Clinical characteristics of Ureaplasma urealyticum infection and colonization in extremely preterm infants

WANG Yan-Qiong; ZENG Ya-Li; CHEN Xue-Yu; HUANG Zhi-Feng; YANG Chuan-Zhong

doi:10.7499/j.issn.1008-8830.2403002

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Chinese Journal of Contemporary Pediatrics ›› 2024, Vol. 26 ›› Issue (8) : 811-816. DOI: 10.7499/j.issn.1008-8830.2403002

CLINICAL RESEARCH

Clinical characteristics of Ureaplasma urealyticum infection and colonization in extremely preterm infants

WANG Yan-Qiong, ZENG Ya-Li, CHEN Xue-Yu, HUANG Zhi-Feng, YANG Chuan-Zhong

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Abstract

Objective To investigate the clinical characteristics of Ureaplasma urealyticum (UU) infection and colonization in extremely preterm infants and its impact on the incidence of bronchopulmonary dysplasia (BPD). Methods A retrospective analysis was conducted on 258 extremely preterm infants who were admitted to the Department of Neonatology, Shenzhen Maternity and Child Healthcare Hospital, from September 2018 to September 2022. According to the results of UU nucleic acid testing and the evaluation criteria for UU infection and colonization, the subjects were divided into three groups: UU-negative group (155 infants), UU infection group (70 infants), and UU colonization group (33 infants). The three groups were compared in terms of general information and primary and secondary clinical outcomes. Results Compared with the UU-negative group, the UU infection group had significant increases in the incidence rate of BPD, total oxygen supply time, and the length of hospital stay (P<0.05), while there were no significant differences in the incidence rates of BPD and moderate/severe BPD between the UU colonization group and the UU-negative group (P>0.05). Conclusions The impact of UU on the incidence of BPD in extremely preterm infants is associated with the pathogenic state of UU (i.e., infection or colonization), and there are significant increases in the incidence rate of BPD, total oxygen supply time, and the length of hospital stay in extremely preterm infants with UU infection. UU colonization is not associated with the incidence of BPD and moderate/severe BPD in extremely preterm infants.

Key words

Ureaplasma urealyticum / Infection / Colonization / Clinical charateristic / Extremely preterm infant

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WANG Yan-Qiong, ZENG Ya-Li, CHEN Xue-Yu, HUANG Zhi-Feng, YANG Chuan-Zhong. Clinical characteristics of Ureaplasma urealyticum infection and colonization in extremely preterm infants[J]. Chinese Journal of Contemporary Pediatrics. 2024, 26(8): 811-816 https://doi.org/10.7499/j.issn.1008-8830.2403002

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