Serum Calprotectin: An Antimicrobial Peptide as a New Marker For the Diagnosis of Sepsis in Very Low Birth Weight Newborns

To determine the diagnostic utility of serum calprotectin, a mediator of innate immune response against infections, we performed a multicenter study involving newborns with a birth weight <1500 g and a postnatal age >72 hours of life. The diagnostic accuracy of serum calprotectin was compared...

Full description

Saved in:
Bibliographic Details
Main Authors: Gianluca Terrin, Annalisa Passariello, Francesco Manguso, Gennaro Salvia, Luciano Rapacciuolo, Francesco Messina, Francesco Raimondi, Roberto Berni Canani
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2011/291085
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832556411327873024
author Gianluca Terrin
Annalisa Passariello
Francesco Manguso
Gennaro Salvia
Luciano Rapacciuolo
Francesco Messina
Francesco Raimondi
Roberto Berni Canani
author_facet Gianluca Terrin
Annalisa Passariello
Francesco Manguso
Gennaro Salvia
Luciano Rapacciuolo
Francesco Messina
Francesco Raimondi
Roberto Berni Canani
author_sort Gianluca Terrin
collection DOAJ
description To determine the diagnostic utility of serum calprotectin, a mediator of innate immune response against infections, we performed a multicenter study involving newborns with a birth weight <1500 g and a postnatal age >72 hours of life. The diagnostic accuracy of serum calprotectin was compared with that of the most commonly used markers of neonatal sepsis (white blood cell count, immature-to-total-neutrophil ratio, platelet count, and C-reactive protein). We found that the serum calprotectin concentration was significantly higher (P<.001) in 62 newborns with confirmed sepsis (3.1±1.0  μg/mL) than in either 29 noninfected subjects (1.1±0.3 μg/ml) or 110 healthy controls (0.91±0.58 μg/ml). The diagnostic accuracy of serum calprotectin was greater (sensitivity 89%, specificity 96%) than that of the traditional markers of sepsis. In conclusion, serum calprotectin is an accurate marker of sepsis in very low birth weight newborns.
format Article
id doaj-art-cc60efccbe5441f88d00a72dedac668e
institution Kabale University
issn 1740-2522
1740-2530
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Clinical and Developmental Immunology
spelling doaj-art-cc60efccbe5441f88d00a72dedac668e2025-02-03T05:45:30ZengWileyClinical and Developmental Immunology1740-25221740-25302011-01-01201110.1155/2011/291085291085Serum Calprotectin: An Antimicrobial Peptide as a New Marker For the Diagnosis of Sepsis in Very Low Birth Weight NewbornsGianluca Terrin0Annalisa Passariello1Francesco Manguso2Gennaro Salvia3Luciano Rapacciuolo4Francesco Messina5Francesco Raimondi6Roberto Berni Canani7Department of Women Health and Territorial Medicine, University of Rome “La Sapienza”, 00185 Rome, ItalyDepartment of Pediatrics, University of Naples “Federico II”, 80131 Naples, ItalyA. Cardarelli Hospital, 80131 Naples, ItalyNeonatal Unit, “Fatebenefratelli” Hospital, 80123 Naples, ItalyDepartment of Pediatrics, University of Naples “Federico II”, 80131 Naples, ItalyNeonatal Unit, “Villa Betania” Evangelical Hospital, 80100 Naples, ItalyDepartment of Pediatrics, University of Naples “Federico II”, 80131 Naples, ItalyDepartment of Pediatrics, University of Naples “Federico II”, 80131 Naples, ItalyTo determine the diagnostic utility of serum calprotectin, a mediator of innate immune response against infections, we performed a multicenter study involving newborns with a birth weight <1500 g and a postnatal age >72 hours of life. The diagnostic accuracy of serum calprotectin was compared with that of the most commonly used markers of neonatal sepsis (white blood cell count, immature-to-total-neutrophil ratio, platelet count, and C-reactive protein). We found that the serum calprotectin concentration was significantly higher (P<.001) in 62 newborns with confirmed sepsis (3.1±1.0  μg/mL) than in either 29 noninfected subjects (1.1±0.3 μg/ml) or 110 healthy controls (0.91±0.58 μg/ml). The diagnostic accuracy of serum calprotectin was greater (sensitivity 89%, specificity 96%) than that of the traditional markers of sepsis. In conclusion, serum calprotectin is an accurate marker of sepsis in very low birth weight newborns.http://dx.doi.org/10.1155/2011/291085
spellingShingle Gianluca Terrin
Annalisa Passariello
Francesco Manguso
Gennaro Salvia
Luciano Rapacciuolo
Francesco Messina
Francesco Raimondi
Roberto Berni Canani
Serum Calprotectin: An Antimicrobial Peptide as a New Marker For the Diagnosis of Sepsis in Very Low Birth Weight Newborns
Clinical and Developmental Immunology
title Serum Calprotectin: An Antimicrobial Peptide as a New Marker For the Diagnosis of Sepsis in Very Low Birth Weight Newborns
title_full Serum Calprotectin: An Antimicrobial Peptide as a New Marker For the Diagnosis of Sepsis in Very Low Birth Weight Newborns
title_fullStr Serum Calprotectin: An Antimicrobial Peptide as a New Marker For the Diagnosis of Sepsis in Very Low Birth Weight Newborns
title_full_unstemmed Serum Calprotectin: An Antimicrobial Peptide as a New Marker For the Diagnosis of Sepsis in Very Low Birth Weight Newborns
title_short Serum Calprotectin: An Antimicrobial Peptide as a New Marker For the Diagnosis of Sepsis in Very Low Birth Weight Newborns
title_sort serum calprotectin an antimicrobial peptide as a new marker for the diagnosis of sepsis in very low birth weight newborns
url http://dx.doi.org/10.1155/2011/291085
work_keys_str_mv AT gianlucaterrin serumcalprotectinanantimicrobialpeptideasanewmarkerforthediagnosisofsepsisinverylowbirthweightnewborns
AT annalisapassariello serumcalprotectinanantimicrobialpeptideasanewmarkerforthediagnosisofsepsisinverylowbirthweightnewborns
AT francescomanguso serumcalprotectinanantimicrobialpeptideasanewmarkerforthediagnosisofsepsisinverylowbirthweightnewborns
AT gennarosalvia serumcalprotectinanantimicrobialpeptideasanewmarkerforthediagnosisofsepsisinverylowbirthweightnewborns
AT lucianorapacciuolo serumcalprotectinanantimicrobialpeptideasanewmarkerforthediagnosisofsepsisinverylowbirthweightnewborns
AT francescomessina serumcalprotectinanantimicrobialpeptideasanewmarkerforthediagnosisofsepsisinverylowbirthweightnewborns
AT francescoraimondi serumcalprotectinanantimicrobialpeptideasanewmarkerforthediagnosisofsepsisinverylowbirthweightnewborns
AT robertobernicanani serumcalprotectinanantimicrobialpeptideasanewmarkerforthediagnosisofsepsisinverylowbirthweightnewborns