Naslov
Frequency of respiratory infections in wheezing children

Autori
Dragišić-Ivulić, Slavica ; Pavlov, Neven

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
European Respiratory Journal, Supplement 29 / European Respiratory Society - Barcelona : European Respiratory Society, 1998, 14-14

Skup
World Asthma Meeting

Mjesto i datum
Barcelona, Španjolska, 09.12.1998. - 13.12.1998

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
infekcije; bronhoopstrukcija; dijete atopija
(infection; bronchoconsstriction; child; atopy)

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA