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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / D'Addario , Vincenzo / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Konje, Justin C. / Kurjak M.D., Asim / Romero, Roberto / Zalud, MD PhD, Ivica


IMPACT FACTOR 2018: 1.361
5-year IMPACT FACTOR: 1.578

CiteScore 2018: 1.29

SCImago Journal Rank (SJR) 2018: 0.522
Source Normalized Impact per Paper (SNIP) 2018: 0.602

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1619-3997
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Volume 39, Issue 3

Issues

In utero exposure to Ureaplasma spp. is associated with increased rate of bronchopulmonary dysplasia and intraventricular hemorrhage in preterm infants

David C. Kasper
  • Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria
  • Research Core Unit of Pediatric Biochemistry and Analytics, Medical University of Vienna, Vienna, Austria
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/ Thomas P. Mechtler
  • Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria
  • Research Core Unit of Pediatric Biochemistry and Analytics, Medical University of Vienna, Vienna, Austria
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/ Judith Böhm
  • Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria
  • Research Core Unit of Pediatric Biochemistry and Analytics, Medical University of Vienna, Vienna, Austria
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/ Ljubomir Petricevic / Andreas Gleiss
  • Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria
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/ Joachim Spergser
  • Institute of Bacteriology, Mycology and Hygiene, Department of Pathobiology, University of Veterinary Medicine Vienna, Vienna, Austria
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/ Armin Witt / Kurt R. Herkner
  • Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria
  • Research Core Unit of Pediatric Biochemistry and Analytics, Medical University of Vienna, Vienna, Austria
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/ Angelika Berger
  • Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria
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Published Online: 2011-05-09 | DOI: https://doi.org/10.1515/jpm.2011.022

Abstract

Aims: We determined the association between short-term neonatal morbidities, such as bronchopulmonary dysplasia (BPD) and intraventricular hemorrhage (IVH), and Ureaplasma spp. in amniotic fluid, placental and amniotic mem-brane of preterm infants.

Methods: This study enrolled 257 patients who were born by cesarean section at <34 weeks’ gestation. Patients were divided into two groups according to detection of Ureaplasma spp. by culture-based and/or polymerase chain reaction (PCR) techniques.

Results: Significant differences were observed between both groups for all IVH (P=0.032) and IVH grades III or IV (P=0.013), as wells as for BPD [odds ratio (OR) 5.46, 95% confidence interval (CI) 2.02–14.77], oxygen requirement at 28 days postnatal age (OR 1.93, 95% CI 1.00–3.70), and for death between 28 days and 36 postmenstrual weeks or BPD (OR 4.20, 95% CI 1.77–9.96). Ureaplasma spp. was a significant predictor (P<0.001) of BPD after correcting for birth weight (P=0.003) and positive pressure ventilation (P=0.001).

Conclusions: In our study population Ureaplasma spp. was associated with BPD and IVH in preterm infants even after adjustment for multiple risk factors.

Keywords: Bronchopulmonary dysplasia; intrauterine infection; intraventricular hemorrhage; preterm infant; Ureaplasma spp

About the article

Corresponding author: David C. Kasper Department of Pediatrics and Adolescent Medicine Medical University of Vienna Währinger Gürtel 18–20 A – 1090 Vienna Austria Tel.: +43/1/40400-2756 Fax: +43/1/40400-3200


Received: 2010-08-23

Revised: 2010-11-25

Accepted: 2010-12-09

Published Online: 2011-05-09

Published Online: 2011-04-29

Published in Print: 2011-05-01


Citation Information: Journal of Perinatal Medicine, Volume 39, Issue 3, Pages 331–336, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/jpm.2011.022.

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