新生儿解脲支原体感染的临床药物治疗进展

蔡辈博, 陈菲菲, 罗芳

中国当代儿科杂志 ›› 2025, Vol. 27 ›› Issue (10) : 1286-1290.

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中国当代儿科杂志 ›› 2025, Vol. 27 ›› Issue (10) : 1286-1290. DOI: 10.7499/j.issn.1008-8830.2503019
综述

新生儿解脲支原体感染的临床药物治疗进展

作者信息 +

Advances in clinical pharmacotherapy for neonatal Ureaplasma urealyticum infection

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文章历史 +

摘要

解脲支原体(Ureaplasma urealyticum, UU)是新生儿呼吸道定植或感染的常见病原体,可通过母婴垂直传播,且不受胎膜早破时间及分娩方式的影响。UU感染是引起新生儿早产和低出生体重等的重要因素,并与支气管肺发育不良及神经发育障碍等不良结局密切相关。由于新生儿免疫系统及器官发育尚未成熟,药物治疗需兼顾有效性及安全性。目前,新生儿UU感染的治疗方案尚无统一标准。该文综述了新生儿UU感染的药物治疗方案,旨在为临床治疗提供参考。

Abstract

Ureaplasma urealyticum (UU) is a common pathogen colonizing or infecting the neonatal respiratory tract. It can be vertically transmitted from mother to infant, irrespective of the duration of premature rupture of membranes and the mode of delivery. UU infection is an important factor contributing to preterm birth and low birth weight and is closely associated with adverse outcomes such as bronchopulmonary dysplasia and neurodevelopmental impairment. Given the immaturity of neonatal immune and organ systems, pharmacologic treatment must balance efficacy and safety. Currently, no unified standard regimen has been established for the treatment of neonatal UU infection. This review summarizes pharmacotherapeutic options for neonatal UU infection to inform clinical practice.

关键词

解脲支原体 / 治疗 / 大环内酯类 / 新生儿

Key words

Ureaplasma urealyticum / Therapy / Macrolides / Neonate

引用本文

导出引用
蔡辈博, 陈菲菲, 罗芳. 新生儿解脲支原体感染的临床药物治疗进展[J]. 中国当代儿科杂志. 2025, 27(10): 1286-1290 https://doi.org/10.7499/j.issn.1008-8830.2503019
Bei-Bo CAI, Fei-Fei CHEN, Fang LUO. Advances in clinical pharmacotherapy for neonatal Ureaplasma urealyticum infection[J]. Chinese Journal of Contemporary Pediatrics. 2025, 27(10): 1286-1290 https://doi.org/10.7499/j.issn.1008-8830.2503019

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所有作者声明无利益冲突。


编委: 杨丹

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