Diagnostic markers of early neonatal sepsis – limitations and perspectives

Neonatal sepsis continues to be one of the main problems in the treatment of premature infants due to the variability of the clinical signs, the lack of uniform diagnostic criteria, optimal markers that would not be affected by the course of pregnancy, gestational age, delivery, and the early neonat...

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Main Authors: O. I. Ivanova, E. V. Grigoriev
Format: Article
Language:Russian
Published: New Terra Publishing House 2020-12-01
Series:Вестник анестезиологии и реаниматологии
Subjects:
Online Access:https://www.vair-journal.com/jour/article/view/483
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author O. I. Ivanova
E. V. Grigoriev
author_facet O. I. Ivanova
E. V. Grigoriev
author_sort O. I. Ivanova
collection DOAJ
description Neonatal sepsis continues to be one of the main problems in the treatment of premature infants due to the variability of the clinical signs, the lack of uniform diagnostic criteria, optimal markers that would not be affected by the course of pregnancy, gestational age, delivery, and the early neonatal period.The objective: to analyze current data on serum markers of neonatal sepsis in newborns including children with extremely low and very low birth weight.The article reviews traditional markers that are currently widely used in resuscitation neonatal practice – C-reactive protein, procalcitonin, and among the new ones – preadrenomedullin, and presepsin. It lists their positive and negative aspects, compares their characteristics, notes publications that describe the possibilities and limitations of their use for early diagnosis of neonatal sepsis.It has been concluded that among all markers, presepsin is of the greatest interest due to its highest sensitivity and specificity compared to the others.
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institution Kabale University
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2541-8653
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publishDate 2020-12-01
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record_format Article
series Вестник анестезиологии и реаниматологии
spelling doaj-art-69c68ef9cb564ae2b4db98ca8de7de292025-08-20T03:56:32ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532020-12-01176727910.21292/2078-5658-2020-17-6-72-79420Diagnostic markers of early neonatal sepsis – limitations and perspectivesO. I. Ivanova0E. V. Grigoriev1Kemerovo State Medical University; Kemerovo Regional Clinical HospitalKemerovo State Medical UniversityNeonatal sepsis continues to be one of the main problems in the treatment of premature infants due to the variability of the clinical signs, the lack of uniform diagnostic criteria, optimal markers that would not be affected by the course of pregnancy, gestational age, delivery, and the early neonatal period.The objective: to analyze current data on serum markers of neonatal sepsis in newborns including children with extremely low and very low birth weight.The article reviews traditional markers that are currently widely used in resuscitation neonatal practice – C-reactive protein, procalcitonin, and among the new ones – preadrenomedullin, and presepsin. It lists their positive and negative aspects, compares their characteristics, notes publications that describe the possibilities and limitations of their use for early diagnosis of neonatal sepsis.It has been concluded that among all markers, presepsin is of the greatest interest due to its highest sensitivity and specificity compared to the others.https://www.vair-journal.com/jour/article/view/483neonatal sepsismarkerspresepsinneonatal resuscitationpremature infantssepsis diagnosis
spellingShingle O. I. Ivanova
E. V. Grigoriev
Diagnostic markers of early neonatal sepsis – limitations and perspectives
Вестник анестезиологии и реаниматологии
neonatal sepsis
markers
presepsin
neonatal resuscitation
premature infants
sepsis diagnosis
title Diagnostic markers of early neonatal sepsis – limitations and perspectives
title_full Diagnostic markers of early neonatal sepsis – limitations and perspectives
title_fullStr Diagnostic markers of early neonatal sepsis – limitations and perspectives
title_full_unstemmed Diagnostic markers of early neonatal sepsis – limitations and perspectives
title_short Diagnostic markers of early neonatal sepsis – limitations and perspectives
title_sort diagnostic markers of early neonatal sepsis limitations and perspectives
topic neonatal sepsis
markers
presepsin
neonatal resuscitation
premature infants
sepsis diagnosis
url https://www.vair-journal.com/jour/article/view/483
work_keys_str_mv AT oiivanova diagnosticmarkersofearlyneonatalsepsislimitationsandperspectives
AT evgrigoriev diagnosticmarkersofearlyneonatalsepsislimitationsandperspectives