Perinatal Ureaplasma urealyticum infection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. The pregnant mother tested positive for UU during this pregnancy before delivery (cervical secretion culture and/or nucleic acid test); 2. Preterm infant born at less than 29 weeks of gestation; 3. Within 12 hours after birth, according to the clinical judgment, the newborn shows clinical indications for surfactant replacement therapy due to 'neonatal respiratory distress syndrome'.
Exclusion criteria
Exclusion criteria: 1. Preterm infants with terminal illness (heart rate <100 beats/min, unresponsive to resuscitation) or deemed by clinicians to have a low chance of survival; 2. Guardians decide to limit or withdraw medical treatment for the preterm infant; 3. The preterm infant has received pulmonary surfactant before enrollment (the first dose of surfactant must be the study drug); 4. The preterm infant has received systemic corticosteroid treatment before enrollment; 5. Severe chromosomal abnormalities or major malformations, severe congenital cardiopulmonary failure; 6. Known congenital infections, including but not limited to confirmed sepsis, congenital cytomegalovirus infection, etc.; 7. Preterm infants with permanent neuromuscular disorders affecting the respiratory system; 8. The preterm infant has already been enrolled in another clinical trial with conflicting interventions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnose with BPD or decease at the PMA 36 weeks; | — |
Secondary
| Measure | Time frame |
|---|---|
| severity of BPD;Severe Brain Injury in Cranial Ultrasound;Necrotizing enterocolitis (>Bell II Grade);Patent Ductus Arteriosus Requiring Medical or Surgical Closure;Duration of mechanical ventilation with tracheal intubation;Duration of positive pressure ventilation ;Duration of oxygen use during hospitalization;Discharge with oxygen supply;Hospitalization Duration;Growth Parameters at PMA 36 Weeks : Weight, Length, Head Circumference, and Head-to-Length Ratio; | — |
Countries
China
Contacts
Guangzhou Women and Children's Medical Center,Guangzhou Medical University