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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Association of Infection in Neonates and Long-Term Neurodevelopmental Outcome
Elizabeth Sewell1, Jessica Roberts2, Sagori Mukhopadhyay3
1Division of Neonatology, Department of Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, 2015 Uppergate Drive, Office #318, Atlanta, GA 30322, USA.
Insights
Neonatal sepsis and inflammation can harm brain development, leading to impairment. This review covers sepsis epidemiology, brain injury mechanisms, and long-term outcomes for infant survivors.
Area of Science:
- Neonatology
- Neuroscience
- Infectious Diseases
Background:
- Perinatal and neonatal infections trigger inflammatory responses that can negatively impact infant brain development.
- While risk factors for infection and poor outcomes are known, critical gaps exist in understanding mechanisms and effective interventions.
- Identifying these mechanisms is crucial for improving neurodevelopmental outcomes in affected infants.
Purpose of the Study:
- To review the current epidemiology of neonatal sepsis.
- To describe the pathogenesis of sepsis-induced brain injury in neonates.
- To summarize reported long-term neurodevelopmental outcomes in neonatal sepsis survivors.
Main Methods:
- Literature review of current epidemiology of neonatal sepsis.
- Synthesis of research on the pathogenesis of brain injury associated with sepsis.
- Compilation of data on long-term neurodevelopmental outcomes for survivors.
Main Results:
- Neonatal sepsis presents a significant risk for adverse brain development and neurodevelopmental impairment.
- Understanding the inflammatory pathways is key to developing targeted interventions.
- Survivors of neonatal sepsis show a range of long-term neurodevelopmental challenges.
Conclusions:
- Neonatal sepsis and inflammation pose a substantial threat to healthy brain development.
- Further research into mechanisms and interventions is urgently needed to mitigate long-term neurodevelopmental deficits.
- Improved understanding can guide clinical practice and enhance outcomes for infants affected by sepsis.
Abstract:
Perinatal and neonatal infection and associated inflammatory response may adversely affect brain development and lead to neurodevelopmental impairment. Factors that predict the risk of infection and subsequent adverse outcomes have been identified but substantial gaps remain in identifying mechanisms and interventions that can alter outcomes. This article describes the current epidemiology of neonatal sepsis, the pathogenesis of brain injury with sepsis, and the reported long-term neurodevelopment outcomes among survivors.
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