Open Medicine (Jul 2022)

The perinatal factors that influence the excretion of fecal calprotectin in premature-born children

  • Cekovic Jelena R.,
  • Prodanovic Nikola S.,
  • Mijailovic Sara S.,
  • Knezevic Sanja M.,
  • Vuletic Biljana P.,
  • Stojkovic Andjelka K.,
  • Savic Dragana M.,
  • Prodanovic Tijana V.,
  • Stanojevic Marina M.,
  • Simovic Aleksandra M.

DOI
https://doi.org/10.1515/med-2022-0522
Journal volume & issue
Vol. 17, no. 1
pp. 1275 – 1281

Abstract

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This study aimed to provide additional information on the influence of perinatal factors on fecal (f)-calprotectin values in preterm infants. Calprotectin was determined from the first spontaneous stool (analyzed on the Alegria device by using the enzyme-linked immunosorbent assay [ELISA] method) obtained from neonates at a mean age of 3.41 ± 2.44 days of life. We analyzed 114 subjects who had a body weight of 1847.67 ± 418.6 g and were born at a gestational age of 32.6 ± 2.43 weeks, without intestinal and other congenital anomalies or any diseases other than those related to premature birth. The values of f-calprotectin are in a positive correlation with female subjects, intrauterine growth restriction, significant ductus arteriosus, enteral feeding intolerance, postnatal prolonged use of broad-spectrum antibiotics, and values ​​of bicarbonates (analyzed in a sample of capillary arterial blood). Measurement of f-calprotectin in the first 7 days after birth can help to early detect the intestinal distress or early staging of necrotizing enterocolitis in premature infants.

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