scholarly journals Occurrence of Acute Respiratory Tract Infections among Children Under Five Years Attending Kinango Sub-County Hospital, Kenya

Author(s):  
Betty Muriithi ◽  
◽  
Simon Karanja ◽  
Mohamed Karama ◽  
Collins Okoyo ◽  
...  

Objective: To examine occurrence of Acute Respiratory tract Infections (ARIs) and determine factors associated with ARIs among children under five years attending Kinango Sub-County Hospital. Methods: A cross-sectional survey was conducted among mother-child aged between 0-59 month’s pairs attending outpatient care. Participants were recruited using systematic sampling method. Data was collected using an interviewer-administered structured questionnaire. Descriptive statistics were used to summarize child, parental and environmental characteristics. Factors associated with ARIs were established using binary logistic regression analysis. Odds Ratio (OR), at 95% Confidence Interval (CI) and p <0.05 significant level was used to describe an association between covariates and the outcome variable. Independent factors associated with occurrence of ARIS were determined by stepwise logistic regression. Results: 385 children participated in this study. 228 children (59.2%) presented with ARIs, of which 90.8% were due to acute upper respiratory tract infections. 9.2% of the cases were due to pneumonia. Female gender aOR 3.39 [1.21-9.46], stunting aOR 3.62 [1.04-12.61], high parity aOR 11.45 [2.38-55.09], low maternal education aOR 3.54 [1.10-11.32] and recent hospitalization aOR 8.19 [1.75-38.43] increased the odds of occurrence of an ARI while normal birth weight aOR0.06 [0.01-0.62] was protective of ARIs. Conclusion: A high prevalence of ARIs among children aged below five years was observed in this study, associated with gender, stunting, parity, maternal education, birth weight and recurring hospitalization. Improvements in literacy levels, child nutrition and maternal and child health at large could help to reduce morbidity due to ARIs in this population.

2019 ◽  
Vol 6 (1) ◽  
pp. 65-71
Author(s):  
Sulastini Sulastini ◽  
Sri Yekti Widadi ◽  
Desi Sentia ◽  
Bambang Aditya Nugraha

Acute respiratory tract infections is an acute infection caused by viruses, fungi and bacteria. Acute respiratory tract infections cases in Indonesia still rank first with a prevalence of 25% with malnutrition morbidity of 14.9%. In Garut District, the highest incidence of ARI was in Mekarwangi Health Center as many as 8004 cases and in 1840 children under five. While the prevalence of malnutrition or (thin) as many as 104 cases and 1 case of malnutrition. Nutritional status is a state of the body as a result of food consumption and use of nutrients. Differentiated between thin nutritional status, very thin, normal nutrition and fat nutrition. Nutritional status is one of the factors that play an important role in the health of children under five. If the nutritional status of under-fives or (underweight) toddlers will be susceptible to diseases, especially infectious diseases. The general objective of this study was to determine the relationship of nutritional status with the incidence of ARI in infants in Mekarwangi Garut Health Center in 2018. The type of research used was descriptive correlative, with a case control approach, a sample of 114 respondents divided into 57 case groups and 57 control groups. bivariate test analysis using chi-square. The results of the research on the nutritional status of most underweight children and half of children under five experienced acute respiratory tract infections. Conclusion there is a relationship between nutritional status with acute respiratory tract infections in infants in Mekarwangi Garut Public Health Center in 2018. It is recommended that health workers improve counseling to the public about the factors that affect acute respiratory tract infections  in order to be able to overcome and prevent, especially the problem of nutrition improvement.


Author(s):  
Daniel J Shapiro ◽  
Nathan P Palmer ◽  
Florence T Bourgeois

Abstract Systemic corticosteroids are not recommended to treat children with acute respiratory tract infections (ARTIs). Using data from a national commercial health care company, we found that corticosteroid treatment occurred in 3.2% of ARTI encounters. The adjusted odds of corticosteroid treatment were highest for bronchitis/bronchiolitis, in emergency departments, and in the South.


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