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Frequency of respiratory infections in wheezing children (CROSBI ID 632494)

Prilog sa skupa u časopisu | sažetak izlaganja sa skupa | međunarodna recenzija

Dragišić-Ivulić, Slavica ; Pavlov, Neven Frequency of respiratory infections in wheezing children // The European respiratory journal. Supplement / European Respiratory Society (ur.). 1998. str. 14-14

Podaci o odgovornosti

Dragišić-Ivulić, Slavica ; Pavlov, Neven

engleski

Frequency of respiratory infections in wheezing children

Connection of respiratory tract infections (RTI) in early childhood and asthma development stimulated us to research retrospectively the frequency of respiratory infections in wheezing children hospitalized in the Pediatric’s Department of Clinical Hospital Split from 1996.-97. Total number of children with bronchoobstruction was 332 and it was 7% of all children cured in Pediatric’s Department during this period. Most of them (175 or 53%) were 0-2 years old, 70 children (21%) were from 3-6 years old and 87 (26%) were from 7-14 yers old. Boys were more often hospitalized then girls (2:1). Generally the biggest group were boys from 0-2 years old. 116 children (35%) had the first attack of bronchoobstruction and they were mostly from the youngest group. 216 children (65%) had the recidive attack of bronchoobstruction. Symptoms of respiratory tract infections were found in 278 children (84%). Most of them (179 or 64 %) had symptoms of upper respiratory tract infections (URTI). Symptoms of lower respiratory tract infections (LRTI) were found in 36 children (13%) and 63 (23%) had symptoms of URTI and LRTI. Children from the youngest group in 98% of cases had RTI associated with bronchoobstruction. Association of RTI and wheezing was the least in the oldest group (64%). Positive bacteriological culture of nasal swabs, pharyngeal swabs or tracheal aspirates occurred only in 72 children (22%). Positive allergic parameters (positive skin prick test and specific IgE antibodies to common inhaled allergens) occurred in 150 children (45%) children and they were mostly from the oldest group (Table). Age RTI Allergic parameters Total Positive Negative Positive Negative 0-2 171(98%)4(2%) 25(14%) 150(86%) 175(53%) 3-6 51(73%) 19(27%) 53(76%)17(24%) 70(21%) 7-14 56(64%)31(36%) 72(83%) 15(17%) 87(26%) Total 278(84%)54(16%)150(45%)182(55%) 332(100%) Conclusion: The presented results indicate the great connection between RTI and bronchoobstruction in children from 0-14 years old, but especially in the youngest group which is conditioned by anatomic, physiological and immunological factors. According to microbiological findings our wheezing children had mostly URTI of viral etiology. It is necessary to be careful about children who during RTI develop wheezing, especially about predisposed children (positive allergic parameters) because infection may initiate and support chronic respiratory tract inflammation.

infection; bronchoconsstriction; child; atopy

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Podaci o prilogu

14-14.

1998.

nije evidentirano

objavljeno

Podaci o matičnoj publikaciji

The European respiratory journal. Supplement

European Respiratory Society

Barcelona: European Respiratory Society

0904-1850

Podaci o skupu

World Asthma Meeting

poster

10.12.1998-15.12.1998

Barcelona, Španjolska

Povezanost rada

Kliničke medicinske znanosti

Indeksiranost