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Article ; Online: Fatal severe persistent pulmonary hypertension with lung microvasculature parietal hyperplasia in a neonate with congenital cytomegalovirus infection treated in-utero with valacyclovir: A case report.

Fernicola, Federica / Carli, Anna / Arienti, Francesca / Viola Vasarri, Maria / Lanteri, Laura / Scandella, Gaia / Poletti De Chaurand, Valeria / Zicoia, Marianna / Iozzi, Lucia / Gorla, Sonia / Luisa Ventura, Maria / Locatelli, Anna / Sinelli, Mariateresa / Ornaghi, Sara

European journal of obstetrics, gynecology, and reproductive biology

2024 Volume 294, Page(s) 245–246

MeSH term(s)	Infant, Newborn ; Humans ; Hypertension, Pulmonary/drug therapy ; Hypertension, Pulmonary/etiology ; Valacyclovir/therapeutic use ; Hyperplasia ; Cytomegalovirus Infections/complications ; Cytomegalovirus Infections/drug therapy ; Lung/diagnostic imaging ; Microvessels ; Antiviral Agents/therapeutic use
Chemical Substances	Valacyclovir (MZ1IW7Q79D) ; Antiviral Agents
Language	English
Publishing date	2024-01-11
Publishing country	Ireland
Document type	Case Reports ; Letter
ZDB-ID	190605-7
ISSN	1872-7654 ; 0301-2115 ; 0028-2243
ISSN (online)	1872-7654
ISSN	0301-2115 ; 0028-2243
DOI	10.1016/j.ejogrb.2024.01.011
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Article ; Online: Prenatal use of indomethacin for preterm labor and renal function among very low birth weight infants.

Sinelli, Mariateresa / Ornaghi, Sara / Doni, Daniela / Paterlini, Giuseppe / Locatelli, Anna / Bernasconi, Davide P / Vergani, Patrizia / Ventura, Maria L

Minerva obstetrics and gynecology

2023 Volume 76, Issue 1, Page(s) 36–42

Abstract: Background: Indomethacin is administered as a tocolytic agent for threatening preterm labor <28weeks of gestation. Only a few, not conclusive, studies have investigated its nephrotoxicity in very low birth weight (VLBW) infants. We investigated whether ... ...

Abstract	Background: Indomethacin is administered as a tocolytic agent for threatening preterm labor <28weeks of gestation. Only a few, not conclusive, studies have investigated its nephrotoxicity in very low birth weight (VLBW) infants. We investigated whether indomethacin increases the incidence of acute kidney injury (AKI) among VLBW infants. Methods: This is a retrospective study including all VLBW infants born at our center between January 1, 2005, and December 31, 2013. Indomethacin was administered to women with preterm labor and intact membranes. Neonatal AKI was defined according to KDIGO classification. Univariate analyses were performed comparing VLBW infants exposed to and not exposed to indomethacin. In the multivariable model, the association of indomethacin and AKI was adjusted for patent ductus arteriosus, use of nephrotoxic medications, birth weight, and gestational age. Results: Five hundred seventy-five VLBW infants were included, 49 (8.5%) of whom were exposed to indomethacin in utero. The univariate analysis showed that infants exposed to indomethacin had lower birth weight, lower gestational age, and higher incidence of AKI than infants not exposed. The multivariable model adjusted for confounding factors confirmed an increased risk of AKI in relation to gestational age at birth <27 weeks, but not to indomethacin. Conclusions: Our data suggest that extreme prematurity, but not the use of indomethacin, is associated with AKI.
MeSH term(s)	Infant, Newborn ; Pregnancy ; Humans ; Female ; Infant ; Indomethacin/adverse effects ; Retrospective Studies ; Birth Weight ; Infant, Very Low Birth Weight ; Obstetric Labor, Premature/chemically induced ; Obstetric Labor, Premature/drug therapy ; Acute Kidney Injury/chemically induced ; Acute Kidney Injury/epidemiology ; Acute Kidney Injury/drug therapy ; Kidney
Chemical Substances	Indomethacin (XXE1CET956)
Language	English
Publishing date	2023-02-14
Publishing country	Italy
Document type	Journal Article
ZDB-ID	3062815-5
ISSN	2724-6450
ISSN (online)	2724-6450
DOI	10.23736/S2724-606X.22.05137-5
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Article ; Online: Hemodynamic evaluation in preterm infants using ultrasonic cardiac output monitor (USCOM).

Doni, Daniela / Faraguna, Martha Caterina / Zannin, Emanuela / Rinaldi, Alessandro / Cafolla, Claudia / Iozzi, Lucia / Cavalleri, Valeria / Rigotti, Camilla / Sinelli, Mariateresa / Fedeli, Tiziana / Ventura, Maria Luisa

European journal of pediatrics

2024 Volume 183, Issue 5, Page(s) 2183–2192

Abstract: We aimed to establish reference ranges for USCOM parameters in preterm infants, determine factors that affect cardiac output, and evaluate the measurement repeatability. This retro-prospective study was performed at Fondazione IRCCS San Gerardo dei ... ...

Abstract	We aimed to establish reference ranges for USCOM parameters in preterm infants, determine factors that affect cardiac output, and evaluate the measurement repeatability. This retro-prospective study was performed at Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy. We included infants below 32 weeks of gestational age (GA) and/or 1500 g of birth weight (BW). We excluded infants with congenital heart diseases or hemodynamic instability. Measurements were performed at 3 ± 1, 7 ± 2, and 14 ± 2 postnatal days. We analyzed 204 measurements from 92 patients (median GA = 30.57 weeks, BW = 1360 g). The mean (SD) cardiac output (CO) was 278 (55) ml/min/kg, cardiac index (CI) was 3.1 (0.5) L/min/m
MeSH term(s)	Humans ; Infant, Newborn ; Cardiac Output/physiology ; Infant, Premature ; Male ; Female ; Reference Values ; Prospective Studies ; Retrospective Studies ; Hemodynamics/physiology ; Reproducibility of Results ; Gestational Age ; Monitoring, Physiologic/methods ; Vascular Resistance/physiology
Language	English
Publishing date	2024-02-20
Publishing country	Germany
Document type	Journal Article
ZDB-ID	194196-3
ISSN	1432-1076 ; 0340-6199 ; 0943-9676
ISSN (online)	1432-1076
ISSN	0340-6199 ; 0943-9676
DOI	10.1007/s00431-024-05465-y
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Article ; Online: Association of intrauterine growth restriction and low birth weight with acute kidney injury in preterm neonates.

Sinelli, Mariateresa / Zannin, Emanuela / Doni, Daniela / Ornaghi, Sara / Acampora, Eleonora / Roncaglia, Nadia / Vergani, Patrizia / Ventura, Maria Luisa

Pediatric nephrology (Berlin, Germany)

2023 Volume 38, Issue 9, Page(s) 3139–3144

Abstract: Background: Preterm birth alters nephrogenesis and reduces the total nephron number. Intrauterine growth restriction (IUGR) seems to worsen nephron loss, but only a few studies have investigated its role in neonatal kidney impairment. We investigated ... ...

Abstract	Background: Preterm birth alters nephrogenesis and reduces the total nephron number. Intrauterine growth restriction (IUGR) seems to worsen nephron loss, but only a few studies have investigated its role in neonatal kidney impairment. We investigated whether IUGR, defined as reduced estimated fetal growth and/or placental flow alterations and low birth weight z-score, increases the risk of developing acute kidney injury (AKI) in very preterm infants. Methods: We performed a retrospective study including infants born with a birth weight (BW) ≤ 1500 g and/or gestational age (GA) ≤ 32 weeks admitted to our center between January 2016 and December 2021. Neonatal AKI was defined according to the neonatal KDIGO classification based on the decline of urine output and/or creatinine elevation. We used multivariable linear regressions to verify the association between AKI and GA, BW z-score, IUGR definition, and hemodynamically significant patent ductus arteriosus (PDA). Results: We included 282 infants in the analysis, with a median (IQR) GA = 29.4 (27.4, 31.3) weeks, BW = 1150 (870, 1360) g, and BW z-score = - 0.57 (- 1.64, 0.25). AKI was diagnosed in 36 (13%) patients, and 58 (21%) had PDA. AKI was significantly associated with BW z-score (beta (std. error) = - 0.08 (0.03), p = 0.008) and severe IUGR (beta (std. error) = 0.21 (0.08), p = 0.009), after adjusting for GA and PDA. Conclusions: Our data suggest that low BW z-score and IUGR could represent adjunctive risk factors for kidney impairment in preterm babies. A higher resolution version of the Graphical abstract is available as Supplementary information.
MeSH term(s)	Female ; Humans ; Infant, Newborn ; Pregnancy ; Acute Kidney Injury/etiology ; Acute Kidney Injury/complications ; Birth Weight ; Ductus Arteriosus, Patent/complications ; Fetal Growth Retardation ; Gestational Age ; Infant, Premature ; Infant, Very Low Birth Weight ; Placenta ; Premature Birth ; Retrospective Studies
Language	English
Publishing date	2023-03-29
Publishing country	Germany
Document type	Journal Article
ZDB-ID	631932-4
ISSN	1432-198X ; 0931-041X
ISSN (online)	1432-198X
ISSN	0931-041X
DOI	10.1007/s00467-023-05936-8
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Article ; Online: Letter to Editor: Asymptomatic CMV infection at birth following maternal infection, valacyclovir treatment, and a subsequent negative amniocentesis.

Fernicola, Federica / Carli, Anna / Arienti, Francesca / Vasarri, Maria Viola / Lanteri, Laura / Scandella, Gaia / De Chaurand, Valeria Poletti / Zicoia, Marianna / Iozzi, Lucia / Ventura, Maria Luisa / Sinelli, Mariateresa / Locatelli, Anna / Ornaghi, Sara

European journal of obstetrics, gynecology, and reproductive biology

2023 Volume 292, Page(s) 268–269

MeSH term(s)	Pregnancy ; Infant, Newborn ; Female ; Humans ; Valacyclovir/therapeutic use ; Amniocentesis ; Antiviral Agents/therapeutic use ; Cytomegalovirus Infections/diagnosis ; Cytomegalovirus Infections/drug therapy ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/drug therapy ; Infectious Disease Transmission, Vertical/prevention & control
Chemical Substances	Valacyclovir (MZ1IW7Q79D) ; Antiviral Agents
Language	English
Publishing date	2023-11-21
Publishing country	Ireland
Document type	Letter ; Comment
ZDB-ID	190605-7
ISSN	1872-7654 ; 0301-2115 ; 0028-2243
ISSN (online)	1872-7654
ISSN	0301-2115 ; 0028-2243
DOI	10.1016/j.ejogrb.2023.11.020
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Article ; Online: Early Neonatal SARS-CoV-2 Infection Manifesting With Hypoxemia Requiring Respiratory Support.

Sinelli, Mariateresa / Paterlini, Giuseppe / Citterio, Marco / Di Marco, Alessia / Fedeli, Tiziana / Ventura, Maria Luisa

Pediatrics

2020 Volume 146, Issue 1

Abstract: We describe a case of neonatal SARS-CoV-2 infection, in an infant diagnosed 3 days after birth, and manifesting with silent hypoxemia, requiring respiratory support. ...

Abstract	We describe a case of neonatal SARS-CoV-2 infection, in an infant diagnosed 3 days after birth, and manifesting with silent hypoxemia, requiring respiratory support.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/diagnostic imaging ; Coronavirus Infections/therapy ; Humans ; Hypoxia/complications ; Hypoxia/diagnostic imaging ; Hypoxia/therapy ; Infant, Newborn ; Male ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnostic imaging ; Pneumonia, Viral/therapy ; Respiration, Artificial/methods ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-05-04
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	207677-9
ISSN	1098-4275 ; 0031-4005
ISSN (online)	1098-4275
ISSN	0031-4005
DOI	10.1542/peds.2020-1121
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Article ; Online: Early Postnatal Infection of Neonates Born to Mothers Infected by SARS-CoV-2 Omicron Variant.

Pietrasanta, Carlo / Ronchi, Andrea / Agosti, Massimo / Mangili, Giovanna / Sinelli, Mariateresa / Ghirardello, Stefano / Barachetti, Roberta / Crimi, Riccardo / Fasolato, Valeria / Martinelli, Stefano / Bellan, Cristina / Crippa, Beatrice / Artieri, Giacomo / Perniciaro, Simona / Saruggia, Martina / Ventura, Maria Luisa / Garofoli, Francesca / Pagliotta, Claudia / Uceda Renteria, Sara Colonia /

Piralla, Antonio / Bergami, Federica / Morandi, Grazia / Proto, Alice / Pontiggia, Federica / Risso, Francesco Maria / Bossi, Angela / Ferrari, Stefania / Cavalleri, Valeria / Servi, Pierpaolo / Castiglione, Aurelia / Spada, Elena / Ceriotti, Ferruccio / Baldanti, Fausto / Mosca, Fabio / Pugni, Lorenza

Pediatrics

2023 Volume 152, Issue 5

Abstract: Objectives: To evaluate the rate of postnatal infection during the first month of life in neonates born to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive mothers during the predominant circulation of the omicron (B.1.1.529) ... ...

Abstract	Objectives: To evaluate the rate of postnatal infection during the first month of life in neonates born to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive mothers during the predominant circulation of the omicron (B.1.1.529) variant. Methods: This prospective, 10-center study enrolled mothers infected by SARS-CoV-2 at delivery and their infants, if both were eligible for rooming-in, between December 2021 and March 2022. Neonates were screened for SARS-CoV-2 RNA at 1 day of life (DOL), 2 to 3 DOL, before discharge, and twice after hospital discharge. Mother-infant dyads were managed under a standardized protocol to minimize the risk of viral transmission. Sequencing data in the study area were obtained from the Italian Coronavirus Disease 2019 Genomic platform. Neonates were included in the final analysis if they were born when the omicron variant represented >90% of isolates. Results: Eighty-two percent (302/366) of mothers had an asymptomatic SARS-CoV-2 infection. Among 368 neonates, 1 was considered infected in utero (0.3%), whereas the postnatal infection rate during virtually exclusive circulation of the omicron variant was 12.1%. Among neonates infected after birth, 48.6% became positive during the follow-up period. Most positive cases at follow-up were detected concurrently with the peak of coronavirus disease 2019 cases in Italy. Ninety-seven percent of the infected neonates were asymptomatic. Conclusions: The risk of early postnatal infection by the SARS-CoV-2 omicron variant is higher than that reported for previously circulating variants. However, protected rooming-in practice should still be encouraged given the paucity of symptoms in infected neonates.
MeSH term(s)	Infant ; Infant, Newborn ; Female ; Humans ; Pregnancy ; COVID-19 ; Mothers ; Prospective Studies ; RNA, Viral ; SARS-CoV-2/genetics ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/epidemiology ; Infectious Disease Transmission, Vertical
Chemical Substances	RNA, Viral
Language	English
Publishing date	2023-10-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	207677-9
ISSN	1098-4275 ; 0031-4005
ISSN (online)	1098-4275
ISSN	0031-4005
DOI	10.1542/peds.2023-062702
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Article ; Online: SARS-CoV-2 perinatal transmission and neonatal outcomes across four different waves of COVID-19 pandemic: A nationwide prospective cohort study from the Italian Society of Neonatology.

Pugni, Lorenza / Crippa, Beatrice Letizia / Raimondi, Francesco / Vento, Giovanni / Mangili, Giovanna / Coscia, Alessandra / Artieri, Giacomo / Ronchi, Andrea / Ventura, Maria Luisa / Lago, Paola / Pietrasanta, Carlo / Crimi, Riccardo / Bonfante, Giuseppina / Perrone, Serafina / Boncompagni, Alessandra / Solinas, Agostina / Agosti, Massimo / Poggi, Chiara / Falcone, Alessandra /

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

2023 Volume 140, Page(s) 17–24

Abstract: Objectives: To describe how SARS-CoV-2 infection at the time of delivery affected maternal and neonatal outcomes across four major waves of the COVID-19 pandemic in Italy.: Methods: This is a large, prospective, nationwide cohort study collecting ... ...

Abstract	Objectives: To describe how SARS-CoV-2 infection at the time of delivery affected maternal and neonatal outcomes across four major waves of the COVID-19 pandemic in Italy. Methods: This is a large, prospective, nationwide cohort study collecting maternal and neonatal data in case of maternal peripartum SARS-CoV-2 infection between February 2020 and March 2022. Data were stratified across the four observed pandemic waves. Results: Among 5201 COVID-19-positive mothers, the risk of being symptomatic at delivery was significantly higher in the first and third waves (20.8-20.8%) than in the second and fourth (13.2-12.2%). Among their 5284 neonates, the risk of prematurity (gestational age <37 weeks) was significantly higher in the first and third waves (15.6-12.5%). The risk of intrauterine transmission was always very low, while the risk of postnatal transmission during rooming-in was higher and peaked at 4.5% during the fourth wave. A total of 80% of positive neonates were asymptomatic. Conclusion: The risk of adverse maternal and neonatal outcomes was significantly higher during the first and third waves, dominated by unsequenced variants and the Delta variant, respectively. Postnatal transmission accounted for most neonatal infections and was more frequent during the Omicron period. However, the paucity of symptoms in infected neonates should lead us not to separate the dyad.
MeSH term(s)	Infant, Newborn ; Female ; Pregnancy ; Humans ; Infant ; SARS-CoV-2 ; COVID-19/epidemiology ; Pandemics ; Prospective Studies ; Neonatology ; Cohort Studies ; Infectious Disease Transmission, Vertical ; Italy/epidemiology ; Mothers ; Pregnancy Complications, Infectious/epidemiology
Language	English
Publishing date	2023-12-28
Publishing country	Canada
Document type	Journal Article
ZDB-ID	1331197-9
ISSN	1878-3511 ; 1201-9712
ISSN (online)	1878-3511
ISSN	1201-9712
DOI	10.1016/j.ijid.2023.12.011
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