PMID- 25768092 OWN - NLM STAT- MEDLINE DCOM- 20160822 LR - 20190816 IS - 1439-1651 (Electronic) IS - 0948-2393 (Linking) VI - 219 IP - 5 DP - 2015 Oct TI - [Combination of Excessive Weight Gain and Interleukin-8: A Possible Predictor of Necrotising Enterocolitis in Neonates?]. PG - 221-5 LID - 10.1055/s-0034-1395540 [doi] AB - BACKGROUND: Weight gain before the clinical diagnosis of necrotising enterocolitis (NEC) is described as a predictive factor. HYPOTHESIS: Weight gain of more than 5% one day prior to clinical suspicion plus increase of plasma Iinterleukin-8 (IL-8) are predictive for NEC. METHODS: 48 infants with diagnosis of NEC stage II and III were enrolled in a case-control study. Oral and parenteral nutrition, diuresis and kinetics of weight and of IL-8 were documented. RESULTS: 31 infants with NEC-II and 17 infants with NEC-III were enrolled. Weight gain>5% occurred in 35.3% of NEC-III, in 0% of NEC-II and in 4.2% of the control group. IL-8 increased significantly [NEC-III (6 561.4 pg/mL) vs. NEC-II: (326.7 pg/mL) vs. control group (38.9 pg/mL); p<0.05]. Sensitivity of IL-8 in NEC-II was 87.10% (70.15-96.25) and in NEC-III 100.00% (80.33-100.00). Sensitivity of weight gain was 0.00% (0.00-11.32) in NEC-II and 35.29% (14.30-61.65) in NEC-III. CONCLUSION: Weight gain>5% was found in only 35.3% of the cases with NEC-III. Combination of weight gain and IL-8 did not improve the diagnosis of NEC. CI - (c) Georg Thieme Verlag KG Stuttgart . New York. FAU - Neunhoeffer, F AU - Neunhoeffer F AD - Universitatsklinik fur Kinder- und Jugendmedizin Tubingen Abteilung II: Kardiologie, Intensivmedizin, Pulmologie. FAU - Jansen, H AU - Jansen H AD - Universitatsklinik fur Kinder- und Jugendmedizin Tubingen Abteilung IV: Neonatologie. FAU - Goelz, R AU - Goelz R AD - Universitatsklinik fur Kinder- und Jugendmedizin Tubingen Abteilung IV: Neonatologie. FAU - Renk, H AU - Renk H AD - Universitatsklinik fur Kinder- und Jugendmedizin Tubingen Abteilung II: Kardiologie, Intensivmedizin, Pulmologie. FAU - Poets, C AU - Poets C AD - Universitatsklinik fur Kinder- und Jugendmedizin Tubingen Abteilung IV: Neonatologie. FAU - Seitz, G AU - Seitz G AD - Universitatsklinik fur Kinder- und Jugendmedizin Tubingen Abteilung V: Kinderchirurgie, Kinderurologie. FAU - Wacker, A AU - Wacker A AD - Universitatsklinik fur Kinder- und Jugendmedizin Tubingen Abteilung IV: Neonatologie. FAU - Orlikowsky, T AU - Orlikowsky T AD - Uniklinik RWTH Aachen Klinik fur Kinder- und Jugendmedizin Sektion Neonatologie. LA - ger PT - Journal Article TT - Kann ein Gewichtssprung in Kombination mit einem Anstieg des Interleukin-8 eine nekrotisierende Enterokolitis bei Neonaten vorhersagen? DEP - 20150313 PL - Germany TA - Z Geburtshilfe Neonatol JT - Zeitschrift fur Geburtshilfe und Neonatologie JID - 9508901 RN - 0 (Biomarkers) RN - 0 (CXCL8 protein, human) RN - 0 (Interleukin-8) SB - IM MH - Biomarkers/blood MH - Enterocolitis, Necrotizing/blood/*diagnosis/*physiopathology MH - Female MH - Humans MH - Infant, Newborn MH - Infant, Premature MH - Interleukin-8/*blood MH - Male MH - Prognosis MH - Reproducibility of Results MH - Sensitivity and Specificity MH - *Weight Gain EDAT- 2015/03/15 06:00 MHDA- 2016/08/23 06:00 CRDT- 2015/03/14 06:00 PHST- 2015/03/14 06:00 [entrez] PHST- 2015/03/15 06:00 [pubmed] PHST- 2016/08/23 06:00 [medline] AID - 10.1055/s-0034-1395540 [doi] PST - ppublish SO - Z Geburtshilfe Neonatol. 2015 Oct;219(5):221-5. doi: 10.1055/s-0034-1395540. Epub 2015 Mar 13.