![]() | Only 14 pages are availabe for public view |
Abstract Necrotizing enterocolitis (NEC) is a severe, inflammatory disease of the gut predominantly afflicting preterm neonates. The diagnosis of NEC can be challenging, especially in the early phases of the disease when the clinical presentation can, at times, be indistinguishable from other gastrointestinal disorders and/or generalized sepsis. Calprotectin is a calcium- and zinc-binding cytosolic protein of neutrophils, monocytes, and macrophages. In response to infectious or inflammatory processes, calprotectin is released from activated leucocytes via degranulation and can be detected in stool. Being non-invasive, stable for one week at room temperature and for 6 months at –20°C without any significant degradation and evenly distributed through the feces, fecal calprotectin became a interestingly studied as biomarker of intestinal inflammation. Hence, the aim of this study was to explore the role of fecal calprotectin (FCP) as a noninvasive marker of gastrointestinal injury in preterm infants in order to detect its usefulness in diagnosis of NEC. Furthermore, to evaluate usefulness of FCP to predict NEC severity. This prospective cohort study was carried on thirty eight preterm infants who were recruited from Neonatal Intensive Care Unit (NICU), Benha University Hospital, from June 2014 to Dec 2015. |