Impact of serum level of vitamin D on term neonates with early onset sepsis
Abstract Background: Neonatal sepsis a major health challenge associated with major morbidity and mortality. Neonatal care improved recently. However, different challenges regarding management still exist. Vitamin D deficiencies was proposed as a predictor of neonatal sepsis. Objective: To highligh...
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Al-Azhar University, Faculty of Medicine (Damietta)
2019
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oai:doaj.org-article:5713fd8f7f8d46789c809dad4c949db52021-12-02T13:52:45ZImpact of serum level of vitamin D on term neonates with early onset sepsis2636-41742682-378010.21608/ijma.2019.12445.1002https://doaj.org/article/5713fd8f7f8d46789c809dad4c949db52019-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_34023_0eef55ba7bc75ba15d37303dd62e7255.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Abstract Background: Neonatal sepsis a major health challenge associated with major morbidity and mortality. Neonatal care improved recently. However, different challenges regarding management still exist. Vitamin D deficiencies was proposed as a predictor of neonatal sepsis. Objective: To highlight the impact of vitamin D levels on early onset sepsis in full term neonates. Methodology: It is a case control which carried out at the neonatal intensive care unit of Al-Azhar university hospital (Damietta), from March to April 2019. It included 50 full-term neonates with probable sepsis and 50 healthy controls of matched age and sex with no signs of sepsis. Results: vitamin D level showed significant negative correlation with sepsis, C-reactive protein (CRP), positive blood cultures; and significant positive correlations with Apgar score, hemoglobin concentration and platelets count. Regression analysis revealed that, higher CRP and lower vitamin D were associated risks of neonatal sepsis in univariate analysis. Multivariable regression analysis revealed that only lower vitamin D level is the predictor for early neonatal sepsis. Conclusion: Vitamin D levels were significantly lower in septic neonates with high sensitivity and specificity. Vitamin D supplementation to mothers during pregnancy could prevent early onset neonatal sepsis.Yasmine SolimanMagdy SakrTarek EmranMohamed El SamanoudyAl-Azhar University, Faculty of Medicine (Damietta)articlekeywords: vitamin dneonatessepsisfull termMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 1, Iss 1, Pp 42-47 (2019) |
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keywords: vitamin d neonates sepsis full term Medicine (General) R5-920 Yasmine Soliman Magdy Sakr Tarek Emran Mohamed El Samanoudy Impact of serum level of vitamin D on term neonates with early onset sepsis |
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Abstract Background: Neonatal sepsis a major health challenge associated with major morbidity and mortality. Neonatal care improved recently. However, different challenges regarding management still exist. Vitamin D deficiencies was proposed as a predictor of neonatal sepsis. Objective: To highlight the impact of vitamin D levels on early onset sepsis in full term neonates. Methodology: It is a case control which carried out at the neonatal intensive care unit of Al-Azhar university hospital (Damietta), from March to April 2019. It included 50 full-term neonates with probable sepsis and 50 healthy controls of matched age and sex with no signs of sepsis. Results: vitamin D level showed significant negative correlation with sepsis, C-reactive protein (CRP), positive blood cultures; and significant positive correlations with Apgar score, hemoglobin concentration and platelets count. Regression analysis revealed that, higher CRP and lower vitamin D were associated risks of neonatal sepsis in univariate analysis. Multivariable regression analysis revealed that only lower vitamin D level is the predictor for early neonatal sepsis. Conclusion: Vitamin D levels were significantly lower in septic neonates with high sensitivity and specificity. Vitamin D supplementation to mothers during pregnancy could prevent early onset neonatal sepsis. |
format |
article |
author |
Yasmine Soliman Magdy Sakr Tarek Emran Mohamed El Samanoudy |
author_facet |
Yasmine Soliman Magdy Sakr Tarek Emran Mohamed El Samanoudy |
author_sort |
Yasmine Soliman |
title |
Impact of serum level of vitamin D on term neonates with early onset sepsis |
title_short |
Impact of serum level of vitamin D on term neonates with early onset sepsis |
title_full |
Impact of serum level of vitamin D on term neonates with early onset sepsis |
title_fullStr |
Impact of serum level of vitamin D on term neonates with early onset sepsis |
title_full_unstemmed |
Impact of serum level of vitamin D on term neonates with early onset sepsis |
title_sort |
impact of serum level of vitamin d on term neonates with early onset sepsis |
publisher |
Al-Azhar University, Faculty of Medicine (Damietta) |
publishDate |
2019 |
url |
https://doaj.org/article/5713fd8f7f8d46789c809dad4c949db5 |
work_keys_str_mv |
AT yasminesoliman impactofserumlevelofvitamindontermneonateswithearlyonsetsepsis AT magdysakr impactofserumlevelofvitamindontermneonateswithearlyonsetsepsis AT tarekemran impactofserumlevelofvitamindontermneonateswithearlyonsetsepsis AT mohamedelsamanoudy impactofserumlevelofvitamindontermneonateswithearlyonsetsepsis |
_version_ |
1718392378682769408 |