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Nurhidayanti, Nurhidayanti
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Journal : Medical Laboratory Technology Journal

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Diagnostic Utility of Neutrophil-to-Lymphocyte Ratio in Correlation with Procalcitonin Levels among Neonates with Suspected Sepsis Nurhidayanti, Nurhidayanti; Aristoteles, Aristoteles
Medical Laboratory Technology Journal Vol. 11 No. 2 (2025): December
Publisher : Poltekkes Kemenkes Banjarmasin Jurusan Analis Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/mltj.v11i2.674

Abstract

Neonatal sepsis remains a significant cause of morbidity and mortality globally, particularly in resource-limited settings. The gold standard blood culture is limited by delayed turnaround time and suboptimal sensitivity, necessitating rapid, reliable biomarkers such as the neutrophil-to-lymphocyte ratio (NLR) and procalcitonin (PCT). Objective: to investigate the correlation between NLR and PCT levels in neonates with suspected sepsis, and evaluate the feasibility of NLR as an early diagnostic tool alongside PCT. A cross-sectional study was conducted at Muhammadiyah Hospital, Palembang, Indonesia, from January to March 2024. Thirty neonates aged 0–28 days with clinical suspicion of sepsis were recruited by purposive sampling. NLR values were obtained from automated hematology analyzers, and PCT levels were measured using fluorescence immunoassay. Statistical analysis used Spearman’s correlation, with p < 0.05 considered significant. The mean NLR was 3.99 (range: 2.3–6.2), and the mean PCT level was 5.72 ng/mL (range: 2.9–9.2 ng/mL). A significant positive correlation was observed between NLR and PCT (r = 0.684, p < 0.001), indicating that higher NLR values corresponded with elevated PCT levels. The study concludes that NLR shows a strong, statistically significant correlation with PCT in neonates with suspected sepsis. As a cost-effective and widely available marker, NLR can serve as an early screening tool, with PCT providing confirmatory value. However, the findings should be interpreted with caution due to the small sample size and single-center study design, which may limit the generalizability of the results.
Co-Authors A. Farid .Hemon Abdillah, Muh Adriana, Novia Agustin, Rizki Dwi Ahmad Ridha Ahmad Syifaudin Ahmad, Nurul Fitriah Akbar, Djalaludin M. Al Munawarah, Nur Alda, Alda Alfath, M Alma, Alma Amelia, Novi Amiruddin Amiruddin Amram, Riskayani Andi Anirah Arfiany, Arfiany Asmawati Asmawati Asyurah, Suci Ayu Utari Nasution Azhari Akmal Tarigan Aziz, Muhaimin Baharuddin Baharuddin Bastian Bastian Chairilsyah, David Citta, Andi Batari Denny Juraijin Dewi Hartati Doo, Viona Febyola Refana Dwi Septiyani Eko Prima Ambarita elsa, elsa emelda, emelda Erniati Erniati Fadel, Fadel Faridah Faridah Fatmawati, Annisa Gumulia, Evelin Gunawan, Aden Hamdi, Abdul Ridho Hanangga, Lalu Danal Harma, Harma Haryanti, Intisari Hasyim, Srimuliani Heba Elsisy Fadlia Hikmah Hikmah Huldi, Amzanatul Ikha Safitri Indah Indah Indah Sari Indah Setiani Insyiroh, Salsabila Ishak Ishak Isjoni Isjoni Islami, Tri Avenda Isnaini, Hikmah Jafar, Afif Asyraf Jumri Hi Thahang Basir Juraijin, Denny Juwy Trianes Kartini, Eneng Kusumaningrum, Retno Ayu Lana Safitri, Lana Safitri Mahdinur, Muh Marsuki Mahya, WN. Marhamah Marianus Ola Kenoba Marwah, Misbahudin Mashuri, Arif MASITHA, DEWI Mega Sari Juane Sofiana Muhammad Abdurrahman Munir Muhammad Anwar Muhammad Danial Muharani Nst, Junita Mujiburrahman Mujiburrahman Mukhtar Galib Muzkiyah, Nurul Nasution, Syukri Albani Nur Fadhila Amri nur, Indrayani Nurdyansa NURWAHIDAH NURWAHIDAH Obie Permana Phayana, Yulinda Mayanti Pria Gautama Putra, Riko Sandra Putro, Guntur S. Putro, Guntur Suryo R., Mantasiah Rahmayadi, Ayatilla Ar-Raufah Razaq, Yusuf Rizkan, Rizkan Robiyatul Adawiyah Ruslan Ruslan Safitri, Widia Sagaf S. Pettalongi Samingan Samingan Sapiri, Muhtar Saputra, Agung Muhtar Sari, Refina Ratna Satriani Satriani Septiana, Dini Setiawan, Lukman Slamet, Sukmatica Solihin, Muhamad Sri Astuti Sri Ernawati Suci Utami, Suci Suciaty, Tety Sulaeman, Budiawan Syiafudin, Ahmad Tambunan, Via Anjalinia Thanwain, Thanwain Trianes, Juwy Victor Asido Elyakim P Wahyu, Nur Wahyuni, Ayusari Wicaksono, Ariawan Bayu Yahya, Muhammad Rizal Yulianto, Dian Dwi Yunita, Ade Yusani, Anisa