Document Detail


Unrecognized viral respiratory tract infections in premature infants during their birth hospitalization: a prospective surveillance study in two neonatal intensive care units.
MedLine Citation:
PMID:  22694859     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the frequency and effects of nosocomial respiratory viral infections (RVIs) in premature neonates, including those who may be asymptomatic.
STUDY DESIGN: We performed a year-long surveillance for RVIs in infants <33 weeks gestational age admitted to 2 Syracuse neonatal intensive care units. Infants were enrolled within 3 days of neonatal intensive care unit admission and were sampled for RVIs until discharge using a multiplex polymerase chain reaction assay capable of detecting 17 different respiratory viruses or subtypes.
RESULTS: Twenty-six of 50 prematurely born infants (52%) tested positive for a respiratory virus at least once during their birth hospitalization. Testing positive for a respiratory virus was significantly associated with longer length of stay (70 days vs 35 days, P = .002) and prolonged ventilatory support (51 vs 13 days, P = .002). Infants who tested positive for a respiratory virus during their birth hospitalization had more than twice the rate of developing bronchopulmonary dysplasia (P < .05).
CONCLUSION: Nosocomial RVIs were frequent in our study population, despite the absence of clinical indicators of illness. Length of hospital stay was significantly longer and a diagnosis of bronchopulmonary dysplasia was more common in infants who had respiratory viruses detected.
Authors:
Nicholas J Bennett; Christy M Tabarani; Nadine M Bartholoma; Dongliang Wang; Danning Huang; Scott W Riddell; Deanna L Kiska; Robert Hingre; Helene F Rosenberg; Joseph B Domachowske
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Intramural; Research Support, Non-U.S. Gov't     Date:  2012-06-12
Journal Detail:
Title:  The Journal of pediatrics     Volume:  161     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-25     Completed Date:  2013-01-10     Revised Date:  2013-08-13    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  814-8     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Mosby, Inc. All rights reserved.
Affiliation:
Department of Pediatrics, Upstate Golisano Children's Hospital, Syracuse, NY, USA. njb35@cantab.net
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MeSH Terms
Descriptor/Qualifier:
Female
Gestational Age
Hospitalization
Humans
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
Intensive Care, Neonatal / methods*
Male
Methicillin-Resistant Staphylococcus aureus / metabolism
Polymerase Chain Reaction / methods
Prospective Studies
Respiration, Artificial
Respiratory Syncytial Viruses / metabolism
Respiratory Tract Infections / diagnosis*,  virology
Respirovirus / metabolism
Virus Diseases / diagnosis*
Grant Support
ID/Acronym/Agency:
Z01-AI000943/AI/NIAID NIH HHS; Z99 AI999999/AI/NIAID NIH HHS; ZIA AI000943-09/AI/NIAID NIH HHS
Comments/Corrections

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