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用于新生儿败血症诊断的生物标志物。

Biomarkers for the Diagnosis of Neonatal Sepsis.

作者信息

Cantey Joseph B, Lee John H

机构信息

Department of Pediatrics, Division of Allergy, Immunology, and Infectious Diseases, University of Texas Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.

Department of Pediatrics, University of Texas Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.

出版信息

Clin Perinatol. 2021 Jun;48(2):215-227. doi: 10.1016/j.clp.2021.03.012.

Abstract

Neonatal sepsis is a major cause of morbidity and mortality in neonates and is challenging to diagnose. Infants manifest nonspecific clinical signs in response to sepsis; these signs may be caused by noninfectious conditions. Time to antibiotics affects neonatal sepsis outcome, so clinicians need to identify and treat neonates with sepsis expeditiously. Clinicians use serum biomarkers to measure inflammation and infection and assess the infant's risk of sepsis. However, current biomarkers lack sufficient sensitivity or specificity to be consider useful diagnostic tools. Continued research to identify novel biomarkers as well as novel ways of measuring them is sorely needed.

摘要

新生儿败血症是新生儿发病和死亡的主要原因,且诊断具有挑战性。婴儿对败血症表现出非特异性临床体征;这些体征可能由非感染性疾病引起。使用抗生素的时机影响新生儿败血症的预后,因此临床医生需要迅速识别并治疗败血症新生儿。临床医生使用血清生物标志物来测量炎症和感染,并评估婴儿患败血症的风险。然而,目前的生物标志物缺乏足够的敏感性或特异性,难以被视为有用的诊断工具。迫切需要持续开展研究以识别新型生物标志物及其测量新方法。

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