Perinatal presepsin assessment: a new sepsis diagnostic tool?

Abstract: Perinatal sepsis constitutes a medical emergency and is still one of the major causes of mortality and morbidity. The possibility of an early diagnosis of sepsis is still debated and controversial. In particular, clinical symptoms can be hidden by the association of sepsis with other perinatal diseases and/or by therapeutic strategies performed. In this context, there is evidence that the accuracy of standard of care diagnostic parameters (i.e. blood culture, C-reactive protein, procalcitonin) can be biased by additional confounding factors (gestational age, birth-weight, acute-chronic hypoxia). Therefore, the inclusion in clinical daily practice of new biomarkers of sepsis is of utmost importance. Of a panel of biomarkers, Presepsin (P-SEP) plays an important role in the development and response of the immune system and as an early marker of sepsis both in adult and pediatric patients. Therefore, in the present review we aim to offer an overview of the role of P-SEP in the early detection of perinatal sepsis as a trustworthy marker according to actual statements of official international institutions. Future perspectives regard the possibility of a longitudinal non-invasive biological fluids P-SEP assessment thus limiting the sample stress in high risk newborns.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Perinatal presepsin assessment: a new sepsis diagnostic tool? ; volume:60 ; number:8 ; year:2022 ; pages:1136-1144 ; extent:09
Clinical chemistry and laboratory medicine ; 60, Heft 8 (2022), 1136-1144 (gesamt 09)

Urheber
Botondi, Valentina
D’Adamo, Ebe
Plebani, Mario
Trubiani, Oriana
Perrotta, Marika
Di Ricco, Laura
Spagnuolo, Cynzia
De Sanctis, Sara
Barbante, Elisabetta
Strozzi, Maria Chiara
Maconi, Antonio
Gazzolo, Francesca
Betti, Marta
Roveta, Annalisa
Levantini, Gabriella
Gazzolo, Diego

DOI
10.1515/cclm-2022-0277
URN
urn:nbn:de:101:1-2022062015514610394097
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:35 MESZ

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Beteiligte

  • Botondi, Valentina
  • D’Adamo, Ebe
  • Plebani, Mario
  • Trubiani, Oriana
  • Perrotta, Marika
  • Di Ricco, Laura
  • Spagnuolo, Cynzia
  • De Sanctis, Sara
  • Barbante, Elisabetta
  • Strozzi, Maria Chiara
  • Maconi, Antonio
  • Gazzolo, Francesca
  • Betti, Marta
  • Roveta, Annalisa
  • Levantini, Gabriella
  • Gazzolo, Diego

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