BIOCHEMICAL CHANGES OCCURING IN NEONATES WITH SEPSIS

Irina-Bianca KOSOVSKI 1, Dana-Valentina GHIGA 2*, Cristina Nicoleta CIUREA 3, Anca BACÂREA 4
1 Clinical Laboratory of County Emergency Clinical Hospital of Tîrgu Mureș, Romania
2 Department of Research methodology, University of Medicine, Pharmacy, Science and Technology of Tîrgu Mureș, Romania
3 Department of Microbiology, Virology, Parasitology, University of Medicine, Pharmacy, Science and Technology of Tîrgu Mureș, Romania
4 Department of Pathophysiology, University of Medicine, Pharmacy, Science and Technology of Tîrgu Mureș, Romania

This retrospective study aims to analyze the relationship between biochemical changes occurring in newborns with sepsis proven by positive blood culture (BC) and possible correlations with 1 min Apgar score, 5 min Apgar score, gestational age (GA), and birth weight (BW). We included in the study all infants ≤7 days of life with positive BC that were admitted to the Neonatal Intensive Care Unit (NICU) and Neonatology Department (ND) of the County Emergency Clinical Hospital of Târgu Mureş, a tertiary level hospital, between 2014-2018. The analyzed parameters are: day of life for blood sampling (0-7 days of life), gender, Apgar score (1 and 5 minute), GA, BW, urea, creatinine, total bilirubin, direct bilirubin, aspartate aminotransferase (AST/GOT), alanine aminotransferase (ALT/GPT), c-reactive protein (CPR), bacteria involved, empiric antibiotics administered before blood sampling, temperature of the newborn on the day of BC. We found there is a statistically significant negative correlation between 1 and 5 min Apgar score and creatinine, between GA and urea and also between BW, GA and Direct Bilirubin. We found a statistically significant positive correlation between BW, GA and GPT.