Risk factors for juvenile onset recurrent respiratory papillomatosis

BACKGROUND.Children born to condylomatous mothers are at risk for developing juvenile onset recurrent respiratory papillomatosis (JORRP). We inquired whether the triad of vaginal delivery, being firstborn and maternal age of

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Veröffentlicht in:The Pediatric infectious disease journal 1998-05, Vol.17 (5), p.372-376
Hauptverfasser: SHAH, KEERTI V, STERN, WILLIAM F, SHAH, FARIDA K, BISHAI, DAVID, KASHIMA, HASKINS K
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container_issue 5
container_start_page 372
container_title The Pediatric infectious disease journal
container_volume 17
creator SHAH, KEERTI V
STERN, WILLIAM F
SHAH, FARIDA K
BISHAI, DAVID
KASHIMA, HASKINS K
description BACKGROUND.Children born to condylomatous mothers are at risk for developing juvenile onset recurrent respiratory papillomatosis (JORRP). We inquired whether the triad of vaginal delivery, being firstborn and maternal age of
doi_str_mv 10.1097/00006454-199805000-00005
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We inquired whether the triad of vaginal delivery, being firstborn and maternal age of &lt;20 years are also risk factors for JORRP. METHODS.Data for JORRP and adult onset recurrent respiratory papillomatosis cases were obtained from questionnaires answered by patients or their parents for the Recurrent Respiratory Papillomatosis Foundation. The observed numbers of cesarean births, first order births and births to mothers &lt;20 years old were compared with expected numbers for the same variables, which were computed by distributing the cases by year of birth and then applying to them national annual statistics for the year of birth. In addition observed and expected numbers of first order births to mothers &lt;20 years old were compared with corresponding numbers in mothers 20 years old or older. RESULTS.In JORRP cases the relationships between observed and expected numbers of cases were as followscesarean births, 4.6-fold less; first order births, 1.6-fold greater; maternal age &lt;20 years old, 2.6-fold greater. All these differences were statistically highly significant. The observed parity effect was mediated to a large extent by maternal age. In contrast there were no significant differences between observed and expected numbers of adult onset recurrent respiratory papillomatosis cases with respect to any of the above variables. CONCLUSIONS.Young primiparous mothers with condylomas are at a high risk for transmission of JORRP to their infants. The option of cesarean delivery should be discussed with a mother who has condyloma at the time of delivery.</description><identifier>ISSN: 0891-3668</identifier><identifier>EISSN: 1532-0987</identifier><identifier>DOI: 10.1097/00006454-199805000-00005</identifier><identifier>PMID: 9613648</identifier><identifier>CODEN: PIDJEV</identifier><language>eng</language><publisher>Baltimore, MD: Williams &amp; Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Birth Order ; Cesarean Section - statistics &amp; numerical data ; Child, Preschool ; Condylomata Acuminata ; Delivery, Obstetric ; Delivery. Postpartum. Lactation ; Disorders ; Female ; Gynecology. Andrology. Obstetrics ; Human papillomavirus ; Humans ; Infant ; Infectious Disease Transmission, Vertical - statistics &amp; numerical data ; Maternal Age ; Medical sciences ; Papilloma - epidemiology ; Papilloma - etiology ; Pregnancy ; Pregnancy Complications, Infectious ; Respiratory Tract Neoplasms - epidemiology ; Respiratory Tract Neoplasms - etiology ; Risk Factors ; United States - epidemiology</subject><ispartof>The Pediatric infectious disease journal, 1998-05, Vol.17 (5), p.372-376</ispartof><rights>Williams &amp; Wilkins 1998. All Rights Reserved.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4155-b70ade6da7abdab71d35815e702cb50d59902b077ca82f066f80b0e290a2de5b3</citedby><cites>FETCH-LOGICAL-c4155-b70ade6da7abdab71d35815e702cb50d59902b077ca82f066f80b0e290a2de5b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2241705$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9613648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SHAH, KEERTI V</creatorcontrib><creatorcontrib>STERN, WILLIAM F</creatorcontrib><creatorcontrib>SHAH, FARIDA K</creatorcontrib><creatorcontrib>BISHAI, DAVID</creatorcontrib><creatorcontrib>KASHIMA, HASKINS K</creatorcontrib><title>Risk factors for juvenile onset recurrent respiratory papillomatosis</title><title>The Pediatric infectious disease journal</title><addtitle>Pediatr Infect Dis J</addtitle><description>BACKGROUND.Children born to condylomatous mothers are at risk for developing juvenile onset recurrent respiratory papillomatosis (JORRP). We inquired whether the triad of vaginal delivery, being firstborn and maternal age of &lt;20 years are also risk factors for JORRP. METHODS.Data for JORRP and adult onset recurrent respiratory papillomatosis cases were obtained from questionnaires answered by patients or their parents for the Recurrent Respiratory Papillomatosis Foundation. The observed numbers of cesarean births, first order births and births to mothers &lt;20 years old were compared with expected numbers for the same variables, which were computed by distributing the cases by year of birth and then applying to them national annual statistics for the year of birth. In addition observed and expected numbers of first order births to mothers &lt;20 years old were compared with corresponding numbers in mothers 20 years old or older. RESULTS.In JORRP cases the relationships between observed and expected numbers of cases were as followscesarean births, 4.6-fold less; first order births, 1.6-fold greater; maternal age &lt;20 years old, 2.6-fold greater. All these differences were statistically highly significant. The observed parity effect was mediated to a large extent by maternal age. In contrast there were no significant differences between observed and expected numbers of adult onset recurrent respiratory papillomatosis cases with respect to any of the above variables. CONCLUSIONS.Young primiparous mothers with condylomas are at a high risk for transmission of JORRP to their infants. The option of cesarean delivery should be discussed with a mother who has condyloma at the time of delivery.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth Order</subject><subject>Cesarean Section - statistics &amp; numerical data</subject><subject>Child, Preschool</subject><subject>Condylomata Acuminata</subject><subject>Delivery, Obstetric</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious Disease Transmission, Vertical - statistics &amp; numerical data</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Papilloma - epidemiology</subject><subject>Papilloma - etiology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious</subject><subject>Respiratory Tract Neoplasms - epidemiology</subject><subject>Respiratory Tract Neoplasms - etiology</subject><subject>Risk Factors</subject><subject>United States - epidemiology</subject><issn>0891-3668</issn><issn>1532-0987</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v2zAMhoVhQ5t2-wkDfCh2c0fZ1tdxSLt2QIEBQ3sWZJlGnCi2K9oN-u-nNFluxXShSD58Bb1kLONwzcGo75COrESVc2M0iJTl-5L4wBZclEUORquPbAHa8LyUUp-zC6J1IsqKwxk7M5KXstILdvOno03WOj8NkbJ2iNl6fsG-C5gNPeGURfRzjNjvbzR20SXwNRvd2IUwbFNGHX1mn1oXCL8c4yV7-nn7uLzPH37f_Vr-eMh9xYXIawWuQdk45erG1Yo3pdBcoILC1wIaYQwUNSjlnS5akLLVUAMWBlzRoKjLS_btoDvG4XlGmuy2I48huB6HmaxKAuln_L8gl0KAkJBAfQB9HIgitnaM3dbFV8vB7p22_5y2J6ffSiKNfj2-MddbbE6DR2tT_-rYd-RdaKPrfUcnrCgqrt5kqgO2G8KEkTZh3mG0K3RhWtn39lz-BflClfQ</recordid><startdate>199805</startdate><enddate>199805</enddate><creator>SHAH, KEERTI V</creator><creator>STERN, WILLIAM F</creator><creator>SHAH, FARIDA K</creator><creator>BISHAI, DAVID</creator><creator>KASHIMA, HASKINS K</creator><general>Williams &amp; Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>199805</creationdate><title>Risk factors for juvenile onset recurrent respiratory papillomatosis</title><author>SHAH, KEERTI V ; STERN, WILLIAM F ; SHAH, FARIDA K ; BISHAI, DAVID ; KASHIMA, HASKINS K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4155-b70ade6da7abdab71d35815e702cb50d59902b077ca82f066f80b0e290a2de5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth Order</topic><topic>Cesarean Section - statistics &amp; numerical data</topic><topic>Child, Preschool</topic><topic>Condylomata Acuminata</topic><topic>Delivery, Obstetric</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Disorders</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious Disease Transmission, Vertical - statistics &amp; numerical data</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Papilloma - epidemiology</topic><topic>Papilloma - etiology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious</topic><topic>Respiratory Tract Neoplasms - epidemiology</topic><topic>Respiratory Tract Neoplasms - etiology</topic><topic>Risk Factors</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SHAH, KEERTI V</creatorcontrib><creatorcontrib>STERN, WILLIAM F</creatorcontrib><creatorcontrib>SHAH, FARIDA K</creatorcontrib><creatorcontrib>BISHAI, DAVID</creatorcontrib><creatorcontrib>KASHIMA, HASKINS K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Pediatric infectious disease journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SHAH, KEERTI V</au><au>STERN, WILLIAM F</au><au>SHAH, FARIDA K</au><au>BISHAI, DAVID</au><au>KASHIMA, HASKINS K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for juvenile onset recurrent respiratory papillomatosis</atitle><jtitle>The Pediatric infectious disease journal</jtitle><addtitle>Pediatr Infect Dis J</addtitle><date>1998-05</date><risdate>1998</risdate><volume>17</volume><issue>5</issue><spage>372</spage><epage>376</epage><pages>372-376</pages><issn>0891-3668</issn><eissn>1532-0987</eissn><coden>PIDJEV</coden><abstract>BACKGROUND.Children born to condylomatous mothers are at risk for developing juvenile onset recurrent respiratory papillomatosis (JORRP). We inquired whether the triad of vaginal delivery, being firstborn and maternal age of &lt;20 years are also risk factors for JORRP. METHODS.Data for JORRP and adult onset recurrent respiratory papillomatosis cases were obtained from questionnaires answered by patients or their parents for the Recurrent Respiratory Papillomatosis Foundation. The observed numbers of cesarean births, first order births and births to mothers &lt;20 years old were compared with expected numbers for the same variables, which were computed by distributing the cases by year of birth and then applying to them national annual statistics for the year of birth. In addition observed and expected numbers of first order births to mothers &lt;20 years old were compared with corresponding numbers in mothers 20 years old or older. RESULTS.In JORRP cases the relationships between observed and expected numbers of cases were as followscesarean births, 4.6-fold less; first order births, 1.6-fold greater; maternal age &lt;20 years old, 2.6-fold greater. All these differences were statistically highly significant. The observed parity effect was mediated to a large extent by maternal age. In contrast there were no significant differences between observed and expected numbers of adult onset recurrent respiratory papillomatosis cases with respect to any of the above variables. CONCLUSIONS.Young primiparous mothers with condylomas are at a high risk for transmission of JORRP to their infants. The option of cesarean delivery should be discussed with a mother who has condyloma at the time of delivery.</abstract><cop>Baltimore, MD</cop><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Williams &amp; Wilkins</pub><pmid>9613648</pmid><doi>10.1097/00006454-199805000-00005</doi><tpages>5</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Birth Order
Cesarean Section - statistics & numerical data
Child, Preschool
Condylomata Acuminata
Delivery, Obstetric
Delivery. Postpartum. Lactation
Disorders
Female
Gynecology. Andrology. Obstetrics
Human papillomavirus
Humans
Infant
Infectious Disease Transmission, Vertical - statistics & numerical data
Maternal Age
Medical sciences
Papilloma - epidemiology
Papilloma - etiology
Pregnancy
Pregnancy Complications, Infectious
Respiratory Tract Neoplasms - epidemiology
Respiratory Tract Neoplasms - etiology
Risk Factors
United States - epidemiology
title Risk factors for juvenile onset recurrent respiratory papillomatosis
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