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The use of culture-independent tools to characterize bacteria in endo-tracheal aspirates from pre-term infants at risk of bronchopulmonary dysplasia

  • Franziska A. Stressmann , Gary J. Connett , Kevin Goss , Tanoj G. Kollamparambil , Nilesh Patel , Matthew S. Payne , Victoria Puddy , Julian Legg , Kenneth D. Bruce and Geraint B. Rogers
Published/Copyright: February 2, 2010
Journal of Perinatal Medicine
From the journal Volume 38 Issue 3

Abstract

Although premature infants are increasingly surviving the neonatal period, up to one-third develop bronchopulmonary dysplasia (BPD). Despite evidence that bacterial colonization of the neonatal respiratory tract by certain bacteria may be a risk factor in BPD development, little is known about the role these bacteria play. The aim of this study was to investigate the use of culture-independent molecular profiling methodologies to identify potential etiological agents in neonatal airway secretions. This study used terminal restriction fragment length polymorphism (T-RFLP) and clone sequence analyses to characterize bacterial species in endo-tracheal (ET) aspirates from eight intubated pre-term infants. A wide range of different bacteria was identified in the samples. Forty-seven T-RF band lengths were resolved in the sample set, with a range of 0–15 separate species in each patient. Clone sequence analyses confirmed the identity of individual species detected by T-RFLP. We speculate that the identification of known opportunistic pathogens including S. aureus, Enterobacter sp., Moraxella catarrhalis, Pseudomonasaeruginosa and Streptococcus sp., within the airways of pre-term infants, might be causally related to the subsequent development of BPD. Further, we suggest that culture-independent techniques, such as T-RFLP, hold important potential for the characterization of neonatal conditions, such as BPD.


Corresponding author: Dr. Gary J. Connett Consultant in Pediatric Respiratory Medicine Department of Child Health Southampton University Hospitals NHS Trust MP 43 Southampton General Hospital Tremona Road Southampton SO16 6YD UK Tel.: +23 80798973 Fax: +23 80795230

Received: 2009-4-30
Revised: 2009-10-2
Accepted: 2009-10-12
Published Online: 2010-02-02
Published Online: 2010-02-2
Published in Print: 2010-05-01

©2010 by Walter de Gruyter Berlin New York

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  23. Errata
  24. Errata
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