Prevalence and clinical characteristics of wheezing in children in the first year of life, living in Cuiabá, Mato Grosso, Brazil

OBJECTIVE: To evaluate the prevalence and the clinical characteristics of wheezing in infants aged 12 to 15 months in the city of Cuiabá, Mato Grosso State, Midwest Brazil.METHODS: Parents and/or guardians of infants were interviewed and completed a written standardized questionnaire of the Estudio Internacional de Sibilancia en Lactantes (EISL) - phase 3 at primary healthcare clinics at the same day of children vaccination or at home, from August of 2009 to November of 2010.RESULTS: 1,060 parents and/or guardians completed the questionnaire, and 514 (48.5%) infants were male. Among the studied infants, 294 (27.7%) had at least one episode of wheezing during the first year of life, beggining at 5.8±3.0 months of age, with a predominance of male patients. The prevalence of occasional wheezing (<3 episodes of wheezing) was 15.0% and recurrent wheezing (≥3 episodes) was 12.7%. Among the infants with recurrent wheezing, the use of inhaled β2-agonist, oral corticosteroid, leukotriene receptor antagonist, as well as night symptoms, respiratory distress, and hospitalization due to severe episodes were significantly more frequent. Physician-diagnosed asthma was observed in 28 (9.5%) of the wheezing infants. Among the wheezing infants, 80 (27.7%) were diagnosed with pneumonia, of whom 33 (11.2%) required hospitalization; neverthless, no differences between occasional and recurrent wheezing infants were found.CONCLUSIONS: The prevalence of recurrent wheezing and physician-diagnosed asthma in infants were lower compared with those observed in other Brazilian studies. Recurrent wheezing had early onset and high morbity.

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Prevalence and clinical characteristics of wheezing in children in the first year of life, living in Cuiabá, Mato Grosso, Brazil* *Study conducted at Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Revista Paulista de Pediatria (English Edition) ◽

10.1016/s2359-3482(15)30065-8 ◽

2014 ◽

Vol 32 (4) ◽

pp. 313-319

Author(s):

Lillian Sanchez Lacerda Moraes ◽

Olga Akiko Takano ◽

Javier Mallol ◽

Dirceu Solé

Keyword(s):

Clinical Characteristics ◽

Sao Paulo ◽

First Year ◽

São Paulo ◽

Mato Grosso ◽

First Year Of Life ◽

De Medicina

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Risk Factors and Protective Factors for Recurrent Wheezing in the First Year of Life in the City of Cordoba, Argentina

10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a1184 ◽

2019 ◽

Author(s):

A. Teijeiro ◽

M.N. Cuello ◽

M.G. Raiden ◽

R.E. Vieyra

Keyword(s):

Risk Factors ◽

Protective Factors ◽

First Year ◽

Recurrent Wheezing ◽

First Year Of Life ◽

The City

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Risk factors for recurrent wheezing in the first year of life in the city of Córdoba, Argentina

Allergologia et Immunopathologia ◽

10.1016/j.aller.2016.08.009 ◽

2017 ◽

Vol 45 (3) ◽

pp. 234-239 ◽

Cited By ~ 2

Author(s):

A. Teijeiro ◽

H. Badellino ◽

M.G. Raiden ◽

M.N. Cuello ◽

G. Kevorkof ◽

...

Keyword(s):

Risk Factors ◽

First Year ◽

Recurrent Wheezing ◽

First Year Of Life ◽

The City

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BCG Lancelot vaccination (Pr. Med. No. 42, 1932)

Kazan medical journal ◽

10.17816/kazmj80774 ◽

2021 ◽

Vol 32 (10-11) ◽

pp. 983-983

Author(s):

N. Kramov

Keyword(s):

First Year ◽

First Year Of Life ◽

The City

Lancelot reports (Pr. Med. No. 42, 1932) of a 5-year observation of children in the city of Rochelle, where of 2694 children not vaccinated with BCG during the first year of life, 9.9% died, while among 1800 children vaccinated with BCG, mortality in the same period it was only 5.2%.

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Complementary feeding patterns in the first year of life in the city of Rio de Janeiro, Brazil: time trends from 1998 to 2008

Cadernos de Saúde Pública ◽

10.1590/0102-311x00120013 ◽

2014 ◽

Vol 30 (8) ◽

pp. 1755-1764 ◽

Cited By ~ 10

Author(s):

Daniel Alves de Oliveira ◽

Inês Rugani Ribeiro de Castro ◽

Patricia Constante Jaime

Keyword(s):

Time Trends ◽

Rio De Janeiro ◽

Complementary Feeding ◽

Linear Trend ◽

Feeding Practices ◽

First Year ◽

Significant Downward Trend ◽

One Year ◽

First Year Of Life ◽

The City

This study aimed to analyze time trends in complementary feeding practices among children under one year of age in the city of Rio de Janeiro, Brazil, from 1998 to 2008. Based on comparable questions on food consumption in five surveys conducted in representative randomized samples of children in 1998 (n = 3,762), 2000 (n = 3,670), 2003 (n = 4,305), 2006 (n = 3,686), and 2008 (n = 2,621), 16 complementary feeding indicators were constructed. The percentage frequency of all indicators was estimated for each year of the study. Linear trend analyses were also conducted by means of multivariate regression models. All indicators of early complementary feeding decreased from 1998 to 2008. In the 6-11.9 month age group, there was a significant downward trend in the proportion of children receiving food with adequate consistency for their age, consumption of iron-rich foods, and overall adequacy of the diet. A significant upward trend in fruit consumption was observed. There was a decrease in the early complementary feeding, and generally a worsening of complementary feeding practices in children aged 6-11.9 months in Rio de Janeiro during the period studied.

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Clinical Characteristics of Measles in Infancy: A Hospital Based Study

Dhaka Shishu (Children) Hospital Journal ◽

10.3329/dshj.v36i1.52632 ◽

2021 ◽

Vol 36 (1) ◽

pp. 20-24

Author(s):

Farhana Rahat ◽

MF Abiduzzaman ◽

Ahmed Murtaza Choudhury

Keyword(s):

Clinical Characteristics ◽

Tertiary Care ◽

Signs And Symptoms ◽

Maculopapular Rash ◽

First Year ◽

Runny Nose ◽

Number Of Children ◽

Control And Prevention ◽

First Year Of Life ◽

Main Complication

Background: There is a global resurgence of measles among children in recent years and a number of infants are being affected. Objectives: The aim of the study was to determine the frequency of measles in infancy and to describe their clinical characteristics in a tertiary care children hospital. Methods: A prospective observational study was conducted in Dr. MR Khan Shishu Hospital and Institute of Child Health from March, 2019 to February, 2020. The children who came with signs and symptoms of measles, like fever with maculopapular rash associated with cough, runny nose and conjunctivitis were recorded and frequency of measles in infants among hospitalized measles patients was noted. Infants with measles were enrolled for the study and their clinical characteristics, complications and outcome were determined. Data were analyzed by SPSS version 23. Results: A total of 64 infants were studied. The frequency of measles in infants among hospitalized measles patients was 43%. Forty seven percent infants were between 9 to 10 months. Clinical features were typical and all had fever and maculopapular rash. Pneumonia was the main complication and occurred in 50(78%) cases which was followed by oral ulcer 42(66%), diarrhea 26(41%), febrile seizure 9(14%) and croup 5(8%). Thirty four (53%) infant had normal nutritional status. Only 19.51% infant received first dose of measles vaccine. The mortality rate was 2(3%). Conclusion: A number of children are being affected by measles before completing first year of life and they develop complications which are related to morbidity and mortality. So, control and prevention of measles in infancy should give more importance. DS (Child) H J 2020; 36(1) : 20-24

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Epidemiological aspects of and risk factors for wheezing in the first year of life

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37132014000600005 ◽

2014 ◽

Vol 40 (6) ◽

pp. 617-625 ◽

Cited By ~ 8

Author(s):

Hamilton Rosendo Fogaça ◽

Fernando Augusto de Lima Marson ◽

Adyléia Aparecida Dalbo Contrera Toro ◽

Dirceu Solé ◽

José Dirceu Ribeiro

Keyword(s):

Risk Factors ◽

International Study ◽

First Episode ◽

First Year ◽

Recurrent Wheezing ◽

Factors Associated ◽

High Prevalence ◽

History Of ◽

Tract Infections ◽

First Year Of Life

OBJECTIVE: To determine, in a sample of infants, the prevalence of and risk factors for occasional wheezing (OW) and recurrent wheezing-wheezy baby syndrome (WBS). METHODS: Parents of infants (12-15 months of age) completed the International Study of Wheezing in Infants questionnaire. RESULTS: We included 1,269 infants residing in the city of Blumenau, Brazil. Of those, 715 (56.34%) had a history of wheezing, which was more common among boys. The prevalences of OW and WBS were 27.03% (n = 343) and 29.31% (n = 372), respectively. On average, the first wheezing episode occurred at 5.55 ± 2.87 months of age. Among the 715 infants with a history of wheezing, the first episode occurred within the first six months of life in 479 (66.99%), and 372 (52.03%) had had three or more episodes. Factors associated with wheezing in general were pneumonia; oral corticosteroid use; a cold; attending daycare; having a parent with asthma or allergies; mother working outside the home; male gender; no breastfeeding; and mold. Factors associated with WBS were a cold; physician-diagnosed asthma; ER visits; corticosteroid use; pneumonia; bronchitis; dyspnea; attending daycare; bronchodilator use; having a parent with asthma; no breastfeeding; mother working outside the home; and a dog in the household. CONCLUSIONS: The prevalence of wheezing in the studied population was high (56.34%). The etiology was multifactorial, and the risk factors were intrinsic and extrinsic (respiratory tract infections, allergies, attending daycare, and early wheezing). The high prevalence and the intrinsic risk factors indicate the need and the opportunity for epidemiological and genetic studies in this population. In addition, mothers should be encouraged to prolong breastfeeding and to keep infants under six months of age out of daycare.

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