Microplastics Exposure
Conditions
Keywords
Microplastics, Parenteral Nutrition, newborns
Brief summary
The purpose of this study is to explore a potential exposure risk in the neonatal intensive care unit, namely, the iatrogenic microplastic exposure that critically ill newborns may face when receiving life-saving parenteral nutrition (intravenous nutrition delivered through a plastic infusion system). Therefore, the investigators designed a prospective study. By comparing three groups of newborns-those requiring long-term intravenous nutrition, short-term intravenous nutrition, and no intravenous nutrition-and collecting blood samples with strictly contamination-proof non-plastic instruments, the investigators used high-precision Raman spectroscopy for detection. For the first time, they attempted to systematically and quantitatively analyze the microplastic load in neonatal blood and its relationship with the duration of intravenous nutrition. The aim of this study is to provide novel scientific evidence for evaluating microplastic exposure in the neonatal medical environment, with the ultimate goal of establishing a basis for developing safer clinical practices and medical material standards in the future, thereby better protecting the long-term health of vulnerable newborns.
Detailed description
BACKGROUND: As a new environmental pollutant, microplastics has been found in many tissues of human body. Newborns, especially those who need intensive care and parenteral nutrition, may face a unique and persistent risk of microplastics exposure through plastic medical equipment, but their internal load is not clear. Objective: The purpose of this study is to systematically evaluate the microplastics exposure of newborns in neonatal intensive care unit (NICU) during hospitalization through a prospective observation cohort, focusing on the potential relationship between the duration of parenteral nutrition and microplastics load. Methods: Twelve newborns were recruited in 2025, and were divided into long-term exposure group, short-term exposure group and unexposed control group according to the support time of parenteral nutrition. In this study, blood samples of newborns were collected under strict pollution control, and microplastics in the samples was qualitatively and quantitatively analyzed by confocal micro-Raman spectroscopy.
Interventions
BEHAVIORALNo Intervention: Observational Cohort
These infants received neither intravenous nutritional support nor planned fluid therapy, serving as baseline microplastic levels in the absence of iatrogenic exposure.
Sponsors
Huiyi Li
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
1 Hours to 2 Months
Healthy volunteers
No
Inclusion criteria
* Newborns hospitalized in neonatal intensive care unit of Guangdong Second People's Hospital in 2025. * The gestational age of birth is ≥ 28 weeks. * Intravenous nutrition time is 1-56 days. * The mother has no serious basic diseases (such as heart disease, chronic kidney disease, mental illness, hypertension, diabetes, etc.).
Exclusion criteria
* There are serious congenital malformations or chromosomal abnormalities. Combined with other serious diseases that may affect the metabolism or distribution of microplastics (such as congenital metabolic abnormality, liver or renal insufficiency). * Parents or legal guardians withdraw informed consent. * Death or automatic discharge within 72 hours after birth.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Particle number of neonatal blood sample | parenteral nutrition support for over 14 days，parenteral nutrition support for 3-7 days，The first day after birth | The number of microplastics granules in newborn blood was detected. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Occupation | Day 1 | questionnaire |
| Annual income per capita (CNY) | Day 1 | questionnaire |
| Parity | Day 1 | questionnaire |
| Mode of conception | Day 1 | questionnaire |
| Education | Day 1 | questionnaire |
| Sex of newborns | Day 1 | physiological parameter |
| Mode of delivery | Day 1 | physiological parameter |
| Newborn weight (kg) | Day 1 | physiological parameter |
| Length of intravenous nutrition | Day 1 | physiological parameter |
| Birth outcome | Day 1 | questionnaire |
Countries
China
Outcome results
None listed