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A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
Published on: June 24, 2020
[Amniotic fluid analysis. Part I: Rapid markers in the prediction of intra-amniotic infection]
Barbara Królak-Olejnik1, Wojciech Kaźmierczak, Igor Olejnik
1Katedra i Klinika Perinatologii i Ginekologii SlAM.
Abstract:
Intraamniotic infection has been recognized as a major etiologic factor for preterm delivery. Several groups have proposed that amniocentesis be used to identify the patient at risk for infectious morbidity. The number of techniques have been studied for rapid identification of bacterial colonization of amniotic cavity. Diagnostic index value of Gram stain, white blood cell count, glucose level and LDH (lactate dehydrogenase) activity for prediction of positive amniotic fluid culture, preterm delivery, clinical infection and neonatal sepsis were shown in the study. Investigators continue attempts to establish a rapid, more useful tests to predict preterm delivery.
Insights
Intraamniotic infection is a key cause of preterm delivery. This study evaluated diagnostic tests like Gram stain and white blood cell count to predict infection and preterm birth risks.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Neonatal Health
Context:
- Intraamniotic infection is a significant cause of preterm birth.
- Amniocentesis is proposed for identifying patients at risk of infectious morbidity.
- Rapid diagnostic methods for amniotic cavity bacterial colonization are under investigation.
Purpose:
- To evaluate the diagnostic index of Gram stain, white blood cell count, glucose level, and lactate dehydrogenase (LDH) activity.
- To assess the predictive value of these tests for positive amniotic fluid culture, preterm delivery, clinical infection, and neonatal sepsis.
Summary:
- The study assessed the utility of Gram stain, WBC count, glucose, and LDH in amniotic fluid for predicting intraamniotic infection and adverse outcomes.
- Results indicate the diagnostic value of these markers in identifying patients at risk for preterm delivery and neonatal complications.
Impact:
- Findings contribute to understanding rapid diagnostic markers for intraamniotic infection.
- Aims to improve the prediction of preterm delivery and associated neonatal sepsis through early detection of infection.
