A SYSTEMATIC REVIEW OF THE EVALUATION OF NEONATAL SEPSIS DIAGNOSIS USING INTERLEUKINS

Authors

  • Samantha Adrianne Faculty of Medicine, Atma Jaya Catholic University, Indonesia Author

DOI:

https://doi.org/10.53555/nnmhs.v9i6.1726

Keywords:

Neonatal sepsis, Diagnostic marker, Interleukin level

Abstract

Aim: This study aims to summarize and evaluate the diagnostic potential and accuracy of interleukins (ILs) level as a diagnostic marker for neonatal sepsis.

Methods: A systematic search strategy was conducted across several electronic reference databases (PubMed, Cochrane Library, Google Scholar) and included articles published between 2019–2023. Duplicate publications, review articles, and incomplete articles were excluded.

Results: Database searches identified a total of 19553 articles. Of these, 100 articles passed the screening process, resulting in 20 articles for full-text assessment. Among them, 11 articles did not evaluate the outcome of interest. Hence, we found 9 appropriate studies included. The ILs reported include IL-6, IL-10, IL-18, and IL-27, with the most common reported was IL-6.

Conclusion: Current evidences supports the potential predictive utility of ILs level, especially IL-6, as a potential diagnostic marker for detecting neonatal sepsis. To determine the precise predictive efficacy of the marker, well-designed prospective studies had to be conducted due to the methodological variability and variation of the implemented thresholds.

References

Singer M, Deutschman CS, Seymour C, Shankar-Hari M, Annane D, Bauer M, et al. The third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA - J Am Med Assoc. 2016;315(8):801–10.

Ershad M, Mostafa A, Cruz M Dela, Vearrier D. Neonatal Sepsis Risk factor American Academy of Pediatrics. Curr Emerg Hosp Med Rep. 2019;7(3):83–90.

Fleischmann C, Reichert F, Cassini A, Horner R, Harder T, Markwart R, et al. Global incidence and mortality of neonatal sepsis: A systematic review and meta-analysis. Arch Dis Child. 2021;106(8):745–52.

Celik IH, Hanna M, Canpolat FE, Mohan Pammi. Diagnosis of neonatal sepsis: the past, present and future. Pediatr Res. 2022;91(2):337–50.

Eichberger J, Resch E, Resch B. Diagnosis of Neonatal Sepsis: The Role of Inflammatory Markers. Front Pediatr. 2022;10(March):1–13.

Sorsa A. Epidemiology of Neonatal Sepsis and Associated Factors Implicated: Observational Study at Neonatal Intensive Care Unit of Arsi University Teaching and Referral Hospital, South East Ethiopia. Ethiop J Health Sci. 2019;29(3):333–42.

Odabasi IO, Bulbul A. Review Neonatal Sepsis. Sisli Etfal Hast Tip Bul [Internet] 2020;54(2):142–58. Available from: https://pubmed.ncbi.nlm.nih.gov/32617051/

Hayes R, Hartnett J, Semova G, Murray C, Murphy K, Carroll L, et al. Neonatal sepsis definitions from randomised clinical trials. Pediatr Res. 2021;(July).

Brown JVE, Meader N, Wright K, Cleminson J, McGuire W. Assessment of C-Reactive Protein Diagnostic Test Accuracy for Late-Onset Infection in Newborn Infants: A Systematic Review and Meta-analysis. JAMA Pediatr. 2020;174(3):260–8.

Hammad MA, Sulaiman SAS, Aziz NA, Noor DAM. Prescribing statins among patients with type 2 diabetes: The clinical gap between the guidelines and practice. J Res Med Sci. 2019;24(1).

Ebenebe CU, Hesse F, Blohm ME, Jung R, Kunzmann S, Singer D. Diagnostic accuracy of interleukin-6 for earlyonset sepsis in preterm neonates. J Matern Neonatal Med. 2019;34(2):253–8.

Morad EA, Rabie RA, Almalky MA, Gebriel MG. Evaluation of Procalcitonin, C-Reactive Protein, and Interleukin6 as Early Markers for Diagnosis of Neonatal Sepsis. Int J Microbiol. 2020;2020.

Tessema B, Lippmann N, Willenberg A, Knüpfer M, Sack U, König B. The diagnostic performance of interleukin6 and c-reactive protein for early identification of neonatal sepsis. Diagnostics. 2020;10(11):1–12.

Cortés JS, Losada PX, Fernández LX, Beltrán E, Delaura I, Narváez CF, et al. Interleukin-6 as a Biomarker of EarlyOnset Neonatal Sepsis. Am J Perinatol. 2021;38(212):E338–46.

Omran A, Sobh H, Abdalla MO, El-Sharkawy S, Rezk AR, Khashana A. Salivary and Serum Interleukin-10, CReactive Protein, Mean Platelet Volume, and CRP/MPV Ratio in the Diagnosis of Late-Onset Neonatal Sepsis in Full-Term Neonates. J Immunol Res. 2021;2021.

Li X, Li T, Dong G, Wei Y, Xu Z, Yang J. Clinical Value of Serum Interleukin-18 in Neonatal Sepsis Diagnosis and Mortality Prediction. J Inflamm Res. 2022;15(December):6923–30.

Wu L, Li J, Ping L, Zhang X, Zhai L, Li Y, et al. Diagnostic Value of Inflammatory Markers and Cytokines in Neonatal Sepsis. Evidence-based Complement Altern Med. 2022;2022(April 2021):4–7.

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Published

2023-06-19

How to Cite

Adrianne, S. (2023). A SYSTEMATIC REVIEW OF THE EVALUATION OF NEONATAL SEPSIS DIAGNOSIS USING INTERLEUKINS. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 9(6), 43-48. https://doi.org/10.53555/nnmhs.v9i6.1726

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