Impact of serum level of vitamin D on term neonates with early onset sepsis
Journal: International Journal of Medical Arts (Vol.1, No. 1)Publication Date: 2019-07-01
Authors : Yasmine Soliman; Magdy Sakr; Tarek Emran; Mohamed El Samanoudy;
Page : 42-47
Keywords : Keywords: Vitamin D; Neonates; Sepsis; full term;
Abstract
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.
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