The diagnostic value of salivary C-reactive protein in neonatal infections: a meta-analysis.

Purpose: C-reactive protein (CRP), as an acute phase protein, is a sensitive indicator of neonatal bacterial infection. Some recent studies have shown that there is a correlation between CRP levels in serum and saliva, and using saliva to detect CRP levels is expected to be an ideal and non-invasive...

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Publicado en:Infection Vol. 52; no. 5; pp. 2071 - 2083
Autores principales: Wang, Xinning, Fei, Qiang, Yuan, Tianming
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Springer Nature Oct2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
      vid: 52
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s15010-024-02328-4
        180456898
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        atl: The diagnostic value of salivary C-reactive protein in neonatal infections: a meta-analysis.
      aug:
        au:
          Wang, Xinning
          Fei, Qiang
          Yuan, Tianming
        affil: https://ror.org/025fyfd20 Department of Neonatology, Children's Hospital of Zhejiang University School of Medicine, 3333 Binsheng Road, 310000, Hangzhou, China
      sug:
        subj:
          Infant, Newborn, Diseases Diagnosis
          C-Reactive Protein Analysis
          Saliva Analysis
          Sensitivity and Specificity
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          Descriptive Statistics
          Confidence Intervals
          ROC Curve
          Biological Markers Analysis
      ab: Purpose: C-reactive protein (CRP), as an acute phase protein, is a sensitive indicator of neonatal bacterial infection. Some recent studies have shown that there is a correlation between CRP levels in serum and saliva, and using saliva to detect CRP levels is expected to be an ideal and non-invasive method to predict neonatal infection. The purpose of this Meta-analysis was to evaluate the diagnostic value of salivary CRP for neonatal infection. Methods: We searched PubMed, Embase, Web of Science, and Scopus databases in October 2023 and included observational studies that examined salivary CRP in newborns with bacterial infections. Data was extracted regarding the methodology, participant characteristics, and outcome measures. Results: Nine articles were included, with a total of 696 newborns. Salivary CRP levels are significantly higher in neonates with infections compared to non-infected group (SMD = 0.58, 95%CI [0.40–0.76], P < 0.001). The accuracy for salivary CRP to predict serum CRP abnormality is high (sensitivity 86%, specificity 88%, area under the curve = 0.94). Conclusions: Our meta-analysis suggested that salivary CRP can be used as an alternative biomarker to serum CRP for detecting neonatal infection.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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