RESPIRATORY-TRACT COLONIZATION WITH UREAPLASMA-UREALYTICUM AND BRONCHOPULMONARY DYSPLASIA IN NEONATES IN SOUTHERN ISRAEL

被引:29
作者
HOROWITZ, S [1 ]
LANDAU, D [1 ]
SHINWELL, ES [1 ]
ZMORA, E [1 ]
DAGAN, R [1 ]
机构
[1] BEN GURION UNIV NEGEV,SOROKA UNIV MED CTR,FAC HLTH SCI,PEDIAT INFECT DIS UNIT,IL-84105 BEER SHEVA,ISRAEL
关键词
UREAPLASMA-UREALYTICUM; PREMATURE NEONATES; NASOPHARYNGEAL AND ENDOTRACHEAL CULTURES; BRONCHOPULMONARY DYSPLASIA;
D O I
10.1097/00006454-199210000-00008
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Ureaplasma urealyticum has been recognized as an important potential pathogen in premature neonates. Reported rates of colonization of the respiratory tract vary. Data on neonatal ureaplasma colonization outside the United States and Western Europe are rare. Therefore we prospectively studied nasopharyngeal and endotracheal colonization in a cohort of 114 preterm and 100 full term infants within 48 hours of birth. The colonization rate was 24% in the premature infants and zero in the full term infants. Bronchopulmonary dysplasia developed in 19% of infants with nasopharyngeal Ureaplasma colonization and in 4.6% of noncolonized infants (P < 0.03). Bronchopulmonary dysplasia developed in 40% of intubated infants with positive endotracheal Ureaplasma cultures and only in 9.8% of infants with negative endotracheal cultures (P < 0.04). Thus Ureaplasma colonization of either the nasopharynx or the trachea was associated with an increased risk for the development of bronchopulmonary dysplasia (relative risk, 4.0 and 4.1, respectively).
引用
收藏
页码:847 / 851
页数:5
相关论文
共 28 条
[1]  
CAREY JC, 1991, AM J OBSTET GYNECOL, V164, P728
[2]  
CASSELL GH, 1988, LANCET, V2, P240
[4]   NASOPHARYNGEAL COLONIZATION OF CHLAMYDIA AND MYCOPLASMA IN INFANTS ADMITTED TO NEONATAL INTENSIVE-CARE UNIT - A PRELIMINARY-REPORT [J].
COOPER, R ;
TIEN, HC ;
BALDOMERO, A ;
SUN, S .
PEDIATRIC RESEARCH, 1985, 19 (04) :A290-A290
[5]   HYPEROXIA POTENTIATES UREAPLASMA-UREALYTICUM PNEUMONIA IN NEWBORN MICE [J].
CROUSE, DT ;
CASSELL, GH ;
WAITES, KB ;
FOSTER, JM ;
CASSADY, G .
INFECTION AND IMMUNITY, 1990, 58 (11) :3487-3493
[6]   ENDOGENOUS ACTIVITY OF PHOSPHOLIPASE-A AND PHOSPHOLIPASE-C IN UREAPLASMA-UREALYTICUM [J].
DESILVA, NS ;
QUINN, PA .
JOURNAL OF CLINICAL MICROBIOLOGY, 1986, 23 (02) :354-359
[7]  
FOULON W, 1986, OBSTET GYNECOL, V68, P280
[8]   PRETERM LABOR ASSOCIATED WITH SUBCLINICAL AMNIOTIC-FLUID INFECTION AND WITH BACTERIAL VAGINOSIS [J].
GRAVETT, MG ;
HUMMEL, D ;
ESCHENBACH, DA ;
HOLMES, KK .
OBSTETRICS AND GYNECOLOGY, 1986, 67 (02) :229-237
[9]   A CASE-CONTROL STUDY OF CHORIOAMNIONIC INFECTION AND HISTOLOGIC CHORIOAMNIONITIS IN PREMATURITY [J].
HILLIER, SL ;
MARTIUS, J ;
KROHN, M ;
KIVIAT, N ;
HOLMES, KK ;
ESCHENBACH, DA .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 319 (15) :972-978
[10]  
KASS EH, 1981, T ASSOC AM PHYSICIAN, V94, P261