Background: Both air pollutants and neonatal jaundice (NJ) have known effects on childhood asthma, but higher total serum bilirubin (TSB) level was associated with lung protection. This study aimed to assess whether prenatal/postnatal exposure to air ambient pollutants is related to the inception of asthma in NJ infants. Material and methods: A nested case-control retrospective study of NJ infants was performed on the Kaohsiung Medical University Hospital Research Database between 2009 and 2019. The average concentration of particulate matter (PM2.5), sulfur dioxide (SO2), nitric dioxide (NO2) for six months, first and second years after the birth, and first, second and third trimesters prenatally were analyzed. The mild and significant NJ infants were categorized as TSB level < and ≧12 mg/dl, respectively. Asthma was defined as a diagnosis with medication. The adjusted odds ratio (aOR) and 95% confidence interval (CI) present the relationship between study periods and childhood asthma. Results: SO2 and NO2 exposure during prenatal periods were significantly associated with increased risk of childhood asthma in mild NJ infants (aOR (95% CI)), SO2: 1.20-1.34 (1.05-1.56); NO2: 1.06-1.07 (1.01-1.13)). Effects were more pronounced in postnatal exposure to three ambient air pollutants in mild jaundice infants. (aOR (95% CI), SO2: 1.33-1.41 (1.14-1.69); NO2: 1.07-1.31 (1.01-1.49; PM2.5:1.05 (1.00-1.10) Conclusion: Both SO2 and NO2 during prenatal and postnatal exposure in mild NJ infants were associated with childhood asthma. Whether taken phototherapy or not, significant NJ infants were spared by three ambient air pollutants.

Background Prematurity is a well-known risk factor for asthma. Biomarkers from sputum or serum were determined to have association with childhood asthma but no existing study has focused on salivary cytokines nor on prematurity. Thus, our study aimed to determine the relationship between childhood asthma and salivary cytokines in the early life of prematurity. Methods Preterm neonates from August 2012 to May 2017 were recruited and those with bacterial infection within seven days of life, maternal sepsis, and maternal clinical chorioamnionitis were excluded. Their gestational age, birth body weight, comorbidities, intubation duration, and infectious times during hospitalization were documented. The salivary cytokines on the first (D1) and seventh (D7) day of life were detected by MILLPLEX® MAP Human multiplex assay. They were followed up and divided into asthma and non-asthma groups. Kaplan-Meier or Cox-regression were used for analyzing the data. Results A total of 125 preterm infants were enrolled with 21 in the asthma group and 104 in the non-asthma group. Patients in the asthma group had longer duration of intubation (p < 0.001) and higher re-hospitalization rate for respiratory tract infection (p < 0.001), especially for respiratory syncytial virus bronchiolitis (p = 0.008). For salivary cytokines, the levels of D1 interleukin (IL)-8 were significantly higher in the asthma group (p = 0.04). Conclusions Salivary IL-8 at one day of life was associated with the development of asthma in childhood of premature neonates. Therefore, we can intervene early on these high-risk premature infants to prevent the occurrence of asthma.