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University of Groningen

Early onset sepsis in Suriname

Zonneveld, Rens

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

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Publication date: 2017

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Zonneveld, R. (2017). Early onset sepsis in Suriname: Epidemiology, Pathophysiology and Novel Diagnostic Concepts. Rijksuniversiteit Groningen.

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Early Onset Sepsis in Suriname

Epidemiology, Pathophysiology, and Novel Diagnostic Concepts

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ISBN (printed): 978-94-034-0256-7 ISBN (digital): 978-94-034-0257-4 Cover design: Frans Mettes

Lay-out and Printing: Off Page, Amsterdam © 2017, Rens Zonneveld

All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means without permission of the author.

Financial support for the research in this thesis is greatly acknowledged. The following institutes and organisations provided funding for completion and printing of this thesis:

 

 

Stichting ‘De Drie Lichten’. 

Early Onset Sepsis in Suriname

Epidemiology, Pathophysiology, and Novel Diagnostic Concepts

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op maandag 11 december 2017 om 16.15 uur

door

Rens Zonneveld

geboren op 8 april 1983 te Breda

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Early Onset Sepsis in Suriname

Epidemiology, Pathophysiology, and Novel Diagnostic Concepts

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op maandag 11 december 2017 om 16.15 uur

door

Rens Zonneveld

geboren op 8 april 1983 te Breda

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Promotor Prof. dr. G. Molema Copromotores Dr. F.B. Plötz Dr. M. van Meurs Beoordelingscommissie Prof. dr. J.M. Smit Prof. dr. J.B. van Woensel Prof. dr. J.G. Zijlstra

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TABLE OF CONTENTS

Chapter 1 General Introduction and Thesis Outline 7

Part I Epidemiology of Early Onset Sepsis in Suriname 23 Chapter 2 Improved Referral and Survival of Newborns after Scaling Up of

Intensive Care in Suriname 27 BMC Pediatrics, Accepted for Publication

Part II Prediction of Early Onset Sepsis 47 Chapter 3 Association between Early Onset Sepsis Calculator and

Infection Parameters for Newborns with Suspected Early Onset Sepsis 51 J Clin Neonatol 2017, 6:159-62

Chapter 4 Immature-to-total-granulocyte Ratio as a Guide for Antibiotic Treatment in Suspected Early Onset Sepsis in Surinamese Newborns 59 Submitted

Part III The Vascular Pathophysiology of Early Onset Sepsis 71 Chapter 5 Soluble Adhesion Molecules as Markers for Sepsis and the Potential

Pathophysiological Discrepancy in Neonates, Children and Adults 75 Critical Care 2014, 18:204

Chapter 6 Early Onset Sepsis in Surinamese Newborns is Not Associated with Elevated Serum Levels of Endothelial Cell Adhesion Molecules and

Their Shedding Enzymes 99

Submitted

Chapter 7 Low Serum Angiopoietin-1, high Angiopoietin-2, and high Ang-2/Ang-1

Protein Ratio are Associated with Early Onset Sepsis in Surinamese Newborns 119 Shock 2017, May 22

Chapter 8 Analyzing Neutrophil Morphology, Mechanics, and Motility in Sepsis:

Options and Challenges for Novel Bedside Technologies 133 Critical Care Medicine 2016, 44:218-28

Chapter 9 Summary & Future Perspectives 157

Appendices 169

Appendix I Letter to the editor Critical Care (Critical Care 2016, 20:235-36.) 171 Appendix II Samenvatting (Summary in Dutch) 174

Appendix III Dankwoord 176

Appendix IV List of Publications 180

Appendix V Curriculum Vitae 182

Promotor Prof. dr. G. Molema Copromotores Dr. F.B. Plötz Dr. M. van Meurs Beoordelingscommissie Prof. dr. J.M. Smit Prof. dr. J.B. van Woensel Prof. dr. J.G. Zijlstra

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