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Symptomatic spontaneous pneumothorax in term newborn infants
Khalil Al Tawil1, Faisal M Abu-Ekteish, Omar Tamimi
1Department of Pediatrics, King Fahad National Guard Hospital, Riyadh, Saudi Arabia. tawilkio@yahoo.com
Pediatric Pulmonology
|April 20, 2004
Summary
Congenital major urinary tract anomalies (CMUTA) are not significantly associated with spontaneous pneumothorax in term newborn infants (SPTNI). Renal ultrasounds showed similar CMUTA rates in infants with SPTNI and healthy newborns.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Urology
Background:
- The relationship between congenital major urinary tract anomalies (CMUTA) and spontaneous pneumothorax in term newborn infants (SPTNI) remains debated.
- Previous research has not definitively established a link between these conditions.
Purpose of the Study:
- To investigate the association between CMUTA and SPTNI in term newborn infants.
- To test the hypothesis that SPTNI is linked to CMUTA.
Main Methods:
- A case-control study was conducted comparing 80 term infants with SPTNI to 80 healthy control infants.
- Renal ultrasound studies were performed to identify CMUTA.
- Risk factors, clinical course, therapy, and outcomes were recorded.
Main Results:
- Only 1 infant (1.7%) with SPTNI exhibited CMUTA, a rate comparable to healthy newborns (1.4%).
- SPTNI was more prevalent in males, infants with higher birth weights, and those delivered via vacuum extraction.
- Long-term follow-up of infants with SPTNI revealed no significant renal or pulmonary complications.
Conclusions:
- The study found no significant association between CMUTA and SPTNI in term newborn infants.
- Infants with SPTNI do not appear to have an increased risk of underlying urinary tract anomalies.
- Further research may explore other potential contributing factors to SPTNI.