Document Detail

Role of pulmonary infection in the development of chronic lung disease of prematurity.
MedLine Citation:
PMID:  20884745     Owner:  NLM     Status:  MEDLINE    
We studied the role of ante- and post-natal infection in the development of chronic lung disease (CLD) of prematurity. 192 newborn infants (61 term and 131 pre-term of <34 weeks gestation: 88 with respiratory distress syndrome, 35 developed CLD and eight died) were recruited. 16S ribosomal RNA (rRNA) genes were identified by PCR of DNA isolated from 840 gastric and lung fluid samples. Ureaplasma spp. were also cultured. Presence of 16S rRNA genes (OR 1.6, 95% CI 1.2-2.2) and Ureaplasma spp. (OR 3.6, 95% CI 1.7-7.7) was significantly associated with the development of CLD. This association remained if the 16S rRNA genes and Ureaplasma spp. were first identified within the first 3 days of life (OR 2.4 (95% CI 1.4-4.1) and 3.8 (95% CI 1.4-10.0), respectively) or if first identified after 3 days of age (OR 1.7 (95% CI 1.1-2.8) and OR 5.1 (95% CI 1.3-19.8), respectively). Peak lung fluid interleukin (IL)-6 and IL-8 were significantly associated with presence of microbes (p<0.0001 and p=0.0001, respectively) and development of CLD (p=0.003 and 0.001, respectively). Both early and late microbial presence in neonatal lung fluid samples was significantly associated with the development of CLD suggesting that both ante- and post-natal infection play a role in the development of CLD.
M L Beeton; N C Maxwell; P L Davies; D Nuttall; E McGreal; M Chakraborty; O B Spiller; S Kotecha
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-09-30
Journal Detail:
Title:  The European respiratory journal     Volume:  37     ISSN:  1399-3003     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-02     Completed Date:  2011-10-07     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  1424-30     Citation Subset:  IM    
Department of Child Health, School of Medicine, Cardiff University, Cardiff, CF14 4XN, UK.
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MeSH Terms
Chronic Disease
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / immunology,  microbiology*,  mortality
Interleukin-6 / immunology
Interleukin-8 / immunology
RNA, Ribosomal, 16S / genetics
Respiratory Distress Syndrome, Newborn / immunology,  microbiology*,  mortality
Ureaplasma Infections / immunology,  microbiology*,  mortality
Grant Support
//Wellcome Trust
Reg. No./Substance:
0/Interleukin-6; 0/Interleukin-8; 0/RNA, Ribosomal, 16S

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