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Impact of intercurrent respiratory infections on lung health in infants born <29 weeks with bronchopulmonary dysplasia.

Objective:Assess the impact of intercurrent respiratory infections in infants <29 weeks gestational age (GA).Study design:A retrospective cohort study of 111 infants born <29 weeks GA, controlling for bronchopulmonary dysplasia (BPD) severity and assessing pulmonary health over the first year of lif...

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Published in:Journal of Perinatology Vol. 34; no. 3; pp. 223 - 229
Main Authors: Taylor, J B, Nyp, M F, Norberg, M, Dai, H, Escobar, H, Ellerbeck, E, Truog, W E
Format: research tables/charts Journal Article
Published: Springer Nature Mar2014
Online Access:View this record in EBSCOhost
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      dt: Mar2014
      vid: 34
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      pub: Springer Nature
      place: Dordrecht, <Blank>
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        10.1038/jp.2013.152
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        atl: Impact of intercurrent respiratory infections on lung health in infants born <29 weeks with bronchopulmonary dysplasia.
      aug:
        au:
          Taylor, J B
          Nyp, M F
          Norberg, M
          Dai, H
          Escobar, H
          Ellerbeck, E
          Truog, W E
        affil: Center for Infant Pulmonary Disorders, Department of Pediatrics, Children's Mercy Hospitals and Clinics, University of Missouri-Kansas City School of Medicine, Kansas, MO, USA
      sug:
        subj:
          Respiratory Tract Infections Complications
          Bronchopulmonary Dysplasia
          Comorbidity
          Human
          Infant
          Retrospective Design
          Prospective Studies
          Regression
          Odds Ratio
          Confidence Intervals
          Oxygen Therapy
          Data Analysis Software
          Bivariate Statistics
          Mantel-Haenszel Test
          Fisher's Exact Test
          Intensive Care Units, Neonatal
          Male
          Female
          Infant: 1-23 months
          Male
          Female
      ab: Objective:Assess the impact of intercurrent respiratory infections in infants <29 weeks gestational age (GA).Study design:A retrospective cohort study of 111 infants born <29 weeks GA, controlling for bronchopulmonary dysplasia (BPD) severity and assessing pulmonary health over the first year of life through oxygen, diuretic and inhaled steroid use.Result:Regression analysis showed viral infections increased oxygen use (odds ratio (OR) of 15.5 (confidence interval (CI)=3.4, 71.3)). The trend test showed increasing numbers of viral infections were associated with increased oxygen (OR (95% CI)=6.4 (2.3 to 17.4), P=0.0003), diuretic (OR (95% CI)=2.4 (1.1to 5.2), P=0.02) and inhaled steroid use (OR (95% CI)=2.2 (1.003 to 5.2), P=0.049), whereas bacterial infections were not.Conclusion:Viral infections caused more long-term pulmonary morbidity/mortality than bacterial infections on premature lung health, even when controlling for BPD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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