Nursing Interventions and Biochemical Markers in Early Detection of Neonatal Sepsis

Document Type : Review Articles

Authors

1 Nursing, Northern Area Armed Forces Hospital. King Khalid Military City, PO Box 10018, Hafr Al Batin 31991 , Kingdom of Saudi Arabia.

2 Nursing technician, Prince Mohammad bin Nasser Hospital in Jazan, Kingdom of Saudi Arabia.

3 Specialist Nursing, Imam Abdul Rahman Al-Faisal Hospital, Riyadh First Health Cluster, Kingdom of Saudi Arabia

4 Specialist Nursing, Baish General Hospital, Jazan 87597, Kingdom of Saudi Arabia

5 Nursing technician, Eradah for mental health Hospital in Jazan, Jazan Cluster, Kingdom of Saudi Arabia.

6 Ministry of health, Kingdom of Saudi Arabia 7Epidemiological observer, Compliance Department, Riyadh Health, Kingdom of Saudi Arabia.

7 Epidemiological observer, Compliance Department, Riyadh Health, Kingdom of Saudi Arabia.

8 Ministry of health, Kingdom of Saudi Arabia

9 Nursing technician, Primary Health Care Center in Albaidh, Riyadh, Kingdom of Saudi Arabia

10 Nursing technician, Riyad, Kingdom of Saudi Arabia

Abstract

Aim: This study aims to explore the role of nurses and the use of biochemical markers in the management of neonatal sepsis. Methods: A comprehensive literature review was conducted to analyze current research on the roles of nurses in neonatal sepsis management and the utility of biochemical markers such as C-reactive protein (CRP), procalcitonin (PCT), interleukins (IL-6, IL-8, IL-10), and soluble CD14 subtype presepsin (sCD14-ST) in diagnosing and monitoring neonatal sepsis. Studies focusing on clinical trials, observational studies, and meta-analyses published between 2000 and 2024 were included. Results: Nurses play a critical role in the early recognition and management of neonatal sepsis through vigilant monitoring, timely intervention, and effective communication with healthcare teams. Biochemical markers, particularly CRP and PCT, have shown promise in aiding early diagnosis and monitoring treatment response. IL-6, IL-8, IL-10, and sCD14-ST have also demonstrated potential as adjunctive markers in differentiating sepsis from non-infectious conditions. Conclusion: The integration of nurses in the multidisciplinary care team is crucial for improving outcomes in neonatal sepsis. Biochemical markers provide valuable adjuncts to clinical assessment, facilitating early diagnosis, appropriate antibiotic use, and monitoring of treatment efficacy. Further research is needed to standardize protocols for marker use, optimize diagnostic accuracy, and enhance the overall management of neonatal sepsis.

Keywords

Main Subjects


Volume 67, Issue 13 - Serial Number 13
In Loving Memory of Late Professor Doctor ””Mohamed Refaat Hussein Mahran””
December 2024
Pages 729-742
  • Receive Date: 12 July 2024
  • Revise Date: 16 August 2024
  • Accept Date: 21 August 2024