Strip test for bedside detection of interleukin-6 in cervical secretions is predictive for impending preterm delivery

Eur Cytokine Netw. 2001 Apr-Jun;12(2):359-60.

Abstract

Inflammatory cytokines in amniotic fluid are markers of prematurity which could characterize preterm labour of infectious origin. To avoid amniocentesis, we analyzed IL-6, IL-8, IL-10, and IL-13 by RT-PCR in cervical secretions (CS) of 307 women with preterm labour. IL-6 was detected in 26.3% patients who delivered at less than 34 weeks (specificity: 95.8%). In addition, IL-6 was associated with delivery within 7 days (specificity: 91.6%). To render the detection more rapid and cheaper, a strip test was designed and evaluated comparatively with RT-PCR in 76 women. This bedside strip test was twice more sensitive than RT-PCR, with little decrease in specificity.

MeSH terms

  • Cervix Uteri / metabolism*
  • Female
  • Humans
  • Interleukin-6* / genetics
  • Interleukin-6* / metabolism
  • Obstetric Labor, Premature* / diagnosis*
  • Point-of-Care Systems
  • Pregnancy
  • RNA, Messenger / genetics
  • Reverse Transcriptase Polymerase Chain Reaction
  • Sensitivity and Specificity

Substances

  • Interleukin-6
  • RNA, Messenger