Evidence map›Paper›PMID 34830040›Full record

ReviewInternational journal of molecular sciences2021

The Emerging Role of Presepsin (P-SEP) in the Diagnosis of Sepsis in the Critically Ill Infant: A Literature Review.

Chiara Maddaloni, Domenico Umberto De Rose, Alessandra Santisi, Ludovica Martini, Stefano Caoci, Iliana Bersani, Maria Paola Ronchetti, Cinzia Auriti

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
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  13. Lights and Shadows of Sepsis Management: Challenges and Future Perspectives.International journal of molecular sciences · 2023
    Article
  14. Article
  15. Group BAntibiotics (Basel, Switzerland) · 2023
    Review
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  17. Review
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.

Chiara MaddaloniNeonatal Intensive Care Unit (NICU), Medical and Surgical Department of the Fetus-Newborn-Infant, "Bambino Gesù" Children's Hospital IRCCS, 00165 Rome, Italy.ORCID 0000-0002-4265-0939
Domenico Umberto De RoseNeonatal Intensive Care Unit (NICU), Medical and Surgical Department of the Fetus-Newborn-Infant, "Bambino Gesù" Children's Hospital IRCCS, 00165 Rome, Italy.ORCID 0000-0002-9076-9838
Alessandra SantisiNeonatal Intensive Care Unit (NICU), Medical and Surgical Department of the Fetus-Newborn-Infant, "Bambino Gesù" Children's Hospital IRCCS, 00165 Rome, Italy.
Ludovica MartiniNeonatal Intensive Care Unit (NICU), Medical and Surgical Department of the Fetus-Newborn-Infant, "Bambino Gesù" Children's Hospital IRCCS, 00165 Rome, Italy.
Stefano CaociNeonatal Intensive Care Unit (NICU), Medical and Surgical Department of the Fetus-Newborn-Infant, "Bambino Gesù" Children's Hospital IRCCS, 00165 Rome, Italy.
Iliana BersaniNeonatal Intensive Care Unit (NICU), Medical and Surgical Department of the Fetus-Newborn-Infant, "Bambino Gesù" Children's Hospital IRCCS, 00165 Rome, Italy.
Maria Paola RonchettiNeonatal Intensive Care Unit (NICU), Medical and Surgical Department of the Fetus-Newborn-Infant, "Bambino Gesù" Children's Hospital IRCCS, 00165 Rome, Italy.
Cinzia AuritiNeonatal Intensive Care Unit (NICU), Medical and Surgical Department of the Fetus-Newborn-Infant, "Bambino Gesù" Children's Hospital IRCCS, 00165 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis causes high rates of morbidity and mortality in NICUs. The estimated incidence varies between 5 and 170 per 1000 births, depending on the social context. In very low birth-weight neonates, the level of mortality increases with the duration of hospitalization, reaching 36% among infants aged 8-14 days and 52% among infants aged 15-28 days. Early diagnosis is the only tool to improve the poor prognosis of neonatal sepsis. Blood culture, the gold standard for diagnosis, is time-consuming and poorly sensitive. C-reactive protein and procalcitonin, currently used as sepsis biomarkers, are influenced by several maternal and fetal pro-inflammatory conditions in the perinatal age. Presepsin is the N-terminal fragment of soluble CD14 subtype (sCD14-ST): it is released in the bloodstream by monocytes and macrophages, in response to bacterial invasion. Presepsin seems to be a new, promising biomarker for the early diagnosis of sepsis in neonates as it is not modified by perinatal confounding inflammatory factors. The aim of the present review is to collect current knowledge about the role of presepsin in critically ill neonates.

Indexed as

C-Reactive ProteinCritical IllnessFemaleHumansInfantInfant, NewbornLipopolysaccharide ReceptorsMaleNeonatal SepsisPeptide FragmentsProcalcitoninCD14 protein, humanC-Reactive ProteinLipopolysaccharide ReceptorsPeptide Fragmentspresepsin protein, humanProcalcitoninbiomarkersinfantsneonatepoint-of-caresepsisseptic shock

Identifiers

PMID34830040
PMCPMC8620326

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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.