scholarly journals Parainfluenza 3 Respiratory Infection Associated with Pericardial Effusion in a Very Low Birthweight Infant

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Cristina Aranda Cazón ◽  
Luis Arruza Gómez ◽  
Gloria Herranz Carrillo ◽  
Cristina González Menchén ◽  
Zarife Daoud Pérez ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pericardial Effusion ◽  
Respiratory Infection ◽  
Neonatal Intensive Care ◽  
Low Birthweight ◽  
Respiratory Infections ◽  
Pediatric Population ◽  
Very Low Birthweight ◽  
Very Low Birthweight Infant

Parainfluenza 3 virus is a frequent cause of respiratory infections in the pediatric population although it is uncommonly diagnosed in neonates, being usually reported as neonatal intensive care unit microepidemics. We report a case of parainfluenza 3 respiratory infection associated with pericardial effusion in a very low birthweight infant.

scholarly journals Viral respiratory infections in very low birthweight infants at neonatal intensive care unit: prospective observational study

2020 ◽  
Vol 4 (1) ◽  
pp. e000661 ◽  
Author(s):  
Laura Sánchez García ◽  
Cristina Calvo ◽  
Inmaculada Casas ◽  
Francisco Pozo ◽  
Adelina Pellicer
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Low Birthweight ◽  
Respiratory Infections ◽  
Very Low Birthweight ◽  
Vlbw Infants ◽  
Viral Respiratory Infections ◽  
Viral Respiratory

Background and objectiveVery low birthweight (VLBW) infants are highly susceptible to respiratory infections. Information about prevalence of viral respiratory infections (VRIs) in neonatal intensive care unit (NICU) is scarce. Recent evidence suggests short-term and long-term impact of VRI in morbidity of VLBW infants. The goal of this study is to conduct a VRI surveillance in VLBW infants during NICU admission to address the prevalence, type of viruses and associated clinical features.MethodsProspective observational cohort study on infants below 32 gestational weeks admitted to a tertiary NICU during a 2-year period. Respiratory virus detection (influenza, parainfluenza, rhinovirus (hRV), enterovirus, respiratory syncytial virus, metapneumovirus, coronavirus, bocavirus and adenovirus) was performed by real time multiplex PCR assays in nasopharyngeal aspirates (NPAs), within the first 72 hours after birth and weekly, until discharge. Additional samples were taken if clinically indicated.Results147 out of 224 eligible infants were enrolled. At least one positive NPA was found in 38% of the study cohort. Main viruses identified were hRV (58%) and adenovirus (31%). Among the 56 infants with positive NPA, 26 showed non-specific respiratory features in 58% (increased respiratory workload, tachypnoea, apnoea) or typical cold features in 38% (rhinorrhea, cough, fever), at least in one episode. Antibiotics were prescribed in 29% of cases. Positive infants showed higher rates of bronchopulmonary dysplasia (BPD), need for supplemental oxygen and mechanical ventilation, and had longer hospital stay. Cox regression analysis found BPD as an independent risk factor for viral infection (p<0.001) and symptomatic VRI (p<0.04).ConclusionsSystematic surveillance in VLBW infants reports VRI is frequent, particularly by hRV. Asymptomatic infection is highly prevalent which is critical in the face of establishing appropriate preventive strategies. Infants with BPD are especially vulnerable to such infections.

Nutritional therapies in the neonatal intensive care unit and post‐natal growth outcomes of preterm very low birthweight Asian infants

2019 ◽  
Vol 56 (3) ◽  
pp. 400-407
Author(s):  
Le Ye Lee ◽  
Jiun Lee ◽  
Krishnamoorthy Niduvaje ◽  
Shirley S‐Y Seah ◽  
Raymond W Atmawidjaja ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Low Birthweight ◽  
Very Low Birthweight ◽  
Growth Outcomes
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