scholarly journals Risk factors for bronchial asthma in children in Chita Region

2007 ◽  
Vol 6 (4) ◽  
pp. 112-116
Author(s):  
I. N. Gaimolenko ◽  
N. L. Potapova

Risk factors for bronchial asthma in children of Chita Region were studied. According to the literature data, 12 clinical-anamnestic characteristics were suggested to be risk factors for bronchial asthma. Prevalence of risk factors was assessed in 72 children with severe asthma, 60 children with moderate, and 58 children with mild bronchial asthma. Odds ratios (OR) with the 95% confident interval for each factor were calculated. Factors with predominance in the asthma group included: parental history of asthma (OR = 16.2), congenital abnormalities and complications of pregnancy and labor (OR = 1.9), prenatal lesion of central nervous system (OR = 2.8), recurrent respiratory tract infections (OR = 12.4), coexisting atopic dermatitis (OR = 1.8), passive smoking (OR = 2.8), and food sensitization (OR = 7.7). The findings can be used to calculate individual risks in a population for prediction of development of this pathology and for its timely prevention.

2017 ◽  
Vol 38 (11-12) ◽  
pp. 265
Author(s):  
Ina Rosalina ◽  
Cissy B Kartasasmita ◽  
Myrna Soepriadi

To determine the asthma prevalence and the role of some risk factors of asthma in children aged 13-14 years in Bandung, a study was conducted from April to May 1996 using using the International Study of Asthma and Allergies in childhood (ISAAC) written questionnaire. The study was conducted in 12 Junior high schools (SMP), selected by multistage population random sampling from 6 district in municipality of Bandung. A total of 3118 questionnaires were collected. The cumulative prevalence of asthma was 6.4% and the 12 month prevalence was 2.6%. The prevalence was higher in male, with a ratio of male : female of 1.48:1. The prevalence of asthma increased significantly in children with history of atopy in the family (OR 6.1; p<0.01); however no significant differences was found between children with one or both parents having history of atopy. The prevalence of asthma in smoking children, maternal and room mates had also increased significantly (OR = 2.1; 2.3; 2.6 and p=<0.05;<0.01;<0.01 respectively). However there was no significant effect of paternal smoking (p=0.074). The use of mosquito spray in the bedroom and having pets showed no effect on the prevalence of asthma (p=0.86 and 0.56 respectively).


2014 ◽  
Vol 54 (5) ◽  
pp. 289
Author(s):  
Johan El Hakim Siregar ◽  
Lily Irsa ◽  
Supriatmo Supriatmo ◽  
Sjabaroeddin Loebis ◽  
Rita Evalina

Background The prevalence of asthma in children has increased in many countries. Environmental factors are believed to play an important role and an inverse relationship between number of siblings and atopic disorders has been observed.Objective To assess for an association between bronchial asthma in atopic children and their number of siblings.Methods A cross-secrional study was conducted from June to November 2010 in three elementary schools in Medan, North Sumatera. Trace cards from the Allergy-Immunology Indonesian Pediatric Association (IDAI) Working Group and questionnaires on the clinical history of atopy were used to screen children with the risk of atopy. The International Study of .Asthma and Allergies in Childhood (ISAAC) questionnaire to screen for bronchial asthma was distributed to children aged 7-10 years with a history of asthma, allergic rhinitis or atopic dermatitis. Subjects were divided into two groups, those with <3 siblings and those with 2:3 siblings. Chi-square test was used to analyze differences in bronchial asthma prevalence between the two groups.Results Ninety-six subjects enrolled in the study, with 48 subjects per group. The prevalence of bronchial asthma was significantly higher in atopic children who had <3 siblings than in children with 2:3 siblings (73.5% and 26.5%, respectively; P=0.04).Conclusion Bronchial asthma was significantly more frequent in children with less than 3 siblings compared to those with 3 or more siblings.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Indri K.T. Runtuwene ◽  
Audrey M.I Wahani ◽  
Vivekenanda Pateda

Abstract: Asthma is a heterogen disease marked by chronic inflammation in the respiratory tract with a history of disturbance of breathing such as wheezing, dyspnea, and cough. This disease can occur at any age. The etiology of asthma is still unclear but there are various risk factors which can cause asthma inter alia sex, history of atopy, change of weather, dust mites, smoke, pet, and food. This study was aimed to obtain the prevalence of asthma and its risk factors in patients aged 0-18 years at GMIM Bethesda Hospital in Tomohon. This was a descriptive retrospective study. Samples were patients aged 0-18 years admitted at the Pediatric Division of GMIM Bethesda Hospital from August 2011 to July 2016. The results showed that the highest prevalence was from August 2011 to July 2012 (21.62%) and the risk factors which affected asthma in children were as follows: male (55.41%), age 5-9 years old (31.08%), history of atopy (52.70%), and change of weather (55.40%). Conclusion: The highest prevalence of ashmatic patients was 21.62% from August 2011 to July 2012. The majority of risk factors were male sex, change of weather, history of atopi, and dust mites.Keywords: asthma, prevalence, risk factor, children Abstrak: Asma merupakan penyakit heterogen yang biasanya ditandai oleh peradangan kronik pada saluran napas dengan riwayat gejala pernapasan seperti mengi, sesak napas, dan batuk yang dapat terjadi pada semua kelompok usia. Etiologi asma masih belum jelas namun terdapat berbagai faktor risiko yang dapat memicu terjadinya asma seperti jenis kelamin, usia, riwayat atopi, perubahan cuaca, tungau debu rumah, paparan asap rokok, binatang piaraan, dan makanan. Penelitian ini bertujuan untuk mengetahui prevalensi asma dan faktor-faktor risiko yang memengaruhi terjadinya athat the highest prevalence wassma di RSU GMIM Bethesda Tomohon. Jenis penelitian ialah deskriptif retrospektif. Sampel penelitian ialah pasien anak usia 0-18 tahun dengan diagnosis utama asma yang dirawat di Bagian Ilmu Kesehatan Anak RSU GMIM Bethesda Tomohon pada periode Agustus 2011-Juli 2016. Hasil penelitian menunjukkan prevalensi terbanyak pada periode Agustus 2011-Juli 2012 (21,62%) dan faktor risiko yang memengaruhi asma pada anak berupa jenis kelamin laki-laki (55,41%), usia 5-9 tahun (31,08%), riwayat atopi (54,05%), tungau debu rumah (52,70%), dan perubahan cuaca (55,40%). Simpulan: Kejadian asma terbanyak terjadi pada periode Agustus 2011-Juli 2012 sebesar 21,62%. Faktor risiko tersering ditemukan ialah jenis kelamin laki-laki, perubahan cuaca, riwayat atopi, dan tungau debu rumah. Kata kunci: asma, prevalensi, faktor risiko, anak


2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Isnaniyah Usman ◽  
Eva Chundrayetti ◽  
Oea Khairsyaf

AbstrakAsma merupakan gangguan inflamasi kronik saluran pernafasan yang sering dijumpai pada anak. Penyakit ini memiliki banyak faktor risiko dan faktor pencetus. Beberapa diantara faktor tersebut adalah jenis kelamin, usia, riwayat atopi, makanan, perubahan cuaca, aktivitas, berat badan lahir, status gizi, pemberian ASI dan debu. Tujuan penelitian ini adalah untuk mengetahui faktor risiko dan faktor pencetus yang mempengaruhi kejadian asma pada anak di RSUP Dr. M. Djamil Padang. Ini adalah penelitian deskriptif dengan desain cross-sectional. Penelitian dilakukan dengan melakukan wawancara pada responden yang telah ditetapkan sebagai subjek penelitian. Subjek penelitian adalah seluruh pasien anak baik rawat jalan maupun rawat inap yang telah didiagnosis asma oleh dokter di RSUP Dr. M. Djamil Padang yang memenuhi kriteria. Penelitian dilakukan dari Februari sampai Maret 2013. Hasil penelitian menunjukkan bahwa faktor risiko dan faktor pencetus yang mempengaruhi asma pada anak adalah perubahan cuaca (65,91%), debu (63,64%), jenis kelamin (52,80%), makanan (43,19%), urtikaria pada anak (38,64%), rhinitis pada anak (34,09%), dermatitis atopi pada ibu (31,82%), dermatitis atopi pada anak (29,55%), aktivitas (27,27%), rhinitis pada ibu (22,72%), asma pada ibu (22,72%), urtikaria pada ayah (20,45%), berat badan lahir <2500 gram (15,91%) dan status gizi (obesitas) 2,28%. Berdasarkan hasil penelitian, kejadian asma banyak terjadi pada laki-laki, sebagian besar dipengaruhi oleh perubahan cuaca dan debu, riwayat atopi terbanyak pada anak adalah urtikaria, riwayat atopi terbanyak pada orangtua adalah dermatitis atopi pada ibu dan status gizi serta berat badan lahir pasien sebagian besar normal.Kata kunci: asma pada anak, faktor risiko, faktor pencetus AbstractAsthma is a cronic inflammatory disorder of respiratory tract that is often found in children. It has many risk faktor and inducer. Some of these risk are gender, age, history of atopy, food, climate change, activity, weight of birth, nutritional status, breastfeeding and dust. The objective of this study was to determine the risk factors and inducer that affect the incidence of asthma in children at the hospital of Dr. M. Djamil Padang. This was a descriptive study that use cross-sectional design. The study was conducted by interview to respondents who had been designated as a research subject. The subjects were all pediatric patients both inpatient and outpatient care that have been diagnosed as asthma by a physician in the hospital of Dr. M. Djamil Padang that have the criteria. The study done from February until March 2013. The result of the research showed that the risk factors and inducer that affect asthma in children are a weather change (65.91%), dust (63.64%), gender (52.80%), food (43.19%), urticaria in children ( 38.64%), rhinitis in children (34.09%), atopic dermatitis in women (31.82%), atopic dermatitis in children (29.55%), activity (27.27%), rhinitis in the mother ( 22.72%), asthma in women (22.72%), urticaria on the father (20.45%), birth weight <2500 g (15.91%) and nutritional status (obesity) 2.28%. Based on these results, the incidence of asthma more common in men, largely influenced by changes in the weather and dust, most history of atopy in children is urticaria, parental history of atopy was highest in atopic dermatitis and maternal.Keywords: asthma in chidren, risk factor, inducer


PEDIATRICS ◽  
1994 ◽  
Vol 93 (3) ◽  
pp. 444-451
Author(s):  
Linda E. Muhonen ◽  
Richard P. Nelson ◽  
Trudy L. Burns ◽  
Ronald M. Lauer

Objective. To determine the utility of a school-based questionnaire, to identify adolescents with adverse coronary risk factor levels. Design. In Muscatine, IA, students (9th through 12th grade) completed a questionnaire providing medical history information about first- and second-degree relatives. Anthropometric measures were obtained and blood pressure, lipid, lipoprotein, and apolipoprotein levels were determined. Results. A history of parental coronary heart disease (CHD) was rare and a history of parental high cholesterol frequently was unknown; however, when known, a history of high cholesterol or early (30 to 55 years of age) or later (&gt;55 years of age) CHD (myocardial infarction, coronary bypass, or death from a heart attack) in grandfathers enriched the identification of adolescents with adverse coronary risk factors. Parental history of CHD was associated with an increased risk for high body mass index and low apolipoprotein A1 levels in their children. Grandfather history of early or later CHD was associated with an increased risk for low apolipoprotein A1 and high density lipoprotein cholesterol levels and high body mass index in their grandchildren. Students with positive grandfather histories of high cholesterol had higher total cholesterol, low density lipoprotein cholesterol, apolipoprotein B, and low density lipoprotein cholesterol to high density lipoprotein cholesterol ratios. Grandmother histories, because most were negative, did not help identify adolescents in this population with adverse coronary risk factors. Conclusions. A parental history of CHD as well as a grandfather history of high cholesterol or CHD enriches the identification of children with adverse coronary risk factor levels. The positive predictive values associated with using a school-based history obtained from adolescents, many with the aid of their parents, are small and many adolescents do not know their family history. It is essential that pediatricians inquire about parental and especially grandparental medical histories in accordance with the National Cholesterol Education Program guidelines to help identify children at highest familial risk. The importance of determining parental and grandparental histories of CHD or hypercholesterolemia should be emphasized to families who are uncertain of their histories to identify children and adolescents who require a physician's care. It is also important for pediatricians to remind their colleagues who care for patients with premature ischemic heart disease to refer their progeny for pediatric care so that their lipids and lipoproteins may be screened and counseling provided.


2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S345-S345
Author(s):  
Dheeraj Goyal ◽  
Kristin Dascomb ◽  
Peter S Jones ◽  
Bert K Lopansri

Abstract Background Community-acquired extended-spectrum β-lactamase (ESBL) producing Enterobacteriaceae infections pose unique treatment challenges. Identifying risk factors associated with ESBL Enterobacteriaceae infections outside of prior colonization is important for empiric management in an era of antimicrobial stewardship. Methods We randomly selected 251 adult inpatients admitted to an Intermountain healthcare facility in Utah with an ESBL Enterobacteriaceae urinary tract infection (UTI) between January 1, 2001 and January 1, 2016. 1:1 matched controls had UTI at admission with Enterobacteriaceae but did not produce ESBL. UTI at admission was defined as urine culture positive for &gt; 100,000 colony forming units per milliliter (cfu/mL) of Enterobacteriaceae and positive symptoms within 7 days prior or 2 days after admission. Repeated UTI was defined as more than 3 episodes of UTI within 12 months preceding index hospitalization. Cases with prior history of ESBL Enterobacteriaceae UTIs or another hospitalization three months preceding the index admission were excluded. Univariate and multiple logistic regression techniques were used to identify the risk factors associated with first episode of ESBL Enterobacteriaceae UTI at the time of hospitalization. Results In univariate analysis, history of repeated UTIs, neurogenic bladder, presence of a urinary catheter at time of admission, and prior exposure to outpatient antibiotics within past one month were found to be significantly associated with ESBL Enterobacteriaceae UTIs. When controlling for age differences, severity of illness and co-morbid conditions, history of repeated UTIs (adjusted odds ratio (AOR) 6.76, 95% confidence interval (CI) 3.60–13.41), presence of a urinary catheter at admission (AOR 2.75, 95% CI 1.25 – 6.24) and prior antibiotic exposure (AOR: 8.50, 95% CI: 3.09 – 30.13) remained significantly associated with development of new ESBL Enterobacteriaceae UTIs. Conclusion Patients in the community with urinary catheters, history of recurrent UTIs, or recent antimicrobial use can develop de novo ESBL Enterobacteriaceae UTIs. Disclosures All authors: No reported disclosures.


1990 ◽  
Vol 20 (1) ◽  
pp. 99-123 ◽  
Author(s):  
William J. McCarthy ◽  
M. Douglas Anglin

The family background characteristics of 756 male heroin users were examined to determine the effects of selected family risk factors on the timing of onset of emancipation and drug use, on pre-addiction incarcerations and on educational attainment. These risk factors included family size, birth order, socioeconomic status, family drug use, parental history of alcoholism, parental absence, and family history of incarceration. The two measures of age of emancipation were age on leaving school and age on leaving home. Age of onset of regular use was measured for the following drugs: tobacco, alcohol, marijuana and heroin. Incarceration measures included the occurrence of juvenile detention and the time spent in prison prior to first addiction. Educational attainment was a score on a California State achievement test. Larger family size, higher birth order, parental alcoholism and parental absence were found to have a cumulatively negative effect on how young the respondents were when they first left home and when they first used particular drugs regularly, on their level of tested academic achievement, and on their probability of juvenile detention. Implications for social policies designed to prevent drug abuse are discussed.


2020 ◽  
Vol 11 (4) ◽  
pp. 5238-5242
Author(s):  
Kalabarathi S ◽  
Kavya K. Nair

Children are profoundly powerless against the negative wellbeing resulting in numerous ecological exposures. Children get proportionately more significant portions of natural toxicants than grown-ups, and the way that their organs and tissues are quickly creating makes them especially vulnerable to synthetic abuse. Asthma is a constant fiery infection of the aviation routes at present influencing over 300 million individuals around the world. The risk factors of asthma include genetic predisposition, irresistible respiratory contamination, allergens, environment, workouts, medications, additives, and occupational stimuli. The descriptive research design was used with 100 samples, which matched Non- probability convenience sampling techniques selected the inclusion criteria. Demographic variables were collected by interview method followed by assessed the risk factors of bronchial asthma in children (below ten years of age) by using a self-structured questionnaire. Out of 100 samples, 50(50%) risk factor of heredity, 71(71%) have problems in taking asthma medications, 44(44%) only use zipped pillow covers, 34(34%) do not use gas stoves in the kitchen, 10(10%) have moisture in the walls, 6(6%) have cases of asthma emergencies, 56(56%) find helpless in dealing with an asthma child.


2021 ◽  
Vol 21 (1) ◽  
pp. 214-9
Author(s):  
Ertugrul Guclu ◽  
Fikret Halis ◽  
Elif Kose ◽  
Aziz Ogutlu ◽  
Oğuz Karabay

Background: Urinary tract infections (UTIs) are one of the most seen infection among community. Objectives: In this cross-sectional study we aimed to investigate the risk factors of multidrug-resistant (MDR) bacteria that caused community-acquired UTI (CA-UTI). Methods: Consecutive patients admitted to the Urology and Infectious Diseases policlinics with the diagnosis of CA-UTI were included in the study. A standard form including possible predisposing factors for MDR bacteria was applied. Results: In total, 240 patients (51.3% females) were enrolled in the study. The mean age of participants were 59.8 ± 18.3 years old. Escherichia coli (n =166; 69.2%)was the most frequently isolated bacteria and its incidence was higher in females than in males (p=0.01). In total, 129 (53.8%) of the identified pathogens were MDR bacteria. According to multivariate analysis, the use of antibiotics three or more times increased the risk of infection with MDR bacteria by 4.6 times, the history of urinary tract infection in the last 6 months by 2 times, being male and over 65 years old by 3 times. Conclusion: Doctors should consider prescribing broad-spectrum antibiotics in patients with severe UTIs with a history of UTI, advanced age, male gender, and multiple antibiotic usage, even if they have a CA-UTI. Keywords: Urinary tract infection; community acquired; multidrug-resistant; male; multiple antibiotic usage; advanced age.


Author(s):  
Karan Malhotra ◽  
Karjigi Siddalingappa ◽  
Kallappa C. Herakal

<p class="abstract">Cutis laxa is a heterogeneous group of inherited and acquired rare connective tissue disease characterized by loose, wrinkled, and inelastic skin. It clinically presents as loose skin with folds giving a premature aged appearance. Cutis laxa is very rare, with an estimated incidence of one in 4 million. There are many case reports on acquired cutis laxa but very few on “congenital” cutis laxa. Authors report a 15 years old female presenting with a history of recurrent respiratory tract infections since the age of 2 years associated with flaccid skin all over her body and extensive loose folds of skin over face, neck, abdomen, arms and thighs since birth. Cutis laxa has been diagnosed based on the clinical picture and histopathological appearance. No medical treatment is available for correction of the pathology of disease. Plastic surgery remains the only modality of treatment to improve the cosmetic appearance. Systemic abnormalities need specific treatment depending upon the condition. The purpose of this report is due to its rarity and involvement of skin, hairs, respiratory, cardiovascular and genitourinary system in a single patient.</p>


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