scholarly journals Number of siblings and allergic rhinitis in children

2016 ◽  
Vol 56 (1) ◽  
pp. 1
Author(s):  
Soewira Sastra ◽  
Lily Irsa ◽  
Muhammad Sjabaroeddin Loebis ◽  
Rita Evalina
Keyword(s):  
Allergic Rhinitis ◽  
Respiratory Tract Infections ◽  
Choanal Atresia ◽  
International Study ◽  
Cross Sectional Study ◽  
Atopic Diseases ◽  
Cross Sectional ◽  
Nasal Tumors ◽  
Tract Infections ◽  
Older Siblings

Background Allergic rhinitis is one of the most common chronic diseases of childhood. Recent studies have suggested that having fewer siblings was associated with allergic rhinitis and atopic diseases in children. Previous studies also indicated that older siblings was associated with higher incidence of allergic rhinitis.Objectives To assess for a possible association between number of siblings and allergic rhinitis and to assess for an effect of birth order on allergic rhinitis in children.Methods We performed a cross-sectional study among school children aged 7 to 15 years, in the West Medan District from July to August 2011. Children with moderate or high risk of allergy were included. Subjects were divided into two groups, those with <3 siblings or ≥3 siblings. Children with acute respiratory tract infections, septal deviation, choanal atresia, nasal polyps, nasal tumors, or nasal foreign body were excluded. Risk of allergy was determined using the Indonesian Pediatrics Allergy Immunology Working Group trace card scoring system. Identification of allergic rhinitis and evaluation of its severity were done by use of the International Study of Asthma and Allergies in Childhood (ISAAC) core questionnaire. Allergic rhinitis was diagnosed based on history, physical examination, and anterior rhinoscopy.Results A total of 78 subjects were enrolled. Allergic rhinitis was significantly higher in children with <3 siblings than those with ≥3 siblings (OR 10.33; 95%CI 3.569 to 29.916). Furthermore, allergic rhinitis was significantly higher in first-born children than in their younger siblings (P=0.0001).Conclusion Larger number of siblings and non-first-born children are associated with lower incidence of allergic rhinitis in children.

scholarly journals A cross sectional study on prescription pattern of drugs in upper respiratory tract infections in a tertiary care hospital

2020 ◽  
Vol 9 (2) ◽  
pp. 271
Author(s):  
Divya Bade ◽  
Shivashankaramurthy K. G. ◽  
Kiran L. J. ◽  
Raghuprasada M. S. ◽  
Harishkumar V. S. ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Cross Sectional Study ◽  
Prescribing Patterns ◽  
Essential Medicines ◽  
Upper Respiratory Tract Infections ◽  
Upper Respiratory Tract ◽  
Cross Sectional ◽  
Upper Respiratory ◽  
Tract Infections

Background: Upper respiratory tract infections are one of the leading causes of hospital visits worldwide. Judicious use of antibiotics is challenging for upper respiratory tract infections (URTIs) in developing countries like India. This leads to inappropriate use of antibiotics causing many dreaded conditions like antibacterial resistance among other things. Hence rational use of drugs, mainly antibacterial, is a priority to reduce the burden of treatment failure. The objective of this study is to study the prescribing patterns and rationality of drugs prescribed in the management of URTIs.Methods: This was a cross-sectional study. Data was collected from records of 300 outpatients clinically diagnosed as URTIs from SSIMS and RC Hospital, Davangere between January 2015 and June 2016. The prescribing patterns, approval status and listing of drugs in World Health Organization (WHO) essential medicines list/ National List of Essential Medicines (NLEM) were analysed. The data was presented as percentages, mean and standard deviations.Results: A total of 300 cases were studied. Among these, acute pharyngitis (29%) and acute sinusitis (26%) are the most common infections. Of the 300 cases studied, 283 (94.3%) were prescribed antimicrobials. Of the total 740 medications prescribed, 393 (53.1%) were fixed-dose combinations (FDCs). A total of 724 medications (97.8%) were approved by Drugs Controller General of India and 248 (33.5%) by Food and Drug Administration. Only 5.8% of the prescribed drugs have been listed in WHO’s and NLEM. The most common class of antibacterials prescribed was Beta-lactams.Conclusions: Oral formulations were preferred over parenteral formulations and FDCs were preferred over single drug formulations. Beta-lactams comprised the major class of antibacterial prescribed.

scholarly journals Socio-demographic Profile and Morbidity Pattern among Population in selected Upazila Health Complex, Dhaka

2021 ◽  
Vol 3 (Number 1) ◽  
pp. 15-19
Author(s):  
Sultana Begum ◽  
Meheruba Afrin ◽  
Afsana Sharmin ◽  
Ayesha Ferdaus Jesun ◽  
Anysar Rahman Hemal
Keyword(s):  
Respiratory Tract Infections ◽  
Skin Diseases ◽  
Service Providers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Age Group ◽  
Monthly Income ◽  
Cross Sectional ◽  
Tract Infections ◽  
Structured Questionnaire

This descriptive type of cross sectional study was conducted to reveal the morbidity pattern in the Medicine Outpatient Department of in Upazila Health Complex, Keranigonj, Dhaka, Bangladesh during the period from 1st December to 15th December 2019 with a sample size of 150 using interviewer administered semi -structured questionnaire employing purposive sampling technique. The study shows that about one third (32%) of the respondents belonged to the age group 16 to 30 years and only 3% were from age group 75 years and above, 55% of them were female, 95% were Muslim and 63% were married; 54.67% lived in semi paccha house and about 84% were literate. Regarding occupation, one third of the respondents were businessmen (33%) followed by services (26%); 76% of the respondents had monthly income more than 10,000 BDT. The study revealed that 97.33% of the respondents were suffering from illness due to diseases and among them 90% have investigation reports. It was found that loose motion (21%), fever (20%), abdominal pain (19.33%), cough (9%) and chest pain (7%) were the predominant complaints. Study showed gastroenteritis (20%), respiratory tract infections (16%), bronchial asthma (12%), and skin diseases (2%) were the illness diagnosed. Most (96.66%) of the respondents were satisfied with the service provided. The study findings highlights that most of the diseases are the preventable and chronic diseases and the service providers should prepare themselves understanding the needs and gaps to serve the community in appropriate manner.

scholarly journals Utilisation of healthcare services for respiratory tract infections in patients with and without diabetes in Qatar: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041761
Author(s):  
Nazmul Islam ◽  
Tawanda Chivese ◽  
M Fasihul Alam
Keyword(s):  
Respiratory Tract Infections ◽  
Healthcare Facility ◽  
Antibiotic Use ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Diabetes Diagnosis ◽  
Electronic Database ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tract Infections

ObjectivePeople with diabetes mellitus have a high risk of acquiring respiratory tract infections (RTIs), yet little is known about their utilisation of healthcare services compared with people without diabetes. This study aimed to compare the utilisation of healthcare services for RTIs between individuals with and without diabetes attending primary healthcare centres (PHCCs) in Qatar.DesignA retrospective cross-sectional study was conducted using an electronic database of all individuals who had a diagnosis of RTI.SettingPHCCs in Qatar from July 2015 to December 2017.ParticipantsParticipants in the study were all adult individuals (aged ≥18 years) who visited the primary healthcare facilities and were diagnosed with an RTI during the study period.Primary and outcome measuresFor each participant, visits to the healthcare facility, antibiotic use and use of other medications were extracted from the electronic database and compared between participants with and without a diabetes diagnosis.ResultsA total of 32 857 participants were included, of whom 7407 (22.5%) had a diabetes diagnosis. Results from a negative binomial regression indicate that diabetes diagnosis was significantly associated with increased visits to the healthcare facility (incidence rate ratio (IRR) 1.10, 95% CI 1.076 to 1.134, p<0.001), antibiotic use (IRR 1.09, 95% CI 1.046 to 1.145, p<0.001) and use of other medications (IRR 1.11, 95% CI 1.078 to 1.143, p<0.001).ConclusionsA diabetes diagnosis among patients with RTI was associated with higher utilisation of healthcare services. Given the added costs to the healthcare system, prevention of diabetes will have additional benefits to the healthcare system, apart from diabetes-associated costs alone.

scholarly journals Characterization of rhinovirus/enterovirus complex infection in children living at high altitudes: A cross sectional study

2021 ◽  
Author(s):  
Fernández-Sarmiento Jaime ◽  
Corrales Silvia Catalina ◽  
Obando Evelyn ◽  
Amin Jennifer ◽  
Alirio Bastidas Goyes ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Inborn Errors Of Metabolism ◽  
Respiratory Tract Infections ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
High Altitudes ◽  
Inborn Errors ◽  
Cross Sectional ◽  
Viral Coinfection ◽  
Tract Infections

Abstract Background: Respiratory tract infections caused by the rhinovirus/enterovirus (RV/EV) complex have traditionally been considered to be minor, self-limited infections in children, with few complications. There are no previous studies of patients living at high altitudes that characterize severe cases of this infection.Methods: This was a cross-sectional study including patients from 1 month to 18 years old who had been hospitalized for acute respiratory tract infections between October 2015 and December 2019, and had had a viral panel with RT-PCR during their hospitalization.Results: During the study period, 645 RT-PCRs were performed, with the two main etiological agents identified being RV/EV (224) and respiratory syncytial virus (68). The median age of patients with RV/EV complex was 27 months (IQR: 8-70), 55.8% were boys and the average length of hospital stay was 12 days (IQR: 6-24). Severe RV/EV complex infections required more transfers to intensive care (11% vs 47%), showed more viral coinfection (OR: 2.13,95%, 95%CI: 1.42-4.64) and had less bacterial coinfection (OR: 0.55, 95%CI: 0.31-0.98) than RSV infections, with no difference in mortality ( 2.4% vs. 2.1%, P:0.09). Post-transplant patients (OR: 3.35, 95%CI: 1.10-11.34) and those with comorbidities (OR: 3.97, 95%CI: 2.23-7.08) had the highest risk of RV/EV infection. The RV/EV group had a higher risk of presenting acute respiratory distress syndrome (ARDS) (OR: 3.6, 95%CI: 1.07-12:18), especially in premature infants (p: 0.05; exp (B), 2.99; 95%CI= 1.01-8.82), those with heart disease (p: 0.047; exp(B), 2.99; 95%CI = 1.01-8.82) and those with inborn errors of metabolism (p: 0.032; exp (B), 5-01; 95%CI= 1.15-21.81). Conclusions: Respiratory infection due to RV/EV in children who live at high altitudes can frequently be severe, requiring management with intensive care therapy. When compared to RSV, this complex is more frequently associated with viral coinfection and the development of ARDS, especially in risk groups such as those with prematurity, heart disease or inborn errors of metabolism. It is important to see RV / EV as a virus that can have an unsatisfactory course as or more severe than that of other viruses that affect the respiratory tract in children.

Frequency and pattern of respiratory diseases in children

2017 ◽  
Vol 4 (5) ◽  
pp. 1567
Author(s):  
Urooj Samoo ◽  
Shaista Ehsan ◽  
Farah Agha
Keyword(s):  
Respiratory Diseases ◽  
Respiratory Tract Infections ◽  
Respiratory Infections ◽  
Tertiary Care ◽  
First Trimester ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Pediatric Age Group ◽  
Tract Infections

Background: Respiratory tract infections are a major cause of   morbidity and mortality in children. Therefore, it is imperative that research studies be conducted to determine the pattern of respiratory diseases in the pediatric age group. Present study was done to determine the outcome, frequency and pattern of respiratory infections in children admitted in a tertiary care hospital.Methods: This prospective, cross-sectional study was conducted from September 2014 to February 2016. Data was analyzed on SPSS 20.0. P value of <0.05 was observed noteworthy.Results: A total of 286 children were admitted with respiratory diseases. Out of these there were 180 cases of Pneumonia. Peak occurrence of Pneumonia was observed in first trimester of the year.Conclusions: Efforts are required to devise strategies to decrease the burden of respiratory diseases in children.  

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