Serum Carnitine Levels in Preterm Infants with Respiratory Distress Syndrome

Background: Respiratory distress syndrome [RDS] is among the most common diseases in preterm infants. Numerous causes of RDS have been recently diagnosed and researchers have identified the presence of low serum carnitine in preterm infants with RDS.The aim of this study: to evaluate serum carnitine...

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Autores principales: Basma Ghoniem, Mohamed elsamanoudy
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Lenguaje:EN
Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2021
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Acceso en línea:https://doaj.org/article/fc0db06e335744fd8c27348e95bf87c3
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spelling oai:doaj.org-article:fc0db06e335744fd8c27348e95bf87c32021-12-02T18:11:42ZSerum Carnitine Levels in Preterm Infants with Respiratory Distress Syndrome2636-41742682-378010.21608/ijma.2021.75951.1313https://doaj.org/article/fc0db06e335744fd8c27348e95bf87c32021-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_192770_b6cc9dfc12fbf1f8152a619875e7c8ee.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Respiratory distress syndrome [RDS] is among the most common diseases in preterm infants. Numerous causes of RDS have been recently diagnosed and researchers have identified the presence of low serum carnitine in preterm infants with RDS.The aim of this study: to evaluate serum carnitine levels in preterm infants with RDS.Patients and methods: Eighty preterm infants were divided into two groups; group 1 consisted of 50 preterm with RDS in the first 6h of life constituted Group [A] as they were preterm infants with RDS with normal serum carnitine levels while Group [B] represented infants with carnitine deficiency. Control group 2 consisted of 30 preterm infants without RDS in the first 6 h of life. All cases and their mothers included in the study were subjected to a thorough history taking, thorough clinical examination and measurement of serum carnitine.Results: The cases groups had significantly lower serum L-carnitine than the controls group [25.56 ± 11.14 vs. 34.53 ± 2.54], and carnitine deficiency in RDS cases [32%]. Concerning weight, cases with carnitine deficiency had higher weight than cases with normal carnitine and control. With regard to clinical manifestations, there was a statistically significant difference between the cases subgroups in Down score indicting severe RDS in cases with carnitine deficiency. There was a statistically significant difference among cases subgroups regarding radiological findings. The cases with carnitine deficiency had worse X-ray, more need for surfactant therapy and MV than the cases with normal carnitine.Conclusion: Preterm neonates with RDS were demonstrated to be associated with a significant reduction in carnitine level compared to RDS- free preterm ones.Basma GhoniemMohamed elsamanoudyAl-Azhar University, Faculty of Medicine (Damietta)articleneonatalrespiratory distress syndromepulmonary immaturitycarnitine deficiencyMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 4, Pp 1797-1802 (2021)
institution DOAJ
collection DOAJ
language EN
topic neonatal
respiratory distress syndrome
pulmonary immaturity
carnitine deficiency
Medicine (General)
R5-920
spellingShingle neonatal
respiratory distress syndrome
pulmonary immaturity
carnitine deficiency
Medicine (General)
R5-920
Basma Ghoniem
Mohamed elsamanoudy
Serum Carnitine Levels in Preterm Infants with Respiratory Distress Syndrome
description Background: Respiratory distress syndrome [RDS] is among the most common diseases in preterm infants. Numerous causes of RDS have been recently diagnosed and researchers have identified the presence of low serum carnitine in preterm infants with RDS.The aim of this study: to evaluate serum carnitine levels in preterm infants with RDS.Patients and methods: Eighty preterm infants were divided into two groups; group 1 consisted of 50 preterm with RDS in the first 6h of life constituted Group [A] as they were preterm infants with RDS with normal serum carnitine levels while Group [B] represented infants with carnitine deficiency. Control group 2 consisted of 30 preterm infants without RDS in the first 6 h of life. All cases and their mothers included in the study were subjected to a thorough history taking, thorough clinical examination and measurement of serum carnitine.Results: The cases groups had significantly lower serum L-carnitine than the controls group [25.56 ± 11.14 vs. 34.53 ± 2.54], and carnitine deficiency in RDS cases [32%]. Concerning weight, cases with carnitine deficiency had higher weight than cases with normal carnitine and control. With regard to clinical manifestations, there was a statistically significant difference between the cases subgroups in Down score indicting severe RDS in cases with carnitine deficiency. There was a statistically significant difference among cases subgroups regarding radiological findings. The cases with carnitine deficiency had worse X-ray, more need for surfactant therapy and MV than the cases with normal carnitine.Conclusion: Preterm neonates with RDS were demonstrated to be associated with a significant reduction in carnitine level compared to RDS- free preterm ones.
format article
author Basma Ghoniem
Mohamed elsamanoudy
author_facet Basma Ghoniem
Mohamed elsamanoudy
author_sort Basma Ghoniem
title Serum Carnitine Levels in Preterm Infants with Respiratory Distress Syndrome
title_short Serum Carnitine Levels in Preterm Infants with Respiratory Distress Syndrome
title_full Serum Carnitine Levels in Preterm Infants with Respiratory Distress Syndrome
title_fullStr Serum Carnitine Levels in Preterm Infants with Respiratory Distress Syndrome
title_full_unstemmed Serum Carnitine Levels in Preterm Infants with Respiratory Distress Syndrome
title_sort serum carnitine levels in preterm infants with respiratory distress syndrome
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2021
url https://doaj.org/article/fc0db06e335744fd8c27348e95bf87c3
work_keys_str_mv AT basmaghoniem serumcarnitinelevelsinpreterminfantswithrespiratorydistresssyndrome
AT mohamedelsamanoudy serumcarnitinelevelsinpreterminfantswithrespiratorydistresssyndrome
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