Literature DB >> 21517961

Low thymic size in preterm infants in the neonatal intensive care unit, a possible marker of infection? A prospective study from birth to 1 year of age.

D L Jeppesen1, A K Ersbøll, S D Nielsen, T U Hoppe, N H Valerius.   

Abstract

AIM: To study the growth of the thymus in preterm infants.
METHODS: Ultrasonographic thymic size (Ti) was studied in 80 preterm infants (gestational age 24-36 weeks) from birth to discharge from the neonatal intensive care unit (NICU). Thirty-three of these infants were followed to 1 year of age.
RESULTS: At birth, the median Ti was 5.2 compared with 11.8 in term infants. At discharge, the median Ti was 10.0 and not significantly different from Ti in term infants at birth (p = 0.22). The size of the thymus was significantly associated with postmenstrual age and weight (both p < 0.01). Infections during admission were negatively associated with the size of the thymus (p < 0.01). During the first 3 months after discharge, preterm infants had a significantly higher frequency of infections than did term infants (p = 0.002); hereafter, the preterm infants had significantly fewer infections than term infants (p = 0.002). The median Ti in preterm infants and term infants at 1 year of age was 21.1 and 17.3, respectively. This difference was not statistically significant (p = 0.41).
CONCLUSIONS: Growth of thymus was not compromised by preterm birth. Ti is negatively associated with the frequency of infections in preterm neonates submitted to NICU.
© 2011 The Author(s)/Acta Paediatrica © 2011 Foundation Acta Paediatrica.

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Year:  2011        PMID: 21517961     DOI: 10.1111/j.1651-2227.2011.02329.x

Source DB:  PubMed          Journal:  Acta Paediatr        ISSN: 0803-5253            Impact factor:   2.299


  5 in total

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Authors:  Elke Kuypers; Tim G A M Wolfs; Jennifer J P Collins; Reint K Jellema; John P Newnham; Matthew W Kemp; Suhas G Kallapur; Alan H Jobe; Boris W Kramer
Journal:  Reprod Sci       Date:  2013-01-11       Impact factor: 3.060

2.  Bacillus Calmette-Guérin vaccination, thymic size, and thymic output in healthy newborns.

Authors:  Nina Marie Birk; Thomas Nørrelykke Nissen; Vera Zingmark; Jesper Kjærgaard; Lisbeth Marianne Thøstesen; Poul-Erik Kofoed; Lone Graff Stensballe; Andreas Andersen; Susanne Dam Nielsen; Christine Stabell Benn; Ole Pryds; Dorthe Lisbeth Jeppesen
Journal:  Pediatr Res       Date:  2017-02-03       Impact factor: 3.756

3.  Nomograms of the fetal thymus for clinical practice.

Authors:  Katarzyna Zych-Krekora; Michał Krekora; Maciej Słodki; Mariusz Grzesiak; Piotr Kaczmarek; Krzysztof Zeman; Maria Respondek-Liberska
Journal:  Arch Med Sci       Date:  2019-07-11       Impact factor: 3.318

4.  Normal Thymic Size and Low Rate of Infections in Human Donor Milk Fed HIV-Exposed Uninfected Infants from Birth to 18 Months of Age.

Authors:  Dorthe Lisbeth Jeppesen; Annette Kjær Ersbøll; Tine Ursula Hoppe; Susanne Dam Nielsen; Niels Henrik Valerius
Journal:  Int J Pediatr       Date:  2013-04-30

5.  Correlates of thymus size and changes during treatment of children with severe acute malnutrition: a cohort study.

Authors:  Maren Johanne Heilskov Rytter; Hanifa Namusoke; Christian Ritz; Kim F Michaelsen; André Briend; Henrik Friis; Dorthe Jeppesen
Journal:  BMC Pediatr       Date:  2017-03-14       Impact factor: 2.125

  5 in total

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