Goldwater Paul Nathan
Discipline of Paediatrics, School of Paediatrics and Reproductive Health, University of Adelaide, North Adelaide, SA, Australia.
Front Pediatr. 2017 Nov 14;5:223. doi: 10.3389/fped.2017.00223. eCollection 2017.
Recent findings suggest that infection (and sepsis) stand alone as the only plausible mechanism of causation of sudden infant death syndrome (SIDS) and accordingly achieves congruence with all clinicopathological and epidemiological findings. This review examines the role of infection in the pathogenesis of SIDS in the context of the major risk factor of prone sleep position. The study explores how sleep position could interact with the immune system and inflammatory response vagal neural connections, which could play key roles in gut and immune homeostasis. A plausible and congruent clinicopathological and epidemiological paradigm is suggested.
最近的研究结果表明,感染(和败血症)是婴儿猝死综合征(SIDS)唯一合理的致病机制,因此与所有临床病理和流行病学研究结果相符。本综述在俯卧睡眠姿势这一主要风险因素的背景下,探讨了感染在SIDS发病机制中的作用。该研究探讨了睡眠姿势如何与免疫系统、炎症反应及迷走神经连接相互作用,而这些因素可能在肠道和免疫稳态中发挥关键作用。本文提出了一个合理且一致的临床病理和流行病学范式。