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Published on: November 20, 2015
Ureaplasma infection and neonatal lung disease
Robert L Schelonka1, Ken B Waites
1Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA. rschelonka@peds.uab.edu
Insights
Ureaplasma infection in premature infants can cause lung inflammation and increase the risk of bronchopulmonary dysplasia (BPD). More research is needed to see if antibiotics can prevent BPD and improve infant outcomes.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Pediatric Pulmonology
Background:
- Ureaplasma infection is common in premature infants, potentially acquired in utero or during birth.
- In susceptible infants, Ureaplasma triggers lung inflammation, elevating the risk of bronchopulmonary dysplasia (BPD).
Purpose of the Study:
- To evaluate the current evidence regarding antibiotic treatment for Ureaplasma in premature infants.
- To identify the need for further clinical trials on the impact of Ureaplasma treatment on BPD and its associated conditions.
Main Methods:
- Review of existing clinical trial data on Ureaplasma treatment in premature infants.
- Assessment of the link between Ureaplasma infection, inflammation, and BPD development.
Main Results:
- Current clinical trial evidence is insufficient to determine the effect of antibiotic treatment on BPD.
- A clear association exists between Ureaplasma infection, pro-inflammatory responses, and increased BPD risk.
Conclusions:
- More high-quality, adequately powered clinical trials are essential.
- Future research should investigate if treating Ureaplasma infection reduces lung inflammation, lowers BPD rates, and improves long-term neurodevelopmental outcomes in premature infants.
Abstract:
Infection with the ureaplasmas may occur in utero or perinatally in prematurely born infants. For some infants, infection with these organisms triggers a vigorous pro-inflammatory response in the lungs and increases the risk of developing bronchopulmonary dysplasia (BPD). At present, there is insufficient evidence from clinical trials to determine whether antibiotic treatment of Ureaplasma has any influence on the development of BPD and its comorbidities. Future investigation in the context of well-designed, adequately powered controlled clinical trials should focus on determining whether treatment of ureaplasmal infection lessens lung inflammation, decreases rates of BPD, and improves long-term, neurodevelopmental outcome.
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