Upper Respiratory Tract Infections
Conditions
Brief summary
The primary objectives are to evaluate relationship between nasopharyngeal microbial colonization and the occurrence of AOM or pneumonia in infants.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age: 18-35 years * Parity: any but with history of previous normal delivery * Weight: Body Mass Index greater than 18.5 but less than 35 * Past obstetric history: Uncomplicated pregnancy, unremarkable medical and obstetric conditions * Current pregnancy: Uneventful progression of pregnancy * General health: Normal health related functional status during pregnancy * Singleton pregnancy as determined by clinical examination and/or by ultrasonography * Cephalic presentation as determined by abdominal clinical examination * Expected to have normal pregnancy related outcome * Written informed consent
Exclusion criteria
* Medical history: Known history of diabetes, hypertension, or any systemic disorder * Gynecological history: History of major gynecological problem/treatment * Complications in previous pregnancy * Previous obstetric cholestasis * Previous acute fatty liver disease * Conditions during current pregnancy 1. RhD negative mother 2. APH/Placental abruption 3. Placenta Praevia 4. Unstable lie 5. Multiple pregnancy 6. Pregnancy induced hypertension (systolic \> 140 mm of Hg, diastolic \> 90 mm of Hg) 7. Severe pre-eclampsia or eclampsia 8. Gestational diabetes 9. Onstetric cholestasis 10. Current history of drug/alcohol abuse 11. BMI of less than 18.5 or more than 35. Severe pallor as detected clinically or by HB level (\< 7 gm/dL), and oedema 12. Blood samples drawn and tested for VDRL (Positive VDRL) Cephalopelvic disproportion (CPD) 13. History of taking antibiotic within 3 weeks prior to this study 14. Patient unwilling to comply with study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Naso-/oro-Pharyngeal colonization with specific pathogens and microbiota | 2 years |
| Incidence of respiratory disease (Acute Otitis Media, Acute Respiratory Infection) | 2 years |
| Risk factors for recurrent Upper Respiratory Track Infection in terms of bacteria or virus, nutritional and immune status, as well as epidemiological factors | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Birth outcome | 2 years |
| Incidence of maternal urogenital infection | 2 years |
Other
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of FUT2/3 polymorphism and association with infant health outcomes | One time point during the study | Analysis on saliva samples |
| Incidence of diarrhea and evaluation of gut health in infants | 2 years | Analysis of fecal samples |
Countries
Bangladesh