Source:http://linkedlifedata.com/resource/pubmed/id/21311939
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
2011-7-11
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pubmed:abstractText |
This article describes a study of procalcitonin (PCT) measured in cord blood as a discriminating marker of early-onset neonatal infection. This was a monocenter retrospective study with prospective collection of data including all babies born during the study period. Those presenting infection risk factors had PCT measurement. Three groups were defined: certainly infected, probably infected, and non-infected. A total of 12,485 newborns were included, 2151 had PCT measurement, and 26 were infected. Receiver operating curves of PCT determined 0.6 ng/ml as the best cut-off, with an area under the curve of 0.96 (CI 95% 0.95-0.98). Sensitivity, specificity, positive and negative predictive value and positive and negative likelihood ratios were 0.92 (range, 0.75-0.98), 0.97 (0.96-0.98), 0.28 (0.20-0.36), 0.99 (0.99-0.99), 32 (24-41) and 0.08 (0.02-0.3), respectively. Post-test probabilities were 28% (23-33) if the test was positive, and less than 0.001% (0-1.10(-5)) if the test was negative. Gestational age between 28 and 32 weeks (OR 4.4; range, 1.2-16.2) and pH at birth?<?7.10 (OR 2.9; 1.1-7.4) were other independent factors of increasing PCT (p?<?0.05). PCT measured in umbilical cord blood is reliable to detect early infected and non-infected newborns.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
1435-4373
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1005-13
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pubmed:meshHeading |
pubmed-meshheading:21311939-Bacterial Infections,
pubmed-meshheading:21311939-Calcitonin,
pubmed-meshheading:21311939-Cohort Studies,
pubmed-meshheading:21311939-Female,
pubmed-meshheading:21311939-Fetal Blood,
pubmed-meshheading:21311939-Hospitals, University,
pubmed-meshheading:21311939-Humans,
pubmed-meshheading:21311939-Infant, Newborn,
pubmed-meshheading:21311939-Male,
pubmed-meshheading:21311939-Predictive Value of Tests,
pubmed-meshheading:21311939-Protein Precursors,
pubmed-meshheading:21311939-ROC Curve,
pubmed-meshheading:21311939-Retrospective Studies,
pubmed-meshheading:21311939-Sensitivity and Specificity
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pubmed:year |
2011
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pubmed:articleTitle |
Umbilical cord blood procalcitonin level in early neonatal infections: a 4-year university hospital cohort study.
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pubmed:affiliation |
Département de Périnatologie, Hôpital Mère Enfant CHU Nantes, Nantes, 44 093, France. nicolas.joram@chu-nantes.fr
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pubmed:publicationType |
Journal Article,
Evaluation Studies
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