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Plasma D-dimer level in early and late-onset neonatal sepsis

World Journal of Critical Care Medicine 2022年第3期11卷 139-148页

作者： Mohammed Al-Biltagi Ehab M Hantash Mohammed Ramadan El-Shanshory Enayat Aly Badr Mohamed Zahra Manar Hany Anwar Department of Pediatrics Faculty of MedicineTanta UniversityTanta 31511AlgharbiaEgypt Department of Pediatrics University Medical CenterArabian Gulf UniversityManama 26671ManamaBahrain Department of Pediatrics University Medical CenterBahrainDr.Sulaiman Al Habib Medical GroupKSAManama 26671ManamaBahrain Department of Anatomy Faculty of MedicineTanta UniversityTanta 31511AlghrabiaEgypt Neonatology Unit Department of PediatricsDr.Sulaiman Al Habib Medical GroupRiyadh 11636RiyadhSaudi Arabia Department of Pediatrics Hematol UnitTanta UniversityFaculty of MedicineTanta 31511AlgharbiaEgypt Department of Clinical Pathology Faculty of MedicineTanta UniversityTanta 31511AlghrabiaEgypt Department of Clinical Pathology Ministry of HealthEgyptTanta 31511AlghrabiaEgypt

BACKGROUND neonatal sepsis is a life-threatening *** diagnosis is essential,but no single marker of infection has been *** activates a coagulation cascade with simultaneous production of the D-dimers due to lysis of *** test reflects the activation of the coagulation *** To assess the D-dimer plasma level,elaborating its clinicopathological value in neonates with early-onset and late-onset neonatal *** The study was a prospective cross-sectional study that included ninety neonates;divided into three groups:Group I:Early-onset sepsis(EOS);Group II:late-onset sepsis(LOS);and GroupⅢ:Control *** diagnosed neonatal sepsis according to our protocol.C-reactive protein(CRP)and D-dimer assays were compared between EOS and LOS and correlated to the causative microbiological *** D-dimer was significantly higher in septic groups with a considerably higher number of cases with positive *** with LOS had substantially higher levels of D-dimer than EOS,with no significant differences in *** with LOS had a significantly longer hospitalization duration and higher gram-negative bacteriemia and mortality rates than EOS(Psepsis was associated with relatively lower levels.D-dimer had a significant negative correlation with hemoglobin level and platelet count;and a significant positive correlation with CRP,hospitalization duration,and mortality *** best-suggested cut-off point for D-dimer in neonatal sepsis was 0.75 mg/L,giving a sensitivity of 72.7%and specificity of 86.7%.The D-dimer assay has specificity and sensitivity comparable to CRP in the current *** The current study revealed a significant diagnostic value for D-dimer in neonatal sepsis.D-dimer can be used as an adjunct to other sepsis markers to increase th

关键词： Early-onset neonatal sepsis late-onset neonatal sepsis C-reactive protein D-dimer

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