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Related Experiment Video

Updated: Sep 17, 2025

A Neonatal BALB/c Mouse Model of Necrotizing Enterocolitis
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Association Between a Decrease in Blood Monocyte Counts and Necrotizing Enterocolitis in Preterm Infants.

Supriya Bisht1, Kim Roger2, Sharef Al-Mulaabed3

  • 1Department of Pediatrics, Division of Newborn Medicine, University of Mississippi Medical Center, Jackson, USA.

Cureus
|June 27, 2025
PubMed
Summary
This summary is machine-generated.

A decrease in absolute monocyte count (AMC) was linked to necrotizing enterocolitis (NEC) in preterm infants. A falling AMC may serve as an early biomarker for increased NEC risk in neonates with feeding issues.

Keywords:
absolute monocyte countfeeding intolerancenecrotizing enterocolitisneonatepreterm

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Area of Science:

  • Neonatal Medicine
  • Hematology
  • Pediatric Surgery

Background:

  • Necrotizing enterocolitis (NEC) is a serious gastrointestinal condition affecting preterm infants.
  • Early identification of NEC risk is crucial for timely intervention and improved outcomes.
  • Absolute monocyte count (AMC) is a component of the complete blood count (CBC).

Purpose of the Study:

  • To investigate the relationship between AMC and NEC in preterm neonates.
  • To determine if a decline in AMC can predict an elevated risk of NEC.

Main Methods:

  • Retrospective analysis of preterm neonates diagnosed with NEC or feeding intolerance (FI).
  • Evaluation of AMC from complete blood counts at baseline, onset of NEC/FI, and post-event.
  • Statistical comparison using Student's t-test and chi-squared test.

Main Results:

  • A significant increase in AMC was observed from baseline to onset in the feeding intolerance group (p<0.001).
  • The NEC group showed a non-significant trend of falling AMC from baseline to onset (p=0.074).
  • Of 92 neonates, 29 had NEC and 63 had FI; groups were comparable in gestational age and birth weight.

Conclusions:

  • A decrease in AMC is associated with the presence of NEC in preterm infants.
  • A falling AMC may function as a predictive biomarker for NEC risk in neonates experiencing feeding problems.