Increased fecal calprotectin in preterm infants with necrotizing enterocolitis

Clin Lab. 2012;58(7-8):841-4.

Abstract

Background: Necrotizing entrocolitis (NEC) remains a potentially fatal disease in premature infants despite the recent advances in neonatal care. It is a disease with a multifactorial etiology leading to the one common final pathway of necrosis and inflammmation of the neonatal intestine.

Methods: Calprotectin is a calcium and zinc-binding protein in human neutrophils. Its concentration rises in various organic bowel diseases in adults and is resistant to degradation and has been proposed as a useful, simple, and rapid diagnostic method of inflammatory bowel disease that shows gastrointestinal inflammation in children and adults.

Results: We found that infants with necrotizing enterocolitis had increased fecal calprotectin concentrations, and there was a correlation between calprotectin concentrations and severity of NEC.

Conclusions: We concluded that fecal calprotectin is a useful marker for diagnosis and severity of NEC in preterm infants.

MeSH terms

  • Enterocolitis, Necrotizing / metabolism*
  • Feces*
  • Humans
  • Infant, Newborn
  • Infant, Premature*
  • Leukocyte L1 Antigen Complex / metabolism*

Substances

  • Leukocyte L1 Antigen Complex