The perinatal factors that influence the excretion of fecal calprotectin in premature-born children

Author:

Cekovic Jelena R.1,Prodanovic Nikola S.23,Mijailovic Sara S.4,Knezevic Sanja M.56,Vuletic Biljana P.57,Stojkovic Andjelka K.58,Savic Dragana M.15,Prodanovic Tijana V.1,Stanojevic Marina M.9,Simovic Aleksandra M.15

Affiliation:

1. Neonatal Intensive Care Unit, Center for Neonatology, Pediatric Clinic, University Clinical Centre Kragujevac , Kragujevac , Serbia

2. Department of Alloartoplastic Surgery, Clinic for Orthopedics and Traumatology, University Clinical Center Kragujevac , 34000 Kragujevac , Serbia

3. Department of Surgery, Faculty of Medical Sciences, University of Kragujevac , Svetozara Markovica 69 , 34000 Kragujevac , Serbia

4. Department of Medical Statistics and Informatics, Faculty of Medical Sciences, University of Kragujevac , Kragujevac , Serbia

5. Department of Pediatrics, Faculty of Medical Sciences, University of Kragujevac , Kragujevac , Serbia

6. Department of Cardiology, Pediatric Clinic, University Clinical Centre Kragujevac , Kragujevac , Serbia

7. Department of Gastroenterology, Pediatric Clinic, University Clinical Centre Kragujevac , Kragujevac , Serbia

8. Department of Pulmonology, Pediatric Clinic, University Clinical Centre Kragujevac , Kragujevac , Serbia

9. Department of Neonatology, Clinic for Gynecology and Obstetrics, University Clinical Centre Kragujevac , Kragujevac , Serbia

Abstract

Abstract This study aimed to provide additional information on the influence of perinatal factors on fecal (f)-calprotectin values in preterm infants. Calprotectin was determined from the first spontaneous stool (analyzed on the Alegria device by using the enzyme-linked immunosorbent assay [ELISA] method) obtained from neonates at a mean age of 3.41 ± 2.44 days of life. We analyzed 114 subjects who had a body weight of 1847.67 ± 418.6 g and were born at a gestational age of 32.6 ± 2.43 weeks, without intestinal and other congenital anomalies or any diseases other than those related to premature birth. The values of f-calprotectin are in a positive correlation with female subjects, intrauterine growth restriction, significant ductus arteriosus, enteral feeding intolerance, postnatal prolonged use of broad-spectrum antibiotics, and values ​​of bicarbonates (analyzed in a sample of capillary arterial blood). Measurement of f-calprotectin in the first 7 days after birth can help to early detect the intestinal distress or early staging of necrotizing enterocolitis in premature infants.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

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