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Relationship between Antenatal Maternal Neutrophil-to-Lymphocyte Ratio and Early Onset Neonatal Sepsis in Preterm Neonates |
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| รหัสดีโอไอ | |
| Creator | Thitiphan Chayawongrungreung |
| Title | Relationship between Antenatal Maternal Neutrophil-to-Lymphocyte Ratio and Early Onset Neonatal Sepsis in Preterm Neonates |
| Contributor | Jiraporn Luengmettakul, Aungsumalin Srilar |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2563 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 28 |
| Journal No. | 2 |
| Page no. | 94-102 |
| Keyword | preterm neonates, early onset neonatal sepsis, neutrophil to lymphocyte ratio |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Objectives: To determine the relationship between maternal neutrophil to lymphocyte ratio (NLR) and early onset neonatal sepsis (EONS) in preterm neonates.Materials and Methods: Between 2012 to 2016, a total of 485 cases of preterm delivery were retrospectively reviewed. Study group consisted of 97 neonates diagnosed with EONS and other 388 without EONS were randomly selected as a comparison group (1:4 ratio). Data were extracted from medical records, including baseline characteristics, obstetric and delivery data. Maternal NLR was calculated from laboratory results within 72 hours prior to delivery. Results: Neonates with EONS were significantly more likely to deliver at < 34 weeks (p < 0.001), had preterm premature rupture of membranes (p = 0.043), and had maternal fever (p = 0.016). White blood cell and neutrophil counts were significantly higher in EONS group while lymphocyte counts were comparable. Median NLR was significantly higher in EONS group (4.7 vs. 4.1, p = 0.005). NLR of > 5 significantly increased the risk of EONS (26.8% vs. 16.4%, p = 0.007). Logistic regression analysis showed that delivery at < 34 weeks and maternal fever were independently associated with EONS (adjusted odds ratio (ORs) 11.5, 95% confidence interval (CI) 6.7-19.7, and 3.4, 95% CI 1.1-11.3, respectively). Subgroup analysis showed that NLR of ? 5 independently increased the risk of EONS in those delivered at < 34 weeks (adjusted ORs 3.5, 95% CI 1.4-9.1) and maternal fever independently increased the risk of EONS in those delivered at ? 34 weeks (adjusted ORs 6.1, 95% CI 1.8-20.3).Conclusion: Maternal NLR was significantly associated with EONS in preterm neonates, especially those delivered at < 34 weeks. |
