e-ISSN: 2664-1194     print ISSN: 2304-6554
Features of protein and amino acid metabolism in newborns with sepsis
Azerbaijan Journal of Perinatology and Pediatrics

Abstract

Sepsis in newborns is characterized by high mortality and is one of the main causes of disability in small children. One of the most significant factors influencing the outcome of treatment of sepsis in newborns is protein-energy malnutrition clinically associated with a systemic inflammatory response and multiple organ dysfunction (MOD). At present, the effect of systemic inflammation on protein-energy homeostasis has not been fully studied; the criteria for metabolic decompensation in neonatal sepsis and their relationship with vital laboratory parameters used in clinical practice have not been sufficiently developed. Determination of safe threshold values for clinical and laboratory parameters, protein and amino acid content in the blood in septic newborns with organ dysfunction is urgent for differential diagnosis and evaluation of treatment effectiveness. The presented literature review is devoted to the effect of protein-energy malnutrition on the incidence of adverse outcomes in newborns with sepsis and septic shock.

References

Сепсис новорожденных: учебное пособие для врачей / сост.: Ю.С. Александрович, Д.О. Иванов, К.В. Пшениснов. – СПб.: СПбГПМУ, 2018. – 176 с.

А.У. Лекманов, П.И. Миронов, В.А. Руднов, В.В. Кулабухов Современные дефиниции и принципы интенсивной терапии сепсиса у детей // Вестник анестезиологии и реаниматологии. – 2018. – Т. 15, № 4. – С. 61–69.

F. Carbone, F. Montecucco, A. Sahebkar Current and emerging treatments for neonatal sepsis // Expert. Opin. Pharmacother. – 2020. – Vol. 21, № 5. –Р. 549-556.

Alexander, T. Nutritional management of moderate–late preterm infants: Survey of current practice / T. Alexander, F.H. Bloomfield // J. Paediatr. Child Health. –2019. – Vol. 55, № 3. – Р. 338-342.

X. Zhu, A. Meyers, D. Long [et al.] Frontline science: monocytes sequentially rewire metabolism and bioenergetics during an acute inflammatory response // J. Leukoc. Biol. – 2019. – Vol. 105, № 2. – Р. 215-228.

M.McGovern, E. Giannoni, H. Kuester [et al.]Challenges in developing a consensus definition of neonatal sepsis // Pediatr. Res.2020,Vol. 88.,p.14-26.

ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: lipids / A.Lapillonne, N. Fidler Mis, O. Goulet [et al.] // Clin. Nutr. – 2018. – Vol.37, № 6. – Р. 2324-2336.

I. Georgakopoulou, S.A.Chasapi, S.E. Bariamis [et al.] Metabolic changes in early neonatal life: NMR analysis of the neonatal metabolic profile to monitor postnatal metabolic adaptations // Metabolomics. – 2020. – Vol. 16, № 5. – Р. 48-58.

A. Leaf, J. Dorling, S. Kempley [et al.] Early or delayed enteral feeding for preterm growth-restricted infants: a randomized trial // Pediatrics.2012, Vol. 129, № 5.p. e1260 – e1268.

M. Kresch, K. Mehra, R. Jack [et al.] Sustaining improved nutritional support for very low birthweight infants // BMJ Open Quality. – 2020. – Vol. 9, № 1. – Р.e000672.

L.J. Chyi, H.C. Lee, S.R. Hintz [et al.] School outcomes of late preterminfants: special needs and challenges for infants born at 32 to 36 weeks gestation // J. Pediatr.– 2008. – Vol. 153. – P. 25–31.

А.И. Ярошецкий, О.А. Мамонтова,И.Ю. Лапшина [и др.] Безопасность парентеральногпитания// Вестник интенсивной терапии. – 2012. – № 3. – С. 42–52.

L. Barata, L. Arruza, M.-J. Rodríguez [et al.] Neuroprotection by cannabidiol and hypothermia in a piglet model of newborn hypoxic-ischemic brain damage // Neuropharmacology. – 2019.– Vol. 146. – P. 1-11.

Perinatal factors affecting coagulation parameters at birth in preterm and term neonates: aretrospective cohort study / H. Go, H. Ohto, K.E. Nollet [et al.] // Am. J. Perinatol. – 2019. – Vol. 36,№ 14. – Р. 1464-1470.

J.M. Meyers, S. Tan, E.F. Bell [et al.] Preterm infant linear growth and adiposity gain: trade–offs for later weight status and intelligence quotient // J. Pediatr. – 2013.Vol. 163, № 6. – Р. 1564–1569.

T.P. Stevens, E. Shields, D. Campbell [et al.] Variation in enteral feeding practices and growth outcomes among very premature infants: a report from the New York State Perinatal Quality Collaborative // Am. J. Perinatol. – 2016. – Vol. 2, № 01. – Р. 009-019.

Leligdowicz, A. Heterogeneity in sepsis: new biological evidence with clinical applications // Crit. Care. – 2019. – Vol. 23, № 1. –Р. 80.

H.A. Shaaban, N. Safwat Mean platelet volume in preterm: a predictor of early onset neonatal sepsis // J. Matern. Fetal. Neonatal. Med. –2020. – Vol. 33, № 2. – P. 206–211.

Whyte, R.K. Neurodevelopmental outcome of extremely low-birth-weight infants randomly assigned to restrictive or liberal hemoglobin thresholds for blood transfusion // Semin. Perinatol.– 2012. – Vol. 36, № 4. – Р. 290-293.

Derangement of arginine and related amino acids in children undergoing surgery for congenital heart disease with cardiopulmonary bypass / A.H. Navaei, L.S. Shekerdemian, M.A. Mohammad [et al.] // Crit. Care Explor. – 2020. – Vol. 2, № 7.– P. e0150

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Keywords

protein and amino acid metabolism, sepsis, multiple organ dysfunction, newborn. protein və amin turşusu mübadiləsi, sepsis, poliorqan disfunksiyası, yenidoğulan

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