1155/2015/147973147973Serum Calprotectin: A Potential Biomarker for Neonatal SepsisLidia Decembrino0Mara De Amici1Margherita Pozzi2Annalisa De Silvestri3Mauro Stronati4Neonatology and Neonatal Intensive Care Unit, IRCCS San Matteo Foundation, 27100 Pavia, ItalyPediatric Clinic, IRCCS San Matteo Foundation, 27100 Pavia, ItalyNeonatology and Neonatal Intensive Care Unit, IRCCS San Matteo Foundation, 27100 Pavia, ItalyBiometry and Statistics Service, IRCCS San Matteo Foundation, 27100 Pavia, ItalyNeonatology and Neonatal Intensive Care Unit, IRCCS San Matteo Foundation, 27100 Pavia, ItalyIntroduction. The correct diagnosis of neonatal sepsis is a relevant problem because sepsis is one of the most important causes of neonatal morbidity, mortality, and prolonged hospital stay. Calprotectin is an antimicrobial, calcium and zinc binding heterocomplex protein that could be used as a nonspecific marker for activation of granulocytes and mononuclear phagocytes. Calprotectin has been proposed for the diagnosis of inflammatory conditions. Our aim is to study serum calprotectin as a biomarker for neonatal sepsis diagnosis. Methods. 41 (20 females, 21 males) infants who underwent blood culture due to suspected sepsis were enrolled in the study. Serum calprotectin was measured by a commercial ELISA assay (Calprest, Eurospital, Trieste, Italy). Statistical analysis was performed using the statistical software package Stata 13.1 (Stata Corporation, College Station, Texas, USA). Results. 8 neonates (19.51%) showed sepsis with positive culture and 33 (80.49%) showed suspected sepsis. The optimal cut-off for calprotectin is 2.2 μg/mL with a sensitivity of 62.5% and a specificity of 69.7%. Conclusions. Calprotectin may be considered a promising early, sensitive, specific marker of sepsis thanks to the importance of calprotectin in defense mechanisms and physiological functions of the immune system.http://dx.doi.org/10.1155/2015/147973
spellingShingle Lidia Decembrino
Mara De Amici
Margherita Pozzi
Annalisa De Silvestri
Mauro Stronati
Serum Calprotectin: A Potential Biomarker for Neonatal Sepsis
Journal of Immunology Research
title Serum Calprotectin: A Potential Biomarker for Neonatal Sepsis
title_full Serum Calprotectin: A Potential Biomarker for Neonatal Sepsis
title_fullStr Serum Calprotectin: A Potential Biomarker for Neonatal Sepsis
title_full_unstemmed Serum Calprotectin: A Potential Biomarker for Neonatal Sepsis
title_short Serum Calprotectin: A Potential Biomarker for Neonatal Sepsis
title_sort serum calprotectin a potential biomarker for neonatal sepsis
url http://dx.doi.org/10.1155/2015/147973
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AT margheritapozzi serumcalprotectinapotentialbiomarkerforneonatalsepsis
AT annalisadesilvestri serumcalprotectinapotentialbiomarkerforneonatalsepsis
AT maurostronati serumcalprotectinapotentialbiomarkerforneonatalsepsis