Mycoplasmas and ureaplasmas as neonatal pathogens

Ken B. Waites, Brenda Katz, Robert Schelonka

Research output: Contribution to journalArticle

332 Citations (Scopus)

Abstract

The genital mycoplasmas represent a complex and unique group of microorganisms that have been associated with a wide array of infectious diseases in adults and infants. The lack of conclusive knowledge regarding the pathogenic potential of Mycoplasma and Ureaplasma spp. in many conditions is due to a general unfamiliarity of physicians and microbiology laboratories with their fastidious growth requirements, leading to difficulty in their detection; their high prevalence in healthy persons; the poor design of research studies attempting to base association with disease on the mere presence of the organisms in the lower urogenital tract; the failure to consider multifactorial aspects of diseases; and considering these genital mycoplasmas only as a last resort. The situation is now changing because of a greater appreciation of the genital mycoplasmas as perinatal pathogens and improvements in laboratory detection, particularly with regard to the development of powerful molecular nucleic acid amplification tests. This review summarizes the epidemiology of genital mycoplasmas as causes of neonatal infections and premature birth; evidence linking ureaplasmas with bronchopulmonary dysplasia; recent changes in the taxonomy of the genus Ureaplasma; the neonatal host response to mycoplasma and ureaplasma infections; advances in laboratory detection, including molecular methods; and therapeutic considerations for treatment of systemic diseases.

Original languageEnglish (US)
Pages (from-to)757-789
Number of pages33
JournalClinical Microbiology Reviews
Volume18
Issue number4
DOIs
StatePublished - Oct 2005
Externally publishedYes

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Ureaplasma
Mycoplasma
Ureaplasma Infections
Nucleic Acid Amplification Techniques
Mycoplasma Infections
Bronchopulmonary Dysplasia
Premature Birth
Microbiology
Communicable Diseases
Epidemiology
Research Design
Physicians
Therapeutics
Growth
Infection

ASJC Scopus subject areas

  • Microbiology

Cite this

Mycoplasmas and ureaplasmas as neonatal pathogens. / Waites, Ken B.; Katz, Brenda; Schelonka, Robert.

In: Clinical Microbiology Reviews, Vol. 18, No. 4, 10.2005, p. 757-789.

Research output: Contribution to journalArticle

Waites, Ken B. ; Katz, Brenda ; Schelonka, Robert. / Mycoplasmas and ureaplasmas as neonatal pathogens. In: Clinical Microbiology Reviews. 2005 ; Vol. 18, No. 4. pp. 757-789.
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