{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T05:17:08Z","timestamp":1787980628963,"version":"build-2784847793"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1073301"],"award-info":[{"award-number":["APP1073301"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1047689"],"award-info":[{"award-number":["APP1047689"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe the frequency, burden, and pathogen profile of acute respiratory illnesses (ARIs) in very preterm infants during the first year after neonatal intensive care unit (NICU) discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Very preterm infants were followed prospectively (August 2015\u2013January 2017) with monthly assessments of symptoms, medication use, and healthcare utilisation. Parent\u2010reported ARIs triggered additional clinical follow\u2010up. Nasal swabs were collected monthly and during ARIs and tested for respiratory pathogens using real\u2010time PCR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 125 eligible infants, 99 (79.2%) were enrolled, and 89 completed the 12\u2010month follow\u2010up. All infants experienced at least one ARI during the first year. Male sex was associated with increased risk of wheezy lower respiratory tract illness (LRTI) (RR 1.61), hospitalisation (RR 3.89), and asthma medication use (RR 5.89). NICU discharge during summer was associated with higher ARI rates (RR 1.33) and hospitalisation (RR 2.54). Rhinovirus was most frequently detected (13.5% of monthly swabs; 43.8% of ARI swabs), whereas respiratory syncytial predominated in emergency department presentations and hospital admissions (18.8% and 20.0%, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Very preterm infants experienced substantial respiratory morbidity during the first year after NICU discharge. These findings highlight the need for improved preventive and post\u2010discharge strategies in this high\u2010risk population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70731","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T04:20:14Z","timestamp":1787977214000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Frequency, Burden and Pathogens of Acute Respiratory Illness in Very Preterm Infants During Infancy"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4387-7238","authenticated-orcid":false,"given":"Patricia","family":"De Gouveia Belinelo","sequence":"first","affiliation":[{"name":"Foundations of Lung Disease, Wal\u2010Yan Respiratory Research Centre, The Kids Research Institute Australia  Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nada","family":"Townsi","sequence":"additional","affiliation":[{"name":"Foundations of Lung Disease, Wal\u2010Yan Respiratory Research Centre, The Kids Research Institute Australia  Perth WA Australia"},{"name":"School of Medicine, University of Western Australia  Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi R.","family":"Hemy","sequence":"additional","affiliation":[{"name":"Foundations of Lung Disease, Wal\u2010Yan Respiratory Research Centre, The Kids Research Institute Australia  Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chisha T.","family":"Sikazwe","sequence":"additional","affiliation":[{"name":"Department of Microbiology PathWest Laboratory Medicine Western Australia, QEII Medical Centre  Nedlands WA Australia"},{"name":"School of Biomedical Sciences, University of Western Australia  Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Smith","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Western Australia  Perth WA Australia"},{"name":"Department of Microbiology PathWest Laboratory Medicine Western Australia, QEII Medical Centre  Nedlands WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0021-0262","authenticated-orcid":false,"given":"Benjamin","family":"Stoecklin","sequence":"additional","affiliation":[{"name":"Department of Neonatology University Children's Hospital Basel  Basel Switzerland"},{"name":"School of Human Sciences, University of Western Australia  Crawley WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6500-0138","authenticated-orcid":false,"given":"J. Jane","family":"Pillow","sequence":"additional","affiliation":[{"name":"School of Human Sciences, University of Western Australia  Crawley WA Australia"},{"name":"Developmental Chronobiology, Wal\u2010Yan Respiratory Research Centre, The Kids Research Institute Australia  Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham L.","family":"Hall","sequence":"additional","affiliation":[{"name":"Foundations of Lung Disease, Wal\u2010Yan Respiratory Research Centre, The Kids Research Institute Australia  Perth WA Australia"},{"name":"Curtin School of Allied Health, Curtin University  Bentley WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1641-9899","authenticated-orcid":false,"given":"Ingrid A.","family":"Laing","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Western Australia  Perth WA Australia"},{"name":"School of Biomedical Sciences, University of Western Australia  Perth WA Australia"},{"name":"The Children's Respiratory Science, Wal\u2010Yan Respiratory Research Centre, The Kids Research Institute Australia  Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon J.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Foundations of Lung Disease, Wal\u2010Yan Respiratory Research Centre, The Kids Research Institute Australia  Perth WA Australia"},{"name":"Curtin School of Allied Health, Curtin University  Bentley WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"World Health Organization \u201cPreterm Birth \u201d(2024)."},{"key":"e_1_2_14_3_1","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2020.00318","article-title":"Predicting Lung Health Trajectories for Survivors of Preterm Birth","volume":"8","author":"Gibbons J. 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