Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/19139
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dc.contributor.authorHotoura, E.en
dc.contributor.authorGiapros, V.en
dc.contributor.authorKostoula, A.en
dc.contributor.authorSpyrou, P.en
dc.contributor.authorAndronikou, S.en
dc.date.accessioned2015-11-24T18:57:10Z-
dc.date.available2015-11-24T18:57:10Z-
dc.identifier.issn1573-2576-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19139-
dc.rightsDefault Licence-
dc.titlePre-inflammatory Mediators and Lymphocyte Subpopulations in Preterm Neonates with Sepsisen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1007/s10753-011-9416-3-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/22160841-
heal.identifier.secondaryhttp://www.springerlink.com/content/p5w688v5wl888037/fulltext.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2011-
heal.abstractThe aim of this study is to investigate prospectively specific immune system factors in preterm neonates with late-onset sepsis and infection-free controls. Matched preterm neonates (n = 82) were divided into three groups: suspected infection (n = 25), sepsis (n = 17), and infection-free controls (n = 40). Serial measurements were made of interleukin-6 (IL-6), IL-1beta, tumor necrosis factor-alpha (TNF-alpha), lymphocyte subsets [CD3+, CD4+, CD8+, natural killer (NK) cells, and B cells], the immunoglobulins (IgG, IgM, and IgA), C-reactive protein (CRP), and the total blood count, before, 2 days after initiation of treatment, and after stopping treatment. The percentages of NK and B cells were higher in the sepsis group, but those of CD3+, CD4+, and CD8+ showed no differences. IgG was lower in the sepsis group. IL-6 >30 pg/ml and TNF-alpha >30 pg/ml were sensitive sepsis predictors with sensitivity 1 (0.78-1) and 1 (0.79-1), respectively, but their specificity was poor. CRP was a specific [0.90 (0.80-0.96)] but not sensitive index [0.68 (0.48-0.85)], and its combination with IL-6 or TNF-alpha could enhance their diagnostic accuracy. It is concluded that NK and B cells may be elevated in late neonatal sepsis. IL-6 or TNF-alpha combined with CRP is a good diagnostic marker for late-onset sepsis in preterm neonates.en
heal.journalNameInflammationen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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