Chorioamnionitis is essential in the evolution of bronchopulmonary dysplasia--the case in favour.
Identifieur interne : 000389 ( Main/Exploration ); précédent : 000388; suivant : 000390Chorioamnionitis is essential in the evolution of bronchopulmonary dysplasia--the case in favour.
Auteurs : Wolfgang Thomas [Allemagne] ; Christian P. Speer [Allemagne]Source :
- Paediatric respiratory reviews [ 1526-0550 ] ; 2014.
English descriptors
- KwdEn :
- Bronchopulmonary Dysplasia (diagnosis), Bronchopulmonary Dysplasia (epidemiology), Bronchopulmonary Dysplasia (etiology), Chorioamnionitis (pathology), Female, Global Health, Humans, Incidence, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases (diagnosis), Infant, Premature, Diseases (epidemiology), Infant, Premature, Diseases (etiology), Placenta (pathology), Pregnancy, Prenatal Diagnosis, Risk Factors.
- MESH :
- diagnosis : Bronchopulmonary Dysplasia, Infant, Premature, Diseases.
- epidemiology : Bronchopulmonary Dysplasia, Infant, Premature, Diseases.
- etiology : Bronchopulmonary Dysplasia, Infant, Premature, Diseases.
- pathology : Chorioamnionitis, Placenta.
- Female, Global Health, Humans, Incidence, Infant, Newborn, Infant, Premature, Pregnancy, Prenatal Diagnosis, Risk Factors.
Abstract
Bronchopulmonary dysplasia (BPD) is a major sequel of extremely premature birth. Multiple ante- and postnatal factors act in concert to injure the immature lung in the pathogenesis of the disease. Among them, chorioamnionitis--according to current evidence--plays a pivotal role. Pulmonary inflammatory processes seen in animal models of chorioamnionitis resemble those seen in premature infants who developed BPD. Chorioamnionitis can doubtlessly induce extremely preterm birth, thus contributing to a gestation-dependent risk of BPD. A gestation-independent association of chorioamnionitis with an increased risk of developing BPD has been demonstrated by a recent systematic review of clinical observational studies. Antenatal inflammation with signs of a systemic fetal response reduces the response to exogenous surfactant in infants with respiratory distress syndrome, leading to a longer need for mechanical ventilation. Moreover, chorioamnionitis increases the risk of early onset sepsis. Both mechanical ventilation and sepsis are, however, major postnatal risk factors for BPD.
DOI: 10.1016/j.prrv.2013.09.004
PubMed: 24128984
Affiliations:
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Speer</name><affiliation wicri:level="3"><nlm:affiliation>University of Würzburg, University Children's Hospital, Josef-Schneider-Str. 2, 97080 Würzburg, Germany. 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Electronic address: wolfgang.thomas@mutterhaus.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mutterhaus der Borromaeerinnen, Department of Pediatrics, Feldstr. 6, 54290 Trier</wicri:regionArea><wicri:noRegion>54290 Trier</wicri:noRegion><wicri:noRegion>54290 Trier</wicri:noRegion><wicri:noRegion>54290 Trier</wicri:noRegion></affiliation></author><author><name sortKey="Speer, Christian P" sort="Speer, Christian P" uniqKey="Speer C" first="Christian P" last="Speer">Christian P. Speer</name><affiliation wicri:level="3"><nlm:affiliation>University of Würzburg, University Children's Hospital, Josef-Schneider-Str. 2, 97080 Würzburg, Germany. Electronic address: speer_c@ukw.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>University of Würzburg, University Children's Hospital, Josef-Schneider-Str. 2, 97080 Würzburg</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Basse-Franconie</region><settlement type="city">Wurtzbourg</settlement></placeName></affiliation></author></analytic><series><title level="j">Paediatric respiratory reviews</title><idno type="eISSN">1526-0550</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bronchopulmonary Dysplasia (diagnosis)</term><term>Bronchopulmonary Dysplasia (epidemiology)</term><term>Bronchopulmonary Dysplasia (etiology)</term><term>Chorioamnionitis (pathology)</term><term>Female</term><term>Global Health</term><term>Humans</term><term>Incidence</term><term>Infant, Newborn</term><term>Infant, Premature</term><term>Infant, Premature, Diseases (diagnosis)</term><term>Infant, Premature, Diseases (epidemiology)</term><term>Infant, Premature, Diseases (etiology)</term><term>Placenta (pathology)</term><term>Pregnancy</term><term>Prenatal Diagnosis</term><term>Risk Factors</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Bronchopulmonary Dysplasia</term><term>Infant, Premature, Diseases</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Bronchopulmonary Dysplasia</term><term>Infant, Premature, Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Bronchopulmonary Dysplasia</term><term>Infant, Premature, Diseases</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Chorioamnionitis</term><term>Placenta</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Global Health</term><term>Humans</term><term>Incidence</term><term>Infant, Newborn</term><term>Infant, Premature</term><term>Pregnancy</term><term>Prenatal Diagnosis</term><term>Risk Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Bronchopulmonary dysplasia (BPD) is a major sequel of extremely premature birth. Multiple ante- and postnatal factors act in concert to injure the immature lung in the pathogenesis of the disease. Among them, chorioamnionitis--according to current evidence--plays a pivotal role. Pulmonary inflammatory processes seen in animal models of chorioamnionitis resemble those seen in premature infants who developed BPD. Chorioamnionitis can doubtlessly induce extremely preterm birth, thus contributing to a gestation-dependent risk of BPD. A gestation-independent association of chorioamnionitis with an increased risk of developing BPD has been demonstrated by a recent systematic review of clinical observational studies. Antenatal inflammation with signs of a systemic fetal response reduces the response to exogenous surfactant in infants with respiratory distress syndrome, leading to a longer need for mechanical ventilation. Moreover, chorioamnionitis increases the risk of early onset sepsis. Both mechanical ventilation and sepsis are, however, major postnatal risk factors for BPD.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Basse-Franconie</li></region><settlement><li>Wurtzbourg</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Thomas, Wolfgang" sort="Thomas, Wolfgang" uniqKey="Thomas W" first="Wolfgang" last="Thomas">Wolfgang Thomas</name></noRegion><name sortKey="Speer, Christian P" sort="Speer, Christian P" uniqKey="Speer C" first="Christian P" last="Speer">Christian P. Speer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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