All issues > Volume 29(6); 1986

Original Article

J Korean Pediatr Soc. 1986;29(6):653-660. Published online June 30, 1986.

Clinacal and Pathological Study for the Congenital Pneumonia.

S S Lee¹, S I Lee², Y S Lee³, D K Han⁴, J G Chi⁵

¹Department of Neonatology，Sowha Childrens Hospital
²Department of Pediatrics, Sowha Childrens Hospital
³Department of Radiology, Sowha Childrens Hospital
⁴Department of Pediatrics, Yonsei University College of Medicine
⁵Department of Pathology, Seoul National University College of Medicine

Abstract

Congenital pneumonia is the most important infectious disease in neonatal intensive care unit because congenital pneumonia observed about 7〜38% in autopsy cases of still birth and neonatal death who died a few days after birth. The pathogenetic mechanisms are followings: first, infection from aspiration of infected amniotic fluid or infected secretion of birth canal, second, infection to the damaged lung which was caused by aspiration of amniotic fluid or meconium due to obstetrical complications, last, transplacental infection. The symptoms and signs of congenital pneumonia can not be distinguished from other respiratiory distress syndromes easily, and so the clinical diagnosis is very difficult. Congenital pneumonia is diagnosed by identification of organisms from endotracheal aspiration culture and lung needle aspirate culture which has taken within 8 hours after birth. Neonatologist and obstetrician should be concerned about the prenatal and perinatal obstetrical histories which cause congenital pneumonia and eliminated causative factors of congenital pneumonia in obstetrical aspects and labored for early diagnosis and treatment of congenital pneumonia.

Keywords :Congenital pneumonia