Gannon H
Neonatal Netw. 1993 Apr;12(3):13-8.
Ureaplasma urealyticum, a species of mycoplasma organisms, is a sexually transmitted organism which can cause a pneumonia in premature neonates. Ureaplasma urealyticum infection in the neonate occurs secondary to maternal transmission of the organism to the neonate. Recent studies show very low birth weight neonates with Ureaplasma urealyticum pneumonia are approximately two times more likely to develop chronic lung disease. Clinically Ureaplasma urealyticum pneumonia presents in a premature neonate and is often coexistent with hyaline membrane disease, leukopenia, thrombocytopenia, and continued respiratory distress without identification of a causative organism. Diagnosis is generally by tracheal aspirate or spinal fluid culture. Ureaplasma urealyticum requires specific culture media to grow, and recovery of the organism can take several weeks. Clinical management of the infant includes administration of erythromycin and meticulous pulmonary toilet. A case study which represents the typical presentation of Ureaplasma urealyticum pneumonia is included.
解脲脲原体是支原体属的一种微生物，是一种性传播病原体，可导致早产新生儿患肺炎。新生儿解脲脲原体感染是由于该病原体从母体传播给新生儿所致。最近的研究表明，患有解脲脲原体肺炎的极低出生体重新生儿患慢性肺病的可能性大约是其他新生儿的两倍。临床上，解脲脲原体肺炎出现在早产新生儿中，常与透明膜病、白细胞减少、血小板减少以及持续的呼吸窘迫并存，且未发现致病病原体。诊断通常通过气管抽吸物或脑脊液培养进行。解脲脲原体需要特定的培养基才能生长，培养出该病原体可能需要数周时间。对婴儿的临床管理包括给予红霉素和精心的肺部护理。文中包含一个代表解脲脲原体肺炎典型表现的病例研究。
