J 2013

The fetal inflammatory response in subgroups of women with preterm prelabor rupture of the membranes

KACEROVSKY, Marian; Teresa COBO; Ctirad ANDRYS; Ivana MUSILOVA; Marcela DRAHOSOVA et al.

Základní údaje

Originální název

The fetal inflammatory response in subgroups of women with preterm prelabor rupture of the membranes

Autoři

KACEROVSKY, Marian; Teresa COBO; Ctirad ANDRYS; Ivana MUSILOVA; Marcela DRAHOSOVA; Helena HORNYCHOVA; Petr JANKŮ ORCID a Bo JACOBSSON

Vydání

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, LONDON, INFORMA HEALTHCARE, 2013, 1476-7058

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30214 Obstetrics and gynaecology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.208

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/13:00071392

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Infection; inflammation; interleukin-6; preterm delivery

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 27. 1. 2014 10:43, Soňa Böhmová

Anotace

V originále

Objective: To evaluate the influence of microbial invasion of the amniotic cavity (MIAC) and histological chorioamnionitis (HCA) on the intensity of the fetal inflammatory response and the occurrence of fetal inflammatory response syndrome (FIRS) in preterm prelabor rupture of membranes (PPROM). Methods: One hundred and forty-nine women with singleton pregnancies complicated by PPROM between the gestational ages 24+0 and 36+6 weeks were included in the study. Blood samples were obtained by venipuncture from the umbilical cord after the delivery of the newborn. The umbilical cord blood interleukin (IL)-6 levels were evaluated using ELISA kits. The fetal inflammatory response was determined by IL-6 levels, and FIRS was defined as an umbilical cord blood IL-6 >11 pg/mL. Result: IL-6 levels and the occurrence of FIRS were higher in women complicated with both MIAC and HCA (median IL-6 35.5 pg/mL, FIRS in 68%) than in women with HCA alone (median IL-6 5.8 pg/mL, FIRS in 36%), MIAC alone (median IL-6 2.8 pg/mL, FIRS in 17%) or women without MIAC or HCA (median IL-6 4.3 pg/mL, FIRS in 29%). There were no differences in IL-6 levels or rates of FIRS among women with MIAC alone or HCA alone and women without both MIAC and HCA. Conclusion: A higher fetal inflammatory response mediated by umbilical cord blood IL-6 was identified when both MIAC and HCA were detected in pregnancies complicated by PPROM.