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An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
Respiratory infections in the newborn
1Department of Pediatrics, Rhode Island Hospital, Providence.
Insights
Neonatal respiratory infections, including pneumonia, are a major cause of infant illness and death. This review covers causes, diagnosis, and treatment of these common infections in newborns.
Area of Science:
- Neonatal Medicine
- Pediatric Infectious Diseases
- Respiratory Medicine
Background:
- Neonatal respiratory infections are a significant cause of morbidity and mortality in the first month of life.
- Infections can occur in utero, during birth, or after delivery.
- Pathogen etiology is diverse, ranging from bacteria to protozoa, influenced by maternal flora, nursery, and household exposures.
Purpose of the Study:
- To review the etiology, diagnosis, and treatment of neonatal respiratory infections.
- To highlight the importance of maternal and environmental factors in pathogen identification.
- To discuss current and emerging diagnostic techniques.
Main Methods:
- Review of existing literature on neonatal respiratory infections.
- Analysis of etiological factors, including transmission routes.
- Evaluation of diagnostic methods, from standard to advanced techniques.
- Discussion of treatment strategies.
Main Results:
- Common causes include bacteria and viruses, with varying transmission routes.
- Diagnostic approaches range from chest X-rays and cultures to antigen detection tests.
- Treatment strategies are guided by the identified pathogen and clinical presentation.
Conclusions:
- Prompt diagnosis and appropriate treatment are crucial for reducing neonatal morbidity and mortality.
- Understanding transmission dynamics is key to prevention.
- A comprehensive approach integrating clinical assessment and diagnostic testing is essential for managing these infections.
Abstract:
Respiratory infections, especially pneumonia, are common in the first four weeks of life and are the cause of significant morbidity and mortality. Infants may be infected in utero, during labor and delivery, or postnatally. The etiology of neonatal respiratory infections varies widely and spans the spectrum from bacteria to protozoa. The exposure of the infant to maternal flora, the nursery environment, or household members plays an important role in determining the infecting pathogen. Diagnostic testing includes the chest film, CBC and routine bacterial cultures, but newer techniques such as latex agglutination tests for bacterial antigens or viral antigen detection or culture may be indicated in the appropriate clinical setting. This article reviews all of these aspects of respiratory infections and posits certain steps in their treatment.
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