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1.
Appl Spectrosc ; 78(5): 538-550, 2024 May.
Article in English | MEDLINE | ID: mdl-38409815

ABSTRACT

Four-wave mixing techniques, such as coherent anti-Stokes Raman spectroscopy (CARS), laser-induced grating spectroscopy (LIGS), and degenerate four-wave mixing (DFWM), have been widely used in combustion diagnostics due to their advantages of high signal-to-noise ratio (S/N), coherent signal, and spatial resolution. In this work, a nano-second pulsed laser is utilized to generate mid-infrared (near 3 µm) pump beams, exciting the rovibrational transitions of nascent water in flames. Combined LIGS and DFWM measurements are demonstrated in premixed laminar CH4/O2/N2 flames with equivalence ratios from 0.6 to 1.5, to achieve precise thermometry in a wide range of flame conditions. The flame temperatures were also measured by thermocouple as a reference, and the results from LIGS and DFWM align well with the trends shown in the thermocouple measurements. In fuel-lean flames, where the mass-to-specific-heat ratio variation is minimal, LIGS provides temperature data with a precision better than 16 K (0.8%). In fuel-rich flames, where the increased H2 concentration in the flame introduces uncertainty in gas constants thus affecting the accuracy of LIGS thermometry, DFWM is instead employed for temperature measurement since it is less sensitive to the gas composition within the measured volume. The high-precision LIGS temperatures in lean flames serve as temperature reference during the DFWM calibration of the degree of saturation, and a precision better than 90 K (4.5%) is achieved for DFWM thermometry. In addition to temperature, a theoretical model is employed to fit LIGS signal time waveforms, extracting the local speed of sound and thermal diffusivity with precisions better than 0.5% and 1.3%, respectively. These high-precision measurements contribute additional data for flame research and simulation calculations. This way, the combined use of DFWM and LIGS proves the potential for accurate thermometry and diagnostics of other thermodynamic parameters across a wide range of flame conditions.

2.
Appl Spectrosc ; 78(4): 423-437, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38373441

ABSTRACT

The present work is aimed at studying how spatially periodic modulations of the refractive index of the medium, i.e., laser-induced gratings (LIGs), generated in a gas mixture containing methane (CH4) by nanosecond pulses of resonant mid-infrared laser radiation, can be used to measure various gas parameters. It is investigated to what extent the temporal profiles of the LIG signals, recorded as the power of the diffracted by LIGs continuous wave probe radiation, are specific to the composition, pressure, and temperature of a selected buffer gas. This specificity is illustrated by the LIG signal profiles recorded in the experiments in different gas mixtures under various conditions. Experimental data show that large LIG signals can be obtained even in mixtures with CH4 concentrations as low as ∼100 parts per million due to the strong absorption of the excitation light and subsequent rapid, highly exothermic, and partner-dependent collisional energy exchange of the laser-excited molecules with the environment. These two factors ensure high LIG generation efficiency by a small number of CH4 molecules and high sensitivity of signal strength and profile to variations of gas parameters.

3.
Appl Opt ; 62(6): LAC1-LAC3, 2023 Feb 20.
Article in English | MEDLINE | ID: mdl-36821332

ABSTRACT

The eighteenth topical meeting on Laser Applications to Chemical, Security, and Environmental Analysis (LACSEA) was held in Vancouver, Canada from 11-15 July 2022, as part of the Optica Optical Sensors and Sensing Congress in a hybrid format allowing on-site and online attendance. The meeting featured a broad range of distinguished papers focusing on recent advances in laser and optical spectroscopy. A total of 52 contributed and invited papers were presented during the meeting, including topics such as photo-acoustic spectroscopy, imaging, non-linear technologies, frequency combs, remote sensing, environmental monitoring, aerosols, combustion diagnostics, hypersonic flow diagnostics, nuclear diagnostics, fs/ps applications, and machine learning and computational sensing.

4.
Sci Rep ; 11(1): 9829, 2021 May 10.
Article in English | MEDLINE | ID: mdl-33972614

ABSTRACT

Laser-induced grating spectroscopy (LIGS) is for the first time explored in a configuration based on the crossing of two focused femtosecond (fs) laser pulses (800-nm wavelength) and a focused continuous-wave (cw) laser beam (532-nm wavelength). A thermal grating was formed by multi-photon absorption of the fs-laser pulses by [Formula: see text] with a pulse energy around 700 [Formula: see text]J ([Formula: see text] 45 TW/[Formula: see text]). The feasibility of this LIGS configuration was investigated for thermometry in heated nitrogen gas flows. The temperature was varied from room temperature up to 750 K, producing strong single-shot LIGS signals. A model based on the solution of the linearized hydrodynamic equations was used to extract temperature information from single-shot experimental data, and the results show excellent agreement with the thermocouple measurements. Furthermore, the fluorescence produced by the fs-laser pulses was investigated. This study indicates an 8-photon absorption pathway for [Formula: see text] in order to reach the [Formula: see text] state from the ground state, and 8 + 5 photon excitation to reach the [Formula: see text] state of the [Formula: see text] ion. At pulse energies higher than 1 mJ, the LIGS signal was disturbed due to the generation of plasma. Additionally, measurements in argon gas and air were performed, where the LIGS signal for argon shows lower intensity compared to air and [Formula: see text].

5.
Appl Spectrosc ; 75(1): 107-114, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33021109

ABSTRACT

It has previously been demonstrated that the ratio of the degenerate four wave mixing signal from two hot water line groups near 3231 cm-1 can be used for seedless flame temperature measurements. This paper presents an investigation of the impact of saturation effects on the measured signal intensity from each line group, as well as an estimation of the accuracy of the method. The saturation effects observed here would result in a large systematic error if they are not taken into account when using the degenerate four-wave mixing intensity of these water line groups to calculate the flame temperature.

6.
Prenat Diagn ; 39(11): 1011-1015, 2019 10.
Article in English | MEDLINE | ID: mdl-31429096

ABSTRACT

OBJECTIVE: To evaluate clinical performance of a new automated cell-free (cf)DNA assay in maternal plasma screening for trisomies 21, 18, and 13, and to determine fetal sex. METHOD: Maternal plasma samples from 1200 singleton pregnancies were analyzed with a new non-sequencing cfDNA method, which is based on imaging and counting specific chromosome targets. Reference outcomes were determined by either cytogenetic testing, of amniotic fluid or chorionic villi, or clinical examination of neonates. RESULTS: The samples examined included 158 fetal aneuploidies. Sensitivity was 100% (112/112) for trisomy 21, 89% (32/36) for trisomy 18, and 100% (10/10) for trisomy 13. The respective specificities were 100%, 99.5%, and 99.9%. There were five first pass failures (0.4%), all in unaffected pregnancies. Sex classification was performed on 979 of the samples and 99.6% (975/979) provided a concordant result. CONCLUSION: The new automated cfDNA assay has high sensitivity and specificity for trisomies 21, 18, and 13 and accurate classification of fetal sex, while maintaining a low failure rate. The study demonstrated that cfDNA testing can be simplified and automated to reduce cost and thereby enabling wider population-based screening.


Subject(s)
Noninvasive Prenatal Testing/methods , Trisomy/diagnosis , Chromosomes, Human, Pair 13 , Chromosomes, Human, Pair 18 , Chromosomes, Human, Pair 21 , Female , Humans , Pregnancy
7.
Appl Spectrosc ; 73(6): 653-664, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30556400

ABSTRACT

We demonstrate quantitative measurements of methane (CH4) mole fractions in a low-pressure fuel-rich premixed dimethyl ether/oxygen/argon flat flame (Φ = 1.87, 37 mbar) using mid-infrared (IR) polarization spectroscopy (IRPS). Non-intrusive in situ detection of CH4, acetylene (C2H2), and ethane (C2H6) in the flame was realized by probing the fundamental asymmetric C-H stretching vibration bands in the respective molecules in the spectral range 2970-3340 cm-1. The flame was stabilized on a McKenna-type porous plug burner hosted in a low-pressure chamber. The temperature at different heights above the burner (HAB) was measured from the line ratio of temperature-sensitive H2O spectral lines recorded using IRPS. Quantitative measurements of CH4 mole fractions at different HAB in the flame were realized by a calibration measurement in a low-pressure gas flow of N2 with a small admixture of known amount of CH4. A comprehensive study of the collision effects on the IRPS signal was performed in order to quantify the flame measurement. The concentration and temperature measurements were found to agree reasonably well with simulations using Chemkin. These measurements prove the potential of IRPS as a sensitive, non-intrusive, in situ technique in low pressure flames.

8.
Appl Spectrosc ; 70(12): 2025-2028, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27340211

ABSTRACT

Laser-induced grating spectroscopy (LIGS) is an experimental method in which two pulsed laser beams and a continuous-wave laser beam have to be superimposed under well-defined angles to generate a coherent signal beam. In this Note, the possible effects of different forms of misalignment are examined. This includes the overlap of the pump lasers as well as the influence of the probe laser alignment on the temporal profile of the signal.

9.
Appl Spectrosc ; 70(6): 1034-43, 2016 06.
Article in English | MEDLINE | ID: mdl-27091904

ABSTRACT

We present mid-infrared laser-induced thermal grating spectroscopy (IR-LITGS) using excitation radiation around 3 µm generated by a simple broadband optical parametric oscillator (OPO). Acetylene as a typical small hydrocarbon molecule is used as an example target species. A mid-infrared broadband OPO pumped by the fundamental output of a neodymium-doped yttrium aluminum garnet (Nd:YAG) laser was used to generate the pump beams, with pulse energies of 6-10 mJ depending on the wavelength. The line width of the OPO idler beam was ∼5 cm(-1), which is large enough to cover up to six adjacent acetylene lines. The probe beam was the radiation of a 532 nm cw solid state laser with 190 mW output power. Signals were generated in atmospheric pressure gas flows of N2, air, CO2 and Ar with small admixtures of C2H2 A detection limit of less than 300 ppm was found for a point measurement of C2H2 diluted in N2 As expected, the oscillation frequency of the IR-LITGS signal was found to have a large dependency on the buffer gas, which allows determination of the speed of sound. Moreover, the results reveal a very strong collisional energy exchange between C2H2 and CO2 compared to the other gases. This manifests as significant local heating. In summary, the MIR-LITGS technique enables spectroscopy of fundamental vibrational transitions in the infrared via detection in the visible spectral range.

10.
Opt Lett ; 39(18): 5321-4, 2014 Sep 15.
Article in English | MEDLINE | ID: mdl-26466261

ABSTRACT

We compare a nonlinear upconversion detector with a conventional cryogenic InSb detector for the detection of coherent infrared light showing near-shot-noise-limited performance in the upconversion system. The InSb detector is limited by dark noise, which results in a 500 times lower signal-to-noise ratio. The two detectors are compared for the detection of a coherent degenerate four-wave mixing (DFWM) signal in the mid-infrared, and applied to measure trace-level acetylene in a gas flow at atmospheric pressure, probing its fundamental rovibrational transitions. In addition to lower noise, the upconversion system provides image information of the signal, thus adding new functionality compared to standard point detection methods. We further show that the upconversion detector system can be implemented as a simple replacement of the cryogenic detector.

11.
PLoS One ; 8(7): e70377, 2013.
Article in English | MEDLINE | ID: mdl-23894643

ABSTRACT

OBJECTIVE: To investigate the role of HLA-B27 expression in the regulation of RNA binding protein (RBP) Embryonic Lethal Abnormal Vision (ELAV) L1/Human antigen R (HuR) expression in Salmonella-infected or LPS-stimulated human monocytic cells, since HuR is a critical regulator of the post-transcriptional fate of many genes (e.g. TNFα) important in inflammatory response. METHODS: U937 monocytic cells were stably transfected with pSV2neo resistant vector (mock), wild type HLA-B27, or mutated HLA-B27 with amino acid substitutions in the B pocket. Cells were differentiated, infected with Salmonella enteritidis or stimulated with lipopolysaccharide. The expression levels of HuR protein and cleavage products (CP1 and CP2) were detected by Western blotting and flow cytometry. Specific inhibitors were used to study the role of PKR and p38 in HuR expression and generation of CPs. TNFα and IL-10 secretion after p38 and PKR inhibition were measured by ELISA. RESULTS: Full length HuR is overexpressed and HuR cleavage is disturbed in U937 monocytic cells expressing HLA-B27 heavy chains (HC). Increased full length HuR expression, disturbed cleavage and reduced dependence on PKR after infection correlate with the expression of glutamic acid 45 in the B pocket that is linked to the misfolding of HLA-B27. CONCLUSION: Results show that the expression of HLA-B27 HCs modulates the intracellular environment of U937 monocyte/macrophages by altering HuR regulation. This phenomenon is at least partly dependent on the misfolding feature of the B27 molecule. Since HuR is an important regulator of multiple genes involved in inflammatory response observations offer an explanation how HLA-B27 may modulate inflammatory response.


Subject(s)
ELAV Proteins/metabolism , HLA-B27 Antigen/genetics , Monocytes/metabolism , ELAV-Like Protein 1 , Gene Expression , Glutamic Acid/metabolism , HLA-B27 Antigen/chemistry , HLA-B27 Antigen/metabolism , Humans , Imidazoles/pharmacology , Interleukin-10/metabolism , Monocytes/drug effects , Monocytes/microbiology , Pyridines/pharmacology , Salmonella/physiology , Tumor Necrosis Factor-alpha/metabolism , U937 Cells , p38 Mitogen-Activated Protein Kinases/antagonists & inhibitors , p38 Mitogen-Activated Protein Kinases/metabolism
12.
PLoS One ; 8(1): e50684, 2013.
Article in English | MEDLINE | ID: mdl-23349666

ABSTRACT

A tissue antigen, HLA-B27, is strongly associated with a group of rheumatic diseases called spondyloarthritides. Despite the intensive research, the exact role of HLA-B27 in the pathogenesis of these diseases is still unclear. Here we studied whether HLA-B27 modulates the phosphorylation of signal transducer and activator of transcription 1 (STAT-1) serine 727 residue and the localization of STAT-1 in Salmonella-infected human monocytic cells. In addition, we studied the role of signaling molecule double-stranded RNA activated protein kinase (PKR) in these modulatory effects. U937 human monocytic cell transfectants stably expressing wild type HLA-B27 or mutated HLA-B27 heavy chains with amino acid substitutions in the B pocket were prepared. The PMA-differentiated cells were infected with S. enteritidis. Western blotting was used to detect the phosphorylation of STAT-1, and to visualize the localization of STAT-1 in the cells confocal microscopy was used. Specific inhibitors were employed to study the role of PKR in STAT-1 phosphorylation. We discovered that the phosphorylation of STAT-1 serine 727 is prolonged in cells expressing misfolding forms of HLA-B27 after S. enteritidis infection, whereas in mock cells and in cells expressing mutated, non-misfolding HLA-B27 the phosphorylation of serine 727 is transient. Interestingly, STAT-1 serine 727 phosphorylation is partly dependent on PKR. In addition, more STAT-1 is localized in the nucleus of HLA-B27-expressing cells, even before an external trigger, when compared to mock cells. In conclusion, our results show that the phosphorylation of STAT-1 serine 727 residue is prolonged in HLA-B27-expressing monocyte-macrophage U937 cells after bacterial infection. This is of interest since the phosphorylation of serine 727 on STAT-1 is suggested to contribute to macrophage activation and promote inflammatory responses. Therefore, our results provide a mechanism which explains how the expression of an HLA-B27 molecule can impact the course of Salmonella infection and reactive arthritis.


Subject(s)
HLA-B27 Antigen/genetics , Monocytes/metabolism , STAT1 Transcription Factor/chemistry , STAT1 Transcription Factor/metabolism , Serine/metabolism , Active Transport, Cell Nucleus , Cell Line , Cell Nucleus/metabolism , Gene Expression , HLA-B27 Antigen/chemistry , Humans , Monocytes/cytology , Monocytes/microbiology , Phosphorylation , Protein Folding , Salmonella/physiology , Time Factors , eIF-2 Kinase/metabolism
13.
Arthritis Rheum ; 64(3): 772-7, 2012 Mar.
Article in English | MEDLINE | ID: mdl-21968657

ABSTRACT

OBJECTIVE: To study the phosphorylation of STAT-1 in HLA-B27-transfected human monocytic cells and the role of the signaling molecules double-stranded RNA-dependent protein kinase (PKR) and p38 in STAT-1 phosphorylation. METHODS: U937 human monocytic cell transfectants stably expressing wild-type HLA-B27 or mutated HLA-B27 heavy chains with amino acid substitutions in the B pocket were prepared. Mock-transfected cells were prepared using the antibiotic resistance vectors (pSV2neo or RSV5neo) alone. Phorbol myristate acetate-differentiated cells were stimulated with lipopolysaccharide (LPS) or infected with Salmonella enteritidis. The phosphorylation and expression levels of STAT-1 protein were detected by Western blotting and flow cytometry. Specific inhibitors were added in cell culture to study the role of PKR and p38 in STAT-1 phosphorylation. RESULTS: STAT-1 was constitutively highly phosphorylated on the tyrosine 701 residue in HLA-B27-positive monocytic cells when compared to control cells, even prior to stimulation with LPS or bacteria. This phenotype was associated with the expression of HLA-B27 heavy chains that misfold. In addition, phosphorylation of STAT-1 was dependent on PKR. CONCLUSION: Our results show that STAT-1 tyrosine 701 is constitutively highly phosphorylated in the HLA-B27-expressing monocyte/macrophage cell line. Since phosphorylation of tyrosine 701 on STAT-1 is sufficient to induce interferon (IFN)-dependent genes, constitutive activity of this phosphorylation site may lead to the overexpression of IFN-dependent genes, as well as other STAT-1-dependent genes, in HLA-B27 monocyte/macrophages. Our results offer a mechanism by which B27 expression alone, without any external trigger, is potentially capable of inducing activation of STAT-1, a critical regulator of the inflammatory response.


Subject(s)
HLA-B27 Antigen/metabolism , Monocytes/metabolism , STAT1 Transcription Factor/metabolism , eIF-2 Kinase/metabolism , Gene Expression Regulation/drug effects , Gene Silencing , HLA-B27 Antigen/chemistry , HLA-B27 Antigen/genetics , Host-Pathogen Interactions , Humans , Interferons/genetics , Lipopolysaccharides/pharmacology , Monocytes/immunology , Monocytes/microbiology , Mutation , Phosphorylation , Protein Conformation , Protein Folding , STAT1 Transcription Factor/genetics , Salmonella enteritidis/drug effects , Salmonella enteritidis/immunology , Signal Transduction , U937 Cells , eIF-2 Kinase/genetics
14.
Adv Exp Med Biol ; 649: 235-44, 2009.
Article in English | MEDLINE | ID: mdl-19731633

ABSTRACT

HLA-B27 is a risk factor closely associated to spondyloarthropathies (SpA). One form of SpA is reactive arthritis (ReA), which develops as a complication after certain bacterial infections (e.g., Salmonellae, Yersiniae, Shigellae, Campylobacteriae and Chlamydiae). The development of infection-triggered complication is a complex train of events between the triggering bacteria and the host. Since most of the patients suffering from ReA are HLA-B27 positive, it has been proposed that HLA-B27 may modulate the interaction between ReA-triggering bacteria and host cell. Besides antigen presenting function, HLA-B27 displays other unusual properties that might be of importance in the development of ReA. These properties (homodimer formation and misfolding of HLA-B27 heavy chain in the endoplasmic reticulum (ER)) may trigger ER-stress signaling pathways in host cell, which in turn may modulate cell signaling in favor of ReA-triggering bacteria. Here we summarize the observations of HLA-B27 modulating the interaction between ReA-triggering bacteria and host cell and discuss potential mechanisms behind the interaction.


Subject(s)
HLA-B27 Antigen/immunology , Host-Pathogen Interactions , Animals , Antigen Presentation/immunology , Bacterial Infections/immunology , HLA-B27 Antigen/genetics , Humans , Lipopolysaccharides/immunology , Prohibitins , Signal Transduction/immunology
15.
Arthritis Rheum ; 56(8): 2652-62, 2007 Aug.
Article in English | MEDLINE | ID: mdl-17665421

ABSTRACT

OBJECTIVE: To investigate the cause of the enhanced intracellular replication of Salmonella enteritidis in HLA-B27-transfected U937 human monocytic cells and the contribution of HLA-B27 heavy chain (HC) misfolding. METHODS: U937 monocytic cell transfectants stably expressing pSV2neo resistant vector (mock), wild-type HLA-B27, or mutated HLA-B27 HCs with amino acid substitutions in the B pocket were differentiated, infected with S enteritidis, and treated with signaling pathway inhibitors or specific p38 small interfering RNA (siRNA). The numbers of living intracellular bacteria were determined with the colony-forming unit method. To visualize S enteritidis, the bacteria were transformed with green fluorescent protein, and studied by microscopy. RESULTS: Treatment with the p38 MAPK inhibitors or with p38 siRNA enhanced the replication of S enteritidis in U937 transfectants, whereas the other inhibitors had no effect. In mock-transfected cells and in cells expressing the mutated B27 HCs in which the misfolding had been corrected, p38 inhibitors impaired their ability to resist the replication of bacteria (mock, B27.A2B, B27.E45M, and B27.C67A). In contrast, the number of intracellular bacteria was not significantly increased in p38 inhibitor-treated cells expressing misfolded B27 HCs (B27g, B27cDNA, and B27.H9F). CONCLUSION: Our results show that p38 activity plays a crucial role in controlling intracellular S enteritidis in U937 cells. Enhanced replication of bacteria in B27-expressing cells requires that the HCs contain glutamic acid at position 45 and cysteine at position 67. Furthermore, in transfectants expressing misfolded B27 HCs, p38 inhibition had no significant effect on bacterial replication, suggesting that in these cells, the p38 pathway may not function properly.


Subject(s)
HLA-B27 Antigen , Monocytes/metabolism , Protein Folding , Salmonella enteritidis/pathogenicity , p38 Mitogen-Activated Protein Kinases/metabolism , Cell Line , Cysteine/chemistry , Dose-Response Relationship, Drug , Enzyme Inhibitors/pharmacology , Glutamic Acid/chemistry , HLA-B27 Antigen/chemistry , HLA-B27 Antigen/genetics , HLA-B27 Antigen/metabolism , Humans , Monocytes/microbiology , Protein Conformation , RNA, Small Interfering/pharmacology , Salmonella Infections/microbiology , Salmonella enteritidis/drug effects , Salmonella enteritidis/growth & development , Transfection , p38 Mitogen-Activated Protein Kinases/antagonists & inhibitors
16.
Clin Infect Dis ; 44(10): 1271-7, 2007 May 15.
Article in English | MEDLINE | ID: mdl-17443462

ABSTRACT

BACKGROUND: We conducted a 5-year follow-up study on the persistence of pertussis-specific antibody and cell-mediated immunity after booster immunization of adolescents aged 11-13 years with a tricomponent acellular pertussis vaccine (Boostrix; trials diphtheria-tetanus-acellular pertussis [Tdap]-004/030). METHODS: Cellular and humoral immunity to pertussis toxin (PT), filamentous hemagglutinin, and pertactin were measured in adolescents (age, 16 years) 5 years after booster immunization. Similar investigations were performed for control adolescents who had received only diphtheria and tetanus booster vaccination. RESULTS: Five years after pertussis booster vaccination, the geometric mean concentrations of immunoglobulin G (IgG) elicited by each of the 3 pertussis vaccine antigens decreased from 1-month and 3-year postvaccination levels, but with the exception of PT IgG, were still higher than the prevaccination levels. PT IgG levels were undetectable in 28% of the subjects, but 44% of those subjects still tested positive for cell-mediated immunity to PT. Filamentous hemagglutinin IgG and pertactin IgG levels were significantly higher in Tdap-boosted adolescents than in the control subjects. Antibody concentrations at 1 month after vaccination strongly predicted antibody persistence. Cell-mediated immunity levels to PT, filamentous hemagglutinin, and pertactin persisted above the prebooster levels measured 5 years earlier. CONCLUSIONS: The results of the present study of adolescents indicate that the interval between acellular pertussis booster immunizations might be extended beyond 5 years.


Subject(s)
Diphtheria-Tetanus-Pertussis Vaccine/therapeutic use , Immunization, Secondary/methods , Whooping Cough/immunology , Adolescent , Antibody Formation/immunology , Diphtheria-Tetanus-Pertussis Vaccine/immunology , Female , Follow-Up Studies , Humans , Immunity, Cellular/immunology , Male , Whooping Cough/prevention & control
17.
Acta Paediatr ; 94(7): 838-42, 2005 Jul.
Article in English | MEDLINE | ID: mdl-16188803

ABSTRACT

AIM: To examine the influence of recurrent therapy with antibiotics (RTA) in infancy on children's somatic factors at 8 y of age. METHODS: Subject selection was based on stratified randomized cluster sampling. Altogether 1287 infants were potential participants in the follow-up study. Children with 6 courses of antibiotics (100 children) during their first 18 mo of life and children with no (62%) or 2 courses (38%) of antibiotics participated in a clinical examination in a case-control setting (100 matched controls) at the age of 8 y. RESULTS: The children with RTA continued to have more infections and had had more courses of antibiotics compared to controls during the follow-up. There was no clinically significant difference in the somatic and dental status at the age of 8 between the two groups. The parents of the children with RTA reported significantly more often recurrent infections than the parents of the controls. CONCLUSIONS: The children with recurrent therapy with antibiotics in early childhood also continue to be prescribed more antibiotics in later childhood when compared to those who received no or few antibiotics in infancy. However, recurrent infections and medications do not seem to have a marked effect on the somatic and dental status of these children at 8 y of age.


Subject(s)
Bacterial Infections/drug therapy , Bacterial Infections/epidemiology , Health Status , Anti-Bacterial Agents , Case-Control Studies , Child , Dentition , Female , Follow-Up Studies , Humans , Infant , Male , Recurrence
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