Evidence map›Paper›PMID 25894336›Full record

ArticlePloS one2015

Role of Neutrophil CD64 Index as a Screening Marker for Late-Onset Sepsis in Very Low Birth Weight Infants.

Florian Kipfmueller, Jessica Schneider, Julia Prusseit, Ioanna Dimitriou, Berndt Zur, Axel R Franz, Peter Bartmann, Andreas Mueller

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. C-reactive protein for diagnosing late-onset infection in newborn infants.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Article
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  5. Review
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  7. Review
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  12. [Value of combined determination of neutrophil CD64 and procalcitonin in early diagnosis of neonatal bacterial infection].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Florian KipfmuellerDepartment of Neonatology and Pediatric Critical Care, University Children's Hospital Bonn, Bonn, Germany.
Jessica SchneiderDepartment of Neonatology and Pediatric Critical Care, University Children's Hospital Bonn, Bonn, Germany.
Julia PrusseitDepartment of Neonatology and Pediatric Critical Care, University Children's Hospital Bonn, Bonn, Germany.
Ioanna DimitriouDepartment of Medical Biometry, Informatics and Epidemiology, University Hospital Bonn, Bonn, Germany.
Berndt ZurInstitute for Clinical Chemistry and Clinical Pharmacology, University Hospital Bonn, Bonn, Germany.
Axel R FranzDepartment of Neonatology and Pediatric Critical Care, University Children's Hospital Bonn, Bonn, Germany; Current affiliation: Department of Neonatology, University Children's Hospital Tuebingen, Tuebingen, Germany.
Peter BartmannDepartment of Neonatology and Pediatric Critical Care, University Children's Hospital Bonn, Bonn, Germany.
Andreas MuellerDepartment of Neonatology and Pediatric Critical Care, University Children's Hospital Bonn, Bonn, Germany.
University Hospital Bonn · DEUniversity Children's Hospital Tübingen · DEZimmer Biomet (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe role of CD64 in late onset sepsis (LOS) in preterm infants has been described in several studies. Aim of this study was to investigate whether CD64 expression is increased in the days before clinical manifestation of LOS.

methodsPatients with birth weight below 1,500 g were eligible for study participation. During routine blood sampling CD64 index was determined between day of life 4 and 28. Patients were allocated to one of four groups: (1) blood-culture positive sepsis, (2) clinical sepsis, (3) symptoms of infection without biochemical evidence of infection, or (4) patients without suspected infection. Kinetics of CD64 expression were compared during a period before and after the day of infection in the respective groups.

results50 infants were prospectively enrolled and allocated to each group as follows: group (1) n = 7; group (2) n = 10; group (3) n = 8; and group (4) n = 25. CD64 index was elevated in 57% of patients in group (1) at least two days before infection. In contrast only 20% in the clinical sepsis group and 0% in group (3) had an elevated CD64 index in the days before infection. 10 of the 25 patients in the control group (4) presented increased CD64 index values during the study period.

conclusionsThe CD64 index might be a promising marker to detect LOS before infants demonstrate signs or symptoms of infection. However, larger prospective studies are needed to define optimal cut-off values and to investigate the role of non-infectious inflammation in this patient group.

Indexed as

Age of OnsetBiomarkersFemaleHumansIncidenceInfant, NewbornInfant, Very Low Birth WeightMaleNeutrophilsReceptors, IgGSepsisBiomarkersReceptors, IgG

Identifiers

PMID25894336
PMCPMC4404048
OpenAlexW2080640598

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.