Serum fibronectin in neonatal sepsis: Is it valuable in early diagnosis and outcome prediction?

The value of the serum fibronectin level in early diagnosis of neonatal sepsis and as a prognostic indicator was investigated. The serum fibronectin levels and Töllner's sepsis scores of 45 neonates who were hospitalized for the suspicion of infection and of 20 healthy neonates as controls were evaluated. Depending on the findings it was concluded that serum fibronectin level varies according to the gestational age, and that the serum fibronectin level is a useful acute phase reactant in the early diagnosis of neonatal sepsis. It can also be used as a prognostic indicator in neonatal sepsis.

[1]  K. Forsyth,et al.  Decreased plasma fibronectin concentrations in preterm infants with septicaemia. , 1993, Archives of disease in childhood.

[2]  L. Gold,et al.  Biochemical studies on the interaction of fibronectin with Ig. , 1991, Journal of immunology.

[3]  H. Dudley,et al.  Effect of acute starvation on plasma fibronectin response to sepsis , 1990, The British journal of surgery.

[4]  D. Tudehope,et al.  Early diagnosis of neonatal sepsis using a hematologic scoring system. , 1988, The Journal of pediatrics.

[5]  R. Polin,et al.  Sepsis screen in neonates with evaluation of plasma fibronectin , 1987, The Pediatric infectious disease journal.

[6]  R. Polin,et al.  Decreased plasma fibronectin in neonatal sepsis. , 1983, Pediatrics.

[7]  M. Lepow,et al.  Normal Fibronectin Levels as a Function of Age in the Pediatric Population , 1983, Pediatric Research.

[8]  R. Polin,et al.  Plasma fibronectin in healthy newborn infants: respiratory distress syndrome and perinatal asphyxia. , 1983, The Journal of pediatrics.

[9]  U. Töllner Early diagnosis of septicemia in the newborn. Clinical studies and sepsis score. , 1983, European journal of pediatrics.

[10]  A. Philip Decreased use of antibiotics using a neonatal sepsis screening technique. , 1981, The Journal of pediatrics.

[11]  A. Fountas,et al.  Plasma fibronectin in normal subjects and in various disease states. , 1981, Journal of clinical pathology.

[12]  J. Hewitt,et al.  Early diagnosis of neonatal sepsis. , 1980, Pediatrics.

[13]  E Squire,et al.  Diagnosis of neonatal bacterial infection: hematologic and pathologic findings in fatal and nonfatal cases. , 1979, Pediatrics.

[14]  R. Haggerty Bacterial infections in the newborn. , 1961, Pediatric clinics of North America.