Preterm Infants Can Mount Appropriate C-Reactive Protein Responses to Early Onset Sepsis

Am J Perinatol. 2015 Nov;32(13):1281-6. doi: 10.1055/s-0035-1555127. Epub 2015 Jun 12.

Abstract

Objective: This study aims to evaluate whether infants born at ≤ 32 weeks' gestational age (GA) can mount C-reactive protein (CRP) responses during early onset bacterial sepsis that are comparable to infants born at > 32 weeks' GA.

Methods: Retrospectively (2003-2012) infants with a positive bacterial culture during the first 72 hours of life were identified and grouped into two categories based on their GA: ≤ 32 weeks (group A) and > 32 weeks (group B).

Results: Group A included 25 and group B included 122 infants. Both groups responded similarly to sepsis with an increase in CRP (p = 0.59). Each group had a significant change in intragroup CRP levels over time (p < 0.0001). However, in both groups, the degree of this change was at the same rate over time (p = 0.74).

Conclusion: CRP responses to bacterial sepsis during the first 72 hours of life in infants born at ≤ 32 weeks' GA are comparable to infants born at > 32 weeks' GA.

MeSH terms

  • Bacteremia / immunology*
  • Bacteremia / microbiology
  • C-Reactive Protein / immunology*
  • Cohort Studies
  • Escherichia coli Infections / immunology
  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Infant, Newborn, Diseases / immunology*
  • Infant, Newborn, Diseases / microbiology
  • Infant, Premature / immunology*
  • Male
  • Retrospective Studies
  • Sepsis / immunology*
  • Sepsis / microbiology
  • Staphylococcal Infections / immunology
  • Streptococcal Infections / immunology
  • Streptococcus agalactiae

Substances

  • C-Reactive Protein