scholarly journals Difficulties encountered in a community-based study of acute respiratory infections in Uruguay

1993 ◽  
Vol 27 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Maria Hortal ◽  
Miguel Meny

A cohort study on acute respiratory infections, involving 270 children observed by pediatricians in their homes every 10 days over a period of 32 months, gave the opportunity to experience logistic and methodological problems seldom described in the literature. The purpose of this article is to alert researchers as to the difficulties faced when performing community-based studies in developing countries. Although a carefully planned project was undertaken, problem areas included the establishment of the target population, population dynamics, field related problems, laboratory aspects and data management. It is hoped that other investigators may benefit from the extensive experience gained from our program in foreseeing and coping with the difficulties involved.

Author(s):  
Maria Hortal ◽  
Myriam Contera ◽  
Cristina Mogdasy ◽  
José Carlos Russi

To obtain base line data on incidence, duration, clinical characteristics and etiology of acute respiratory infections (ARI), 276 children from deprived families living in Montevideo were followed during 32 months. The target population was divided into two groups for the analysis of the results: children aged less than 12 months and those older than this age. During the follow-up period 1.056 ARI episodes were recorded. ARI incidence was 5.2 per child/year. It was 87% higher in infants than in the older group, as was the duration of the episodes. Most of the diseases were mild. Tachypnea and retractions were seldom observed, but 12 children were refered to the hospital, and 2 infants died. Viral etiology was identified in 15.3% of the episodes. RSV was the predominant agent producing annual outbreaks. Moderate to heavy colonization of the upper respiratory tract by Streptococcus pneumoniae (32.3%) and Hemophilus sp. (18.9%) was recorded during ARI episodes. This community-based study furnish original data on ARI in Uruguay. It enabled to asses the impact of these infections on childhood.


2004 ◽  
Vol 43 (153) ◽  
Author(s):  
Shiva Shrestha ◽  
P Bhattarai ◽  
M Sharma

Acute respiratory infections (ARI) are the commonest infections in children under the age of five years inNepal. An under five child will have 4-6 episodes of ARI per year in Nepal. ARI episode does not differmuch between developed and developing countries. Pneumonia is the commonest single cause that causesdeath in a child with respiratory infections in developing countries. Treating pneumonia is still confusing.This article re-visits the basic concept in the treatment of pneumonia.Key Words: Pneumonia, persistent, pneumonia, antibiotics, treatment.


1970 ◽  
Vol 31 (2) ◽  
pp. 116-120 ◽  
Author(s):  
Sita Ram Shrestha ◽  
B Yadhav ◽  
S Shresta

Background: Acute respiratory infections are major causes of morbidity and mortality in children in developing countries. It is estimated that 3.9 million children die annually from acute respiratary diseases and most of them in developing countries. In significant cases, wheeze is associated with Pneumonia. This study was done to find out the outcome of pneumonia patients admitted in the paediatric ward with wheeze and without wheeze in terms of hospital stay, age predominance, sex ratio, mortality and morbity of patients. Some comorbidies of patients were also studied, Methods: This was a retrospective study done in the paediatric ward of Patan Hospital from April-June 2004 to March-April 2006 AD with following inclusion and exclusion criteria. All the children presented to Emergency ward up to 14 years with symptoms and sign of pneumonia were included in the study(high grade fever with chills and rigor,cough,fast breathing,creps and wheeze in auscultation)Age more than 14 years,history of Asthma,Tuberculosis,Acute wheeze associated with cardiac problems were excluded from study.Pneumonia patients admitted not from Emergency department were also excluded from study. Pneumonia with wheeze, outcome, and the hospital stay were studied. The outcome was measured in terms of improvement, deterioration or death of patients. Co morbidities associated with Pneumonia were also studied. Results: Out of 4620 children admitted in pediatric ward eleven hundred and sixty four (Twenty five percent) cases were of pneumonia and among them two hundred eighty three(twenty four percent) had wheeze. Majority of patients with pneumonia having wheeze falls on age group in between 2 and 12 months, followed by 1-5 years. The male children were more frequently affected. The co morbidities were febrile seizure, acute gastroenteritis, sepsis and urinary tract infection. Conclusion: The children admitted in Paediatric ward with Pneumonia were eleven hundred and sixty four and with wheeze were two hundred and eight three. Among them male were more than females. Majority of patients falls on age group two to twelve months. and study showed that they had prolonged hospital stay in relation to without wheeze. Three percent of the cases had blood culture positive among eleven hundred and sixty four sample Key words: Acute respiratory infections (ARI); Wheeze; Paediatric ward; Sepsis; hospital stay. DOI: 10.3126/jnps.v31i2.4642 J Nep Paedtr Soc 2010;31(2):116-120  


2020 ◽  
Vol 158 (6) ◽  
pp. S-536-S-537
Author(s):  
Kira L. Newman ◽  
Elisabeth Brandstetter ◽  
Caitlin Wolf ◽  
Jennifer Logue ◽  
Janet A. Engund ◽  
...  

2021 ◽  
Vol 11 (20) ◽  
pp. 9493
Author(s):  
Jae-Hong Lee ◽  
Seong-Nyum Jeong

Chronic periodontitis (CP) may increase the risk of exacerbation of and hospitalization for respiratory infections. The aim of the present study was to determine whether CP is associated with acute respiratory infections by analyzing a population-based longitudinal database from the National Health Insurance Service—National Sample Cohort. Univariate and multivariate logistic regression analyses were conducted to assess the association between CP and acute respiratory infections, including acute nasopharyngitis, acute pharyngitis, acute tonsillitis, acute laryngitis and tracheitis, acute bronchitis, and acute bronchiolitis, while adjusting for the confounding effects of sociodemographic variables (sex, age, household income, and smoking status) and comorbidities (diabetes mellitus). Among 545,416 recruited participants, 98,490 (18.1%) had CP. Multivariate analysis, adjusted for sociodemographic variables and comorbidities, showed that except influenza and pneumonia, total acute respiratory infections (odds ratio (OR), 1.33; 95% confidence interval (CI), 1.28–1.38; p < 0.001), acute upper respiratory infections (OR, 1.26; 95% CI, 1.22–1.29; p < 0.001), and acute lower respiratory infections (OR, 1.23; 95% CI, 1.20–1.26; p < 0.001) were significantly associated with CP. The findings of the current cohort study suggest an association between CP and acute respiratory infections. Particularly, CP seems to increase the risk of acute upper and lower respiratory infections.


2018 ◽  
Vol 7 (2.29) ◽  
pp. 491
Author(s):  
Yarmaliza Dan Marniati

Acute Respiratory Infections still menjdi major health problem in the world. According to the World Health Organization estimates that the incidence of acute respiratory infection in developing countries with under-five mortality above 40 per 1,000 live births is 15% - 20% per year in the toddler age group. About 13 million children under five in the world die each year and most of these deaths are in developing countries. Panga in the health center of the top 10 diseases, acute respiratory infections ranked first in the amount of 65% by the sheer number of infants 158. The aim of research to influence knowledge megetahui Mother and environmental conditions on the incidence of acute respiratory infections in Toddlers in Panga sub-district Puskesmas Panga Aceh Jaya 2014. this study is a descriptive analytic with cross sectional approach. The sampling technique using random sampling techniques, selected at random from each member of the population, an analysis of the data in this study using univariate and bivariate. The survey results revealed that mother's knowledge and environmental conditions affect the incidence of ARI in Toddlers (P <0.05).  


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