Respiratory Follow Up of the Premature Neonates-Rationale and Practical Issues

被引:6
作者
Daniela Bogdan, Raluca [1 ]
Elena Bohiltea, Roxana [2 ]
Ioan Toma, Adrian [3 ,4 ]
机构
[1] Medicover Hosp, Pediat Dept, Str Pechea 8,Sect 1, Bucharest 031056, Romania
[2] Carol Davila Univ Med & Pharm, Dept Obstet & Gynecol, Bd Eroii Sanitari 8, Bucharest 050471, Romania
[3] Life Mem Hosp, Neonatol Dept, Calea Grivitei 365,Sect 1, Bucharest 010719, Romania
[4] Univ Titu Maiorescu, Fac Med, Str Gh Petrascu 67,Sect 3, Bucharest 031593, Romania
关键词
premature neonates; respiratory follow-up; respiratory tract infections; wheezing; asthma; pulmonary function tests; late preterm neonates; SYNCYTIAL VIRUS-INFECTION; CHRONIC LUNG-DISEASE; PRETERM INFANTS; BRONCHOPULMONARY DYSPLASIA; CHILDREN BORN; BRONCHIAL HYPERRESPONSIVENESS; BRONCHIOLITIS; MORBIDITY; OUTCOMES; ASTHMA;
D O I
10.3390/jcm11061746
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of the review was to present the state of knowledge about the respiratory pathology in former premature neonates (children that were born preterm-before 37 weeks of gestation-and are examined and evaluated after 40 weeks corrected age) other than chronic lung disease, in order to provide reasons for a respiratory follow-up program for this category of patients. After a search of the current evidence, we found that premature infants are prone to long-term respiratory consequences due to several reasons: development of the lung outside of the uterus, leading to dysmaturation of the structures, pulmonary pathology due to immaturity, infectious agents or mechanical ventilation and deficient control of breathing. The medium- to long-term respiratory consequences of being born before term are represented by an increased risk of respiratory infections (especially viral) during the first years of life, a risk of recurrent wheezing and asthma and a decrease in pulmonary volumes and airway flows. Late preterm infants have risks of pulmonary long-term consequences similar to other former premature infants. Due to all the above risks, premature neonates should be followed in an organized fashion, being examined at regular time intervals from discharge from the maternity hospital until adulthood-this could lead to an early detection of the risks and preventive therapies in order to improve their prognosis and assure a normal and productive life. The difficulties related to establishing such programs are represented by the insufficient standardization of the data gathering forms, clinical examinations and lung function tests, but it is our belief that if more premature infants are followed, the experience will allow standards to be established in these fields and the methods of data gathering and evaluation to be unified.
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