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Systemic and local inflammatory response in women with preterm prelabor rupture of membranes
T. Cobo, B. Jacobsson, M. Kacerovsky, DM. Hougaard, K. Skogstrand, E. Gratacós, M. Palacio,
Language English Country United States
Document type Journal Article, Research Support, Non-U.S. Gov't
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- MeSH
- C-Reactive Protein metabolism MeSH
- Cervix Uteri chemistry microbiology MeSH
- Adult MeSH
- Gestational Age MeSH
- Gram-Negative Bacterial Infections blood microbiology MeSH
- Gram-Positive Bacterial Infections blood microbiology MeSH
- Interleukin-6 blood MeSH
- Humans MeSH
- Mycoses blood microbiology MeSH
- Infant, Newborn MeSH
- Amniotic Fluid chemistry microbiology MeSH
- Obstetric Labor, Premature blood microbiology MeSH
- Fetal Membranes, Premature Rupture blood microbiology MeSH
- Prospective Studies MeSH
- Pregnancy MeSH
- Vagina chemistry microbiology MeSH
- Inflammation blood microbiology MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
OBJECTIVE: To evaluate the inflammatory pattern in maternal circulation, amniotic cavity, cervix and vagina from women with preterm prelabor rupture of membranes (PPROM) considering the occurrence of microbial invasion of the amniotic cavity (MIAC). METHODOLOGY: A prospective study was performed in 58 women with PPROM before 34+0 weeks of gestational age. Twenty-six proteins were analyzed by a multiple immunoassay in samples of amniotic fluid, serum, cervix and vagina. Association of an inflammatory response in the invasive and non-invasive samples with MIAC was investigated. RESULTS: The rate of MIAC was 36.2% (21/58). Both amniotic fluid IL-6 and cervical C-reactive protein (CRP) showed to be independent predictors of MIAC. A cut-off level of cervical CRP≥1836 pg/mL showed a detection rate of 75%, false positive rate of 19% and positive and negative predictive values to predict MIAC of 67% and 87%, respectively. There were no independent biomarkers of MIAC either in the serum or vaginal compartment. CONCLUSION: A cervical inflammatory response mediated by CRP was observed in PPROM women with MIAC. Evaluation of serum or vaginal samples did not add valuable information regarding the outcome evaluated.
Centro de Investigación Biomédica en Red de Enfermedades Raras Barcelona Spain
Department of Clinical Biochemistry and Immunology Statens Serum Institut Copenhagen Denmark
Department of Obstetrics and Gynecology Sahlgrenska University Hospital Gothenburg Sweden
Department of Obstetrics and Gynecology University Hospital Hradec Kralove Czech Republic
Institute of Public Health Oslo Norway
Maternal Fetal Medicine Department ICGON Hospital Clınic Universitat de Barcelona Barcelona Spain
References provided by Crossref.org
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- $a OBJECTIVE: To evaluate the inflammatory pattern in maternal circulation, amniotic cavity, cervix and vagina from women with preterm prelabor rupture of membranes (PPROM) considering the occurrence of microbial invasion of the amniotic cavity (MIAC). METHODOLOGY: A prospective study was performed in 58 women with PPROM before 34+0 weeks of gestational age. Twenty-six proteins were analyzed by a multiple immunoassay in samples of amniotic fluid, serum, cervix and vagina. Association of an inflammatory response in the invasive and non-invasive samples with MIAC was investigated. RESULTS: The rate of MIAC was 36.2% (21/58). Both amniotic fluid IL-6 and cervical C-reactive protein (CRP) showed to be independent predictors of MIAC. A cut-off level of cervical CRP≥1836 pg/mL showed a detection rate of 75%, false positive rate of 19% and positive and negative predictive values to predict MIAC of 67% and 87%, respectively. There were no independent biomarkers of MIAC either in the serum or vaginal compartment. CONCLUSION: A cervical inflammatory response mediated by CRP was observed in PPROM women with MIAC. Evaluation of serum or vaginal samples did not add valuable information regarding the outcome evaluated.
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