RT-PCR detection of respiratory pathogens in newborn children admitted to a neonatal medium care unit.

Abstract:

BACKGROUND:This study aimed to determine the prevalence of respiratory pathogens among newborns admitted to a neonatal medium care unit (NMCU) and to identify clinical predictors. METHODS:A 1-y observational study was performed of neonates admitted to an NMCU in Amsterdam, The Netherlands. Nasopharyngeal samples were collected for the detection of respiratory viruses and bacteria by real-time PCR (RT-PCR). Cycle threshold (Ct) values were provided to estimate viral load. Predictors for the presence of study pathogens were identified. RESULTS:From October 2010 through September 2011, 334 neonates (median age 1.3 d, 53.6% male) were included. Overall, 37 respiratory pathogens were detected in 34 children (10.2%): parainfluenza-1 (n = 9), human rhinovirus (n = 7), parainfluenza-3 (n = 6), respiratory syncytial virus (RSV, n = 6), Streptococcus pneumoniae (n = 3), adenovirus (n = 2), human coronavirus (n = 2), influenza A (n = 1), and bocavirus (n = 1). Neonates with higher viral loads (Ct <35; n = 11) were more often clinically ill than those with lower viral loads (Ct ≥35; n = 23). Two variables significantly contributed to the detection of study pathogens: age (odds ratio (OR) 1.21 for each day older; 95% confidence interval 1.12-1.30) and rhinorrhea (OR 6.71; 95% confidence interval 1.54-29.21). CONCLUSION:Respiratory pathogens seem to play a role in neonates admitted to an NMCU. The influence of respiratory pathogen detection on clinical management remains to be determined.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Smit PM,Pronk SM,Kaandorp JC,Weijer O,Lauw FN,Smits PH,Claas EC,Mulder JW,Beijnen JH,Brandjes DP

doi

10.1038/pr.2012.176

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

355-61

issue

3

eissn

0031-3998

issn

1530-0447

pii

pr2012176

journal_volume

73

pub_type

杂志文章
  • Contribution of sarcoplasmic reticulum Ca²+ release and Ca²+ transporters on sarcolemmal channels to Ca²+ transient in fetal mouse heart.

    abstract::Sarcoplasmic reticulum (SR) Ca release has been shown not to be the predominant mechanism responsible for excitation-contraction (E-C) coupling in fetal myocytes. However, most of the studies have been conducted either on primary cultures or acutely isolated cells, in which an apparent reduction of ryanodine receptor ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e31820bc69b

    authors: Takizawa M,Ishiwata T,Kawamura Y,Kanai T,Kurokawa T,Nishiyama M,Ishida H,Asano Y,Nonoyama S

    更新日期:2011-04-01 00:00:00

  • Effect of racemic epinephrine on ventilatory function in the neonate postextubation.

    abstract::The use of nebulized racemic epinephrine to improve ventilatory function in the newborn postextubation was studied. Forty-five infants intubated for more than 3 days were randomized to receive racemic epinephrine by nebulization immediately postextubation or to receive only warmed, humidified gas. Measurements of air ...

    journal_title:Pediatric research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1203/00006450-198704000-00012

    authors: Courtney SE,Wachtl JP,Hopson JF,Siervogel RM

    更新日期:1987-04-01 00:00:00

  • Changes in leptin concentration during the early postnatal period: adjustment to extrauterine life?

    abstract::There are substantial alterations in fuel homeostasis immediately after birth. Leptin is a putative regulator of energy metabolism. Consequently, the aim of this study was to examine whether there are changes in circulating leptin concentrations during the early postnatal period. Umbilical cord mixed blood samples wer...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199902000-00007

    authors: Hytinantti T,Koistinen HA,Koivisto VA,Karonen SL,Andersson S

    更新日期:1999-02-01 00:00:00

  • Insulin-like growth factor I, its binding proteins 1 and 3, and growth hormone-binding protein in children and adolescents with insulin-dependent diabetes mellitus: clinical implications.

    abstract::Values of IGF-I after extraction, its binding proteins, and the high affinity GH-binding protein (BP) are not well established in pediatric patients with insulin-dependent diabetes mellitus (IDDM). We report data for IGF-I, IGFBP-1, and -3, and GHBP in 92 Spanish children with IDDM, separated according to pubertal sta...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199606000-00011

    authors: Muñoz MT,Barrios V,Pozo J,Argente J

    更新日期:1996-06-01 00:00:00

  • Herpes simplex virus-stimulated gamma-interferon production by newborn mononuclear cells.

    abstract::Blood mononuclear cells from newborns and from adults, immune or nonimmune to herpes simplex virus, were cultured with IL 2 and herpes simplex virus and the amount of gamma-interferon in the supernatant measured after 3 days. The newborn and nonimmune adult cells made equivalent trace amounts of gamma-interferon in cu...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198605000-00004

    authors: Hayward AR,Herberger M,Saunders D

    更新日期:1986-05-01 00:00:00

  • Characterization of brain development in the ferret via MRI.

    abstract::Animal models with complex cortical development are useful for improving our understanding of the wide spectrum of neurodevelopmental challenges facing human preterm infants. MRI techniques can define both cerebral injury and alterations in cerebral development with translation between animal models and the human infa...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e3181a291d9

    authors: Barnette AR,Neil JJ,Kroenke CD,Griffith JL,Epstein AA,Bayly PV,Knutsen AK,Inder TE

    更新日期:2009-07-01 00:00:00

  • Hemodynamic homeostasis during acute hypoxia in septic and nonseptic piglets: differential role of prostaglandins and nitric oxide.

    abstract::We studied the hemodynamic responses of 29 anesthetized and mechanically ventilated piglets to acute hypoxia [reduction of Pao2 from 130 to 38 mm Hg induced by inhalation of 7% fraction of inspired oxygen (Fio2) for 7.5 min] before and during group B beta-hemolytic streptococci (GBS) sepsis. During hypoxia, nonseptic ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200004000-00017

    authors: Rudinsky B,Hipps R,Bell A,Lozon M,Meadow W

    更新日期:2000-04-01 00:00:00

  • Corticosterone metabolism and the incorporation of leucine, uridine, and thymidine into fetal mouse brain.

    abstract::The change in the pattern of biotransformation of [14C]corticosterone in fetal mouse brain between gestational day 14 and 17 increased the proportion of unchanged hormone from 9-75%. A sharp decrease in the in vitro incorporation of [14C]leucine, [3H]uridine, and [3H]thymidine into incubated brain coincided with this ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197812000-00011

    authors: Tye LM,Michaud NJ,Burton AF

    更新日期:1978-12-01 00:00:00

  • Identification of cellular processes that are rapidly modulated in response to tracheal occlusion within mice lungs.

    abstract::Lung development progresses through a process reliant on mechanical cell stretch. However, this process is not well defined at the molecular level. Our goal was to globally analyze the transcriptome of fetal mouse lungs following short periods of tracheal occlusion (TO) to identify cellular processes that are rapidly ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e31815eba47

    authors: Seaborn T,St-Amand J,Cloutier M,Tremblay MG,Maltais F,Dinel S,Moulin V,Khan PA,Piedboeuf B

    更新日期:2008-02-01 00:00:00

  • Effects of upper airway obstruction or hypoxia on gastroesophageal reflux in newborn lambs.

    abstract:BACKGROUND:Although it is commonly accepted that upper airway obstruction (UAO) increases gastroesophageal reflux (GER), the link is poorly understood and insufficiently documented. In addition, while hypoxia is often encountered in infants with UAO, its consequences on GER are virtually unknown. The two aims of the pr...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-0920-8

    authors: Michaud A,Jia WL,Djeddi D,Samson N,Nadeau C,Geha S,Praud JP

    更新日期:2020-05-01 00:00:00

  • Reduced pericellular sensitivity to IGF-I in fibroblasts from girls with Turner syndrome: a mechanism to impair clinical responses to GH.

    abstract::Girls with Turner syndrome (TS) are treated with supraphysiological doses of growth hormone (GH) to improve final height; however in some girls, the growth response can be poor. This may reflect aberrations in GH and/or IGF-I actions at the cellular level, and thus this study compared the response of skin fibroblasts ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e31821b570b

    authors: Westwood M,Tajbakhsh SH,Siddals KW,Whatmore AJ,Clayton PE

    更新日期:2011-07-01 00:00:00

  • Effect of diet-induced sodium deficiency on normal and compensatory growth of the lung in young rats.

    abstract::Sodium deficiency is associated with decreased muscle growth and protein synthesis. We investigated the influence of diet-induced sodium deficiency on the rate and extent of compensatory growth of the right lung after left pneumonectomy in young rats of 83 +/- 1 g body weight. Starting 1 wk before surgery, all rats we...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199011000-00007

    authors: Gallaher KJ,Wolpert E,Wassner S,Rannels DE

    更新日期:1990-11-01 00:00:00

  • NeoDoppler: New ultrasound technology for continous cerebral circulation monitoring in neonates.

    abstract:BACKGROUND:There is a strong need for continuous cerebral circulation monitoring in neonatal care, since suboptimal cerebral blood flow may lead to brain injuries in preterm infants and other critically ill neonates. NeoDoppler is a novel ultrasound system, which can be gently fixed to the anterior fontanel and measure...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-019-0535-0

    authors: Vik SD,Torp H,Follestad T,Støen R,Nyrnes SA

    更新日期:2020-01-01 00:00:00

  • Multiple acyl-CoA-dehydrogenase deficiency (MADD): use of acylcarnitines and fatty acids to monitor the response to dietary treatment.

    abstract::The treatment of multiple acyl-CoA-dehydrogenase deficiency (MADD) includes a low-fat, low-protein, high-carbohydrate diet, avoiding long fasting periods. However, there is no useful biochemical marker to determine the response to different diets or fasting periods. The aims of this study are to report a patient with ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200107000-00013

    authors: Abdenur JE,Chamoles NA,Schenone AB,Jorge L,Guinle A,Bernard C,Levandovskiy V,Fusta M,Lavorgna S

    更新日期:2001-07-01 00:00:00

  • The effect of recombinant human insulin-like growth factor-I on chronic puromycin aminonucleoside nephropathy in rats.

    abstract::We recently demonstrated that recombinant hGH exacerbates renal functional and structural injury in chronic puromycin aminonucleoside (PAN) nephropathy, an experimental model of glomerular disease. Therefore, we examined whether recombinant human (rh) IGF-I is a safer alternative for the treatment of growth failure in...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199601000-00002

    authors: Trachtman H,Maesaka J,Futterweit S,Ma C,Valderrama E,Chan JC,Chan W

    更新日期:1996-01-01 00:00:00

  • Enhanced expression of interleukin (IL)-1 and IL-6 messenger RNA and bioactive protein after hypoxia-ischemia in neonatal rats.

    abstract::The effect of hypoxia-ischemia (HI) on IL-1, and IL-6 bioactivity in relation to expression of IL-1 alpha, IL-1 beta, and IL-6 mRNA was studied, and the neuroprotective efficacy of IL-1 receptor antagonist (IL-1ra) was evaluated in neonatal rats. HI was induced in 7-d-old rats by unilateral carotid artery ligation and...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199610000-00015

    authors: Hagberg H,Gilland E,Bona E,Hanson LA,Hahin-Zoric M,Blennow M,Holst M,McRae A,Söder O

    更新日期:1996-10-01 00:00:00

  • Respiratory morbidity at follow-up of small-for-gestational-age infants born very prematurely.

    abstract:BACKGROUND:The aim of this study was to determine whether small-for-gestational-age (SGA) infants born very prematurely had increased respiratory morbidity in the neonatal period and at follow-up. METHODS:Data were examined from infants recruited into the United Kingdom Oscillation Study (UKOS). Of the 797 infants who...

    journal_title:Pediatric research

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1038/pr.2012.201

    authors: Peacock JL,Lo JW,D'Costa W,Calvert S,Marlow N,Greenough A

    更新日期:2013-04-01 00:00:00

  • The relationship between hyperbilirubinemia and the promoter region and first exon of UGT1A1 gene polymorphisms in Vietnamese newborns.

    abstract:BACKGROUND:To investigate the relationship between unexplained indirect hyperbilirubinemia of Vietnamese newborns and the polymorphism of the promoter TATA box and exon 1 of bilirubin uridine diphosphate glucuronosyltransferase (UGT1A1) gene. METHODS:A total of 149 neonates were divided into the hyperbilirubinemia gro...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-0825-6

    authors: Nguyen TT,Zhao W,Yang X,Zhong DN

    更新日期:2020-12-01 00:00:00

  • Preterm neonates show marked leukopenia and lymphopenia that are associated with increased regulatory T-cell values and diminished IL-7.

    abstract:INTRODUCTION:Current advances in neonatology have improved survival among preterm and low-birth-weight infants. However, the risk of neonatal death in preterm infants is much greater than in full-term neonates and is frequently associated with infections. METHODS:Little is known about the immune status of preterm neon...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2012.6

    authors: Correa-Rocha R,Pérez A,Lorente R,Ferrando-Martínez S,Leal M,Gurbindo D,Muñoz-Fernández MÁ

    更新日期:2012-05-01 00:00:00

  • Cardiac ion channel gene mutations in sudden infant death syndrome.

    abstract::Sudden infant death syndrome (SIDS) is multifactorial and may result from the interaction of a number of environmental, genetic, and developmental factors. We studied three major genes causing long QT syndrome in 42 Japanese SIDS victims and found five mutations, KCNQ1-K598R, KCNH2-T895M, SCN5A-F532C, SCN5A-G1084S, an...

    journal_title:Pediatric research

    pub_type: 杂志文章,多中心研究

    doi:10.1203/PDR.0b013e3181841eca

    authors: Otagiri T,Kijima K,Osawa M,Ishii K,Makita N,Matoba R,Umetsu K,Hayasaka K

    更新日期:2008-11-01 00:00:00

  • The developing gut-lung axis: postnatal growth restriction, intestinal dysbiosis, and pulmonary hypertension in a rodent model.

    abstract:BACKGROUND:Postnatal growth restriction (PNGR) in premature infants increases risk of pulmonary hypertension (PH). In a rodent model, PNGR causes PH, while combining PNGR and hyperoxia increases PH severity. We hypothesized that PNGR causes intestinal dysbiosis and that treatment with a probiotic attenuates PNGR-associ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-019-0578-2

    authors: Wedgwood S,Warford C,Agvatisiri SR,Thai PN,Chiamvimonvat N,Kalanetra KM,Lakshminrusimha S,Steinhorn RH,Mills DA,Underwood MA

    更新日期:2020-02-01 00:00:00

  • Deficient collagen-induced activation in the newborn platelet.

    abstract::We have investigated the impaired secretion response of neonatal platelets. We compared the response of washed neonatal and adult platelets to thrombin and collagen, and to specific activators of calcium flux (inositol trisphosphate) and protein kinase C activation (oleoyl-acetyl glycerol). Neonatal platelets show no ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199004000-00004

    authors: Israels SJ,Daniels M,McMillan EM

    更新日期:1990-04-01 00:00:00

  • Major circadian variations of glucose homeostasis in a patient with Rabson-Mendenhall syndrome and primary insulin resistance due to a mutation (Cys284-->Tyr) in the insulin receptor alpha-subunit.

    abstract::We have performed clinical, in vitro biochemical, and genetic studies of a patient with severe insulin resistance, considerable growth restriction, and Rabson-Mendenhall syndrome (patient RM-3). The blood IGF-I level was undetectable in this patient, although the GH level was moderately decreased. During the postprand...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199707000-00012

    authors: Desbois-Mouthon C,Magré J,Duprey J,Caron M,Blivet-Van Eggelpoel MJ,Daubas C,Gourmelen M,Chevallier B,Rizkalla S,Robert JJ,Capeau J

    更新日期:1997-07-01 00:00:00

  • Role of caregiver-reported outcomes in identification of children with prenatal alcohol exposure during the first year of life.

    abstract:BACKGROUND:Earlier identification of children with prenatal alcohol exposure (PAE) remains a challenge. The objective of this study was to identify neurobehavioral (NB) outcomes associated with PAE in infants. METHODS:This manuscript evaluates NB outcomes at 6.33±1.12 months of age in 93 infants (39 PAE and 54 No-PAE)...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2018.26

    authors: Bakhireva LN,Lowe J,Garrison LM,Cano S,Leyva Y,Qeadan F,Stephen JM

    更新日期:2018-09-01 00:00:00

  • Diffuse axonal injury in periventricular leukomalacia as determined by apoptotic marker fractin.

    abstract::Periventricular leukomalacia (PVL), the major substrate of neurologic deficits in premature infants, is associated with reduced white matter volume. Using immunomarkers of axonal pathology [beta-amyloid precursor protein (beta-APP) and apoptotic marker fractin], we tested the hypothesis that widespread (diffuse) axona...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e31816c825c

    authors: Haynes RL,Billiards SS,Borenstein NS,Volpe JJ,Kinney HC

    更新日期:2008-06-01 00:00:00

  • Serum levels of basic fibroblast growth factor and vascular endothelial growth factor in children and adolescents with type 1 diabetes mellitus.

    abstract::Diabetes mellitus is characterized by microangiopathy and increased angiogenic response in various organs. Basic fibroblast growth factor (bFGF) as well as vascular endothelial growth factor (VEGF) are both angiogenic and are involved in vascular endothelial cell growth. The purpose of this study was to determine seru...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199812000-00008

    authors: Malamitsi-Puchner A,Sarandakou A,Tziotis J,Dafogianni C,Bartsocas CS

    更新日期:1998-12-01 00:00:00

  • Placenta and perinatal brain injury: the gateway to individualized therapeutics and precision neonatal medicine.

    abstract::Wu and colleagues analyzed the placental pathology from a subset of the neonates in the NEATO trial who had reports available and correlated the placental pathology findings with outcomes. This study highlights the importance of placental pathology, and its potential to bring precision medicine to critically-ill neona...

    journal_title:Pediatric research

    pub_type: 评论,杂志文章

    doi:10.1038/s41390-020-0807-8

    authors: Jantzie LL,Robinson S

    更新日期:2020-04-01 00:00:00

  • MeSsAGe risk score: tool for renal biopsy decision in steroid-dependent nephrotic syndrome.

    abstract:BACKGROUND:A lack of consensus exists as to the timing of kidney biopsy in children with steroid-dependent nephrotic syndrome (SDNS) where minimal change disease (MCD) predominates. This study aimed at examining the applicability of a biomarker-assisted risk score model to select SDNS patients at high risk of focal seg...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-019-0277-z

    authors: Chan CY,Resontoc LP,Qader MA,Chan YH,Liu ID,Lau PY,Than M,Yeo WS,Loh AH,Tan PH,Wei C,Reiser J,Biswas SK,Ng KH,Yap HK

    更新日期:2019-03-01 00:00:00

  • Cardiac function, substrate utilization, and myocardial energy metabolism studied with 31-P NMR spectroscopy during acute hypoglycemia and hyperketonemia.

    abstract::Whether severe hypoglycemia alone or in combination with hyperketonemia might cause deterioration of cardiac function has been controversial. Therefore, the influence of acute hypoglycemia (mean 33 mg/dL) with and without hyperketonemia (mean 1.3 and 3.3 mM) on cardiac function, substrate utilization, and myocardial h...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198912000-00002

    authors: Breuer J,Chung KJ,Pesonen E,Haas RH,Guth BD,Sahn DJ,Hesselink JR

    更新日期:1989-12-01 00:00:00

  • Brain superoxide anion generation in asphyxiated piglets and the effect of indomethacin at therapeutic dose.

    abstract::We have previously shown that generation of superoxide anion occurs in cerebral cortex during asphyxia/reventilation in newborn pigs and that a high dose of indomethacin (5 mg/kg i.v.) abolishes superoxide anion production. The purposes of this study were 1) to determine whether the generation of superoxide anion occu...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199309000-00025

    authors: Pourcyrous M,Leffler CW,Bada HS,Korones SB,Busija DW

    更新日期:1993-09-01 00:00:00