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Yoffe Deri S, Melamed R, Marks K, Mizrakli Y, Leibovitz E, Golan A, Shany E. Early versus late-onset necrotizing enterocolitis in very low birth infants in the neonatal intensive care unit. Pediatr Surg Int 2022; 38:235-240. [PMID: 34741644 DOI: 10.1007/s00383-021-05029-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/29/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Necrotizing enterocolitis (NEC), one of the most severe emergencies in neonates, is a multifactorial disease with diverse risk factors. OBJECTIVES To compare between the clinical and laboratory characteristics of premature infants diagnosed with early-onset NEC (EO-NEC) and those with late-onset NEC (LO-NEC). PATIENTS AND METHODS Enrolled infants were identified from prospective local data collected for the Israel National very low birth weight (VLBW, < 1500 g) infant database and from the local electronic patient files data base for the period 1996-2017. RESULTS Overall, 95 VLBW infants (61, 64.21% EO-NEC and 34, 35.87% LO-NEC) were enrolled. EO-NEC infants had higher rate of IVH grade 3 and 4 (26.2% vs 2.9%, p = 0.005) and were more likely to undergo surgery (49.2% vs 26.5%, p = 0.031). LO-NEC infants had a higher incidence of previous bloodstream infections (35.3% vs 8.2%, p = 0.002) compared to EO-NEC. In multivariable analysis models, surgical intervention was associated with EO-NEC (OR: 4.627, p = 0.013) as well as PDA and positive blood culture prior to the NEC episode. CONCLUSIONS Our data support the hypothesis that EO-NEC has significant different clinical and microbiological attributes compared to LO-NEC.
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Affiliation(s)
- Simona Yoffe Deri
- Joyce and Irving Goldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Rimma Melamed
- Faculty of Health Sciences, Pediatrics Division, Ben Gurion University of the Negev, Beer Sheva, Israel.,Pediatric Infectious Diseases Unit, Soroka Medical Center, Beer Sheva, Israel
| | - Kyla Marks
- Faculty of Health Sciences, Pediatrics Division, Ben Gurion University of the Negev, Beer Sheva, Israel.,Neonatal Department, Soroka Medical Center, P.O. Box 151, 84101, Beer Sheva, Israel
| | | | - Eugene Leibovitz
- Faculty of Health Sciences, Pediatrics Division, Ben Gurion University of the Negev, Beer Sheva, Israel.,Pediatric Infectious Diseases Unit, Soroka Medical Center, Beer Sheva, Israel
| | - Agneta Golan
- Faculty of Health Sciences, Pediatrics Division, Ben Gurion University of the Negev, Beer Sheva, Israel.,Neonatal Department, Soroka Medical Center, P.O. Box 151, 84101, Beer Sheva, Israel
| | - Eilon Shany
- Faculty of Health Sciences, Pediatrics Division, Ben Gurion University of the Negev, Beer Sheva, Israel. .,Neonatal Department, Soroka Medical Center, P.O. Box 151, 84101, Beer Sheva, Israel.
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