The Role of Low 25-Hydroxyvitamin D Levels in Preterm Infants with Late-Onset Sepsis.


Dogan P., ÖZKAN H. , Koksal N. , ÇELEBİ S. , Bagci O., Topcu M., ...More

Fetal and pediatric pathology, vol.40, no.6, pp.571-580, 2021 (Journal Indexed in SCI Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 40 Issue: 6
  • Publication Date: 2021
  • Doi Number: 10.1080/15513815.2020.1725941
  • Title of Journal : Fetal and pediatric pathology
  • Page Numbers: pp.571-580
  • Keywords: late-onset sepsis, preterm, vitamin D, VITAMIN-D DEFICIENCY, NEONATAL SEPSIS, RISK, SUPPLEMENTATION

Abstract

Introduction: We investigated the association between low 25-hydroxyvitamin D (25-OHD) levels and late-onset sepsis (LOS) in preterm infants (<37 weeks). Methods: Infants with culture-proven LOS were the study group, infants without LOS were the controls. 25-OHD levels were compared between these groups. Low vitamin D was defined as 25-OHD <= 15 ng/ml. Maternal 25-OHD levels were compared to their infant's level. Results: 108 infants were included. The study group was significantly younger (p = 0.02) with significantly lower 25-OHD levels (p < 0.001). Multivariable logistic regression analyses revealed that infants with low 25-OHD levels were 7.159 (95%CI: 1.402-36.553, p = 0.018) times more likely to develop LOS. A positive correlation was detected between maternal and neonatal 25-OHD levels for both study and control groups (r = 0.425, p = 0.009; r = 0.739, p < 0.001, respectively). Conclusions: Low 25-OHD levels are associated with an increased risk of developing LOS development in preterm infants