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Role of pulmonary infection in the development of chronic lung disease of prematurity

Beeton, Michael L., Maxwell, Nicola C., Davies, Philip Lloyd, Nuttall, Diane, McGreal, Eamon Patrick, Chakraborty, Mallinath, Spiller, Owen Bradley and Kotecha, Sailesh 2011. Role of pulmonary infection in the development of chronic lung disease of prematurity. European Respiratory Journal 37 (6) , pp. 1424-1430. 10.1183/09031936.00037810

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Abstract

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.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > RC Internal medicine
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Uncontrolled Keywords: bronchopulmonary dysplasia; chronic lung disease of prematurity; infection; inflammation; 16S ribosomal RNA genes; ureaplasma spp.
Publisher: European Respiratory Society
ISSN: 0903-1936
Last Modified: 09 Jan 2018 20:08
URI: http://orca.cf.ac.uk/id/eprint/28462

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