Practical recommendations for neonatologists and pediatricians “Congenital ureaplasma, mycoplasma and chlamidia infections” (Draft of clinical recommendations for discussion by specialists)
- 作者: Ivanov D.O.1, Bem E.V.1, Panchenko A.S.1, Balashova E.N.2, Chumakova G.N.1, Levadneva M.I.1, Myznikova I.V.1, Pavlova S.E.1, Romanova L.A.1, Fedorova L.A.1, Yakovleva E.E.1
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隶属关系:
- Saint Petersburg State Pediatric Medical University
- Research Center for Obstetrics, Gynecology and Perinatology
- 期: 卷 15, 编号 6 (2024)
- 页面: 5-23
- 栏目: Editorial
- URL: https://journals.rcsi.science/pediatr/article/view/312821
- DOI: https://doi.org/10.17816/PED1565-23
- ID: 312821
如何引用文章
详细
Congenital chlamydia infection develops as a result of the intranatal transmission of the pathogen Chlamydia trachomatis from mother to fetus, more often occurs in the form of conjunctivitis, symptoms of which appear in the second to third weeks of a child’s life, or atypical pneumonia developing at 2–3 months of an infant’s life. The clinical picture of the pneumonia is characterized by an obsessive paroxysmal whooping pertussis-like cough with a moderately pronounced symptom of intoxication. Rare manifestations and complications of chlamydial infection in the form of encephalitis, myocarditis, recurrent otitis media in children under 6 months of age are described. Congenital ureaplasma and mycoplasma infection caused by pathogenic or opportunistic types of urogenital mycoplasmas and ureaplasmas more often occurs in the form of atypical pneumonia, which develops in 2–3 weeks of a child’s life. It is characterized by a gradual onset with catarrhal syndrome with the addition of a dry, intense paroxysmal cough with a moderately pronounced intoxication syndrome. In premature infants, the course of the disease is more severe, cases of meningitis, sepsis, and myocarditis have been described. Ureaplasma infection is one of the independent risk factors for the development of bronchopulmonary dysplasia and retinopathy in premature infants. The main criterion for the diagnosis of congenital ureaplasma, mycoplasma or chlamydia infection is the isolation of the deoxyribonucleic acid of the pathogen in biological media by polymerase chain reaction in the presence of clinical and/or laboratory data For the treatment of chlamydia, ureaplasma and mycoplasma infections in newborns and young children, antibacterial drugs from the macrolide group are used in most cases The duration of the course of therapy and the method of administration depends on the severity of the clinical manifestations of infection in the child, the results of laboratory and instrumental studies.
作者简介
Dmitry Ivanov
Saint Petersburg State Pediatric Medical University
Email: spb@gpma.ru
ORCID iD: 0000-0002-0060-4168
SPIN 代码: 4437-9626
MD, PhD, Dr. Sci. (Medicine), Professor, Head of the Department of Neonatology with Courses in Neurology and Obstetrics-Gynecology of the Faculty of Postgraduate and Additional Professional Education, Rector
俄罗斯联邦, Saint PetersburgElena Bem
Saint Petersburg State Pediatric Medical University
Email: e.bohm@inbox.ru
ORCID iD: 0009-0008-9337-5667
SPIN 代码: 2811-5938
MD, PhD, Associate Professor of the Department of Neonatology with Сourses in Neurology and Obstetrics and Obstetrics-Gynecology of the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, Saint PetersburgAlexandra Panchenko
Saint Petersburg State Pediatric Medical University
编辑信件的主要联系方式.
Email: sashawomen18@mail.ru
ORCID iD: 0000-0003-2313-3941
SPIN 代码: 9552-2350
MD, PhD, Dr. Sci. (Medicine), Professor of the Department of Neonatology with Сourses in Neurology and Obstetrics-Gynecology of the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, Saint PetersburgEkaterina Balashova
Research Center for Obstetrics, Gynecology and Perinatology
Email: katbl99@gmail.com
ORCID iD: 0000-0002-3741-0770
SPIN 代码: 1335-1489
MD, PhD, Assistant of the Department of Neonatology
俄罗斯联邦, MoscowGalina Chumakova
Saint Petersburg State Pediatric Medical University
Email: zelchum-neo@yandex.ru
ORCID iD: 0000-0001-5353-4610
SPIN 代码: 1821-0198
MD, PhD, Dr. Sci. (Medicine), Professor of the Department of Neonatology with Сourses in Neurology and Obstetrics-Gynecology of the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, Saint PetersburgMarina Levadneva
Saint Petersburg State Pediatric Medical University
Email: m-lev11@yandex.ru
ORCID iD: 0000-0001-6716-7567
SPIN 代码: 2780-6674
Head of the Department of Newborn Physiology at the Perinatal Center, Assistant of the of the Department of Neonatology with Сourses in Neurology and Obstetrics-Gynecology of the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, Saint PetersburgIrina Myznikova
Saint Petersburg State Pediatric Medical University
Email: irinayurko2014@yandex.ru
ORCID iD: 0000-0002-8624-1854
Head of the Department of Pathology of Newborns and Young Children of the Perinatal Center, Assistant of the Department of Neonatology with Сourses in Neurology and Obstetrics-Gynecology of the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, Saint PetersburgSvetlana Pavlova
Saint Petersburg State Pediatric Medical University
Email: svetlanapav.spb@mail.ru
ORCID iD: 0000-0001-5423-0950
SPIN 代码: 1761-4768
Assistant Professor of the Department of Neonatology with Сourses in Neurology and Obstetrics and Obstetrics-Gynecology of the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, Saint PetersburgLarisa Romanova
Saint Petersburg State Pediatric Medical University
Email: l_romanova2011@mail.ru
SPIN 代码: 6460-5491
MD, PhD, Associate Professor of the Department of Neonatology with Сourses in Neurology and Obstetrics-Gynecology of the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, Saint PetersburgLarisa Fedorova
Saint Petersburg State Pediatric Medical University
Email: arslarissa@rambler.ru
ORCID iD: 0000-0001-9747-762X
SPIN 代码: 5474-0902
MD, PhD, Associate Professor of the Department of Neonatology with Сourses in Neurology and Obstetrics-Gynecology of the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, Saint PetersburgEkaterina Yakovleva
Saint Petersburg State Pediatric Medical University
Email: eeiakovleva@mail.ru
ORCID iD: 0000-0002-0270-0217
SPIN 代码: 6728-7340
MD, PhD, Head of the Department of Clinical Pharmacology, Associate Professor of the Department of Pharmacology with the Course of Clinical Pharmacology and Pharmacoeconomics
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