scholarly journals The role of body temperature on respiratory rate in children with acute respiratory infections

2021 ◽  
Vol 21 (2) ◽  
pp. 640-646
Author(s):  
Beril Ozdemır ◽  
Sıddıka Songül Yalçın

Background: The World Health Organization (WHO) recommends the use of tachypnea as a proxy to the diagnosis of pneumonia. Objective: The purpose of this study was to examine the relationship between body temperature alterations and respiratory rate (RR) difference (RRD) in children with acute respiratory infections(ARI). Methods:This cross-sectional study included 297 children with age 2-60 months who presented with cough and fever at the pediatric emergency and outpatient clinics in the Department of Pediatrics, Baskent University Hospital, from January 2016 through June 2018. Each parent completed a structured questionnaire to collect background data. Weight and height were taken. Body temperature, respiratory rate, presence of the chest indrawing, rales, wheezing and laryngeal stridor were also recorded. RRD was defined as the differences in RR at admission and after 3 days of treatment. Results: Both respiratory rate and RRD were moderately correlated with body temperature (r=0.71, p<0.001 and r=0.65, p<0.001; respectively). For every 1°C increase in temperature, RRD increased by 5.7/minutes in overall, 7.2/minute in the patients under 12 months of age, 6.4/minute in the female. The relationship between body temperature and RRD wasn’t statistically significant in patients with rhonchi, chest indrawing, and low oxygen saturation. Conclusion: Respiratory rate should be evaluated according to the degree of body temperature in children with ARI. How- ever, the interaction between body temperature and respiratory rate could not be observed in cases with rhonchi and severe pneumonia. Keywords: Fever; tachypnea; pneumonia; respiratory rate difference; children.

Author(s):  
Thanh Xuan Nguyen

TÓM TẮT Đặt vấn đề: Bệnh COVID-19 đa dạng từ không có triệu chứng đến có các triệu chứng nhẹ cho đến viêm phổi nặng, hội chứng suy hô hấp cấp tiến triển (ARDS), nhiễm khuẩn huyết suy đa tạng và tử vong. Người cao tuổi, người có bệnh mạn tính sẽ có nguy cơ diễn biến nặng nhiều hơn. Nghiên cứu này nhằm xác định nồng độ lactate và PCT ở những bệnh nhân Covid-19 và xét mối liên quan giữa lactate và PCT trên bệnh nhân Covid-19. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 126 bệnh nhân được chẩn đoán nhiễm Sars-Cov-2 bằng xét nghiệm RT PCR. Kết quả: Tuổi trung bình 55,98 ± 17,1 tuổi (4 - 98 tuổi). Bệnh nhân > 60 tuổi chiếm tỉ lệ cao nhất (42,8%). Trung vị PCT: 3,6 (95%CI:3,21 - 3,75) ng/ml; trung vị lactate 1,5 (95%CI:1,21 - 1,91) mmol/L; lactate có tương quan thuận và yếu với procalcitonin với r = 0,241; p < 0,001. Nồng độ procalcitonin > 0,1 ng/ml; lactate > 2 mmol/l ở bệnh nhân Covid-19 chiếm tỷ lệ cao với 89,7% và 39,7%. Kết luận: Chỉ điểm procalcitonin, lactate tăng cao ở bệnh nhân Covid-19. ABSTRACT ASSESSMENT OF SERUM LEVEL OF LACTATE AND PROCALCITONIN IN COVID-19 PATIENTS Background: Sars-CoV-2 has been identified as the cause of acute respiratory infections in Wuhan city, Hubei province, China, and has since spread worldwide. Sars-CoV-2 is capable of aerosol transmission in enclosed, crowded, and poorly ventilated spaces. COVID-19 illness ranges from asymptomatic to mild symptoms to severe pneumonia, acute respiratory distress syndrome (ARDS), sepsis, multiple organ failure, and death. This study aims to determine lactate and PCT levels in Covid-19 patients and examine the relationship between lactate and PCT in Covid-19 patients. Methods: A cross-sectional study was performed on 126 patients diagnosed with Sars-Cov-2 infection by RT-PCR. Results: Mean age was 55.98 ± 17.1 years (range: 4-98 years). Patients more than 60 years old were accounted for the highest rate (42.8%). Median PCT: 3.6 (95%CI:3.21 - 3.75) ng/ml; median lactate 1.5 (95%CI:1.21 - 1,91) mmol/L; lactate has a positive and weak correlation with procalcitonin with r = 0.241; p < 0.001. Procalcitonin concentration > 0.1 ng/ml; lactate > 2 mmol/l in patients with Covid-19 accounted for a high rate with 89.7% and 39.7%. Conclusion: Serum level of procalcitonin and lactate raise highly in Covid-19 patients. Keywords: Covid-19, procalcitonin, lactate.


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).  


2019 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Yulita C. Frans ◽  
Sintha L. Purimahua ◽  
Marylin S. Junias

Acute Respiratory Infections (ARI) are infectious diseases that cause one and better parts of the channel (alveolus) including the adnexal tissue, such as sinuses, ear cavities, and pleura. Environmental saturation is an activity aimed at improving and maintaining standard environmental condition fundamentals that affect humans. Improper home sanitation is associated with high health problems, such as acute respiratory infections. The purpose of this study is to determine the relationship between the home environment with the incidence of ARI disease in Tuapukan Village, Kupang Timur Sub-district, Kupang District. This study uses an observational method with cross-sectional study design. The population of this study was 519 and the sample was 81. The bivariate analysis used Chi-Square statistical test with 95% significance level. The results shows that variables related to ARI occurrence were house wall (p=0,029), house ventilation (p=0,011), house lighting (p=0,003), occupancy density (p=0,021) and smoking habit (p=0.002). It is recommended that the societies should keep the cleanliness of the house so it will not be a place for the growth of germs; thus the societies are able to prevent ARI disease.


2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Budi Kristanto ◽  
Ambrosius Setya Widri Hanggara

Background : deaths due to ARI disease in infants reaching 12.4 million in toddlers 0-5year age group every year worldwide, two thirds are babies, that is 0-1 years old and80.3% of deaths occur in developing countries (Kemenkes , 2010). The prevalence ofARI occurrence in Indonesia is 25.0% (Riskesdas, 2013: 23). Smoking habits of parentsin the home make toddlers as passive smokers are always exposed to cigarette smoke.Research purposes : to determine the relationship between exposure to secondhandsmoke with the incidence of acute respiratory infections in infants.Subject : toddlers who checked at Puskesmas Baturetno 1 in February-March 2017 werediagnosed with acute respiratory infection.Methods : this research use correlation research design with cross sectional method. Thepopulation is all parents of children under five who checked their children to Baturetno IPuskesmas in February and March with an acute respiratory infection diagnosis, a total of20 respondents. Control group of children who did not experience acute respiratory tractinfection of 20. Researchers used questionnaire tools. Data obtained then tabulated andanalyzed using SPSS 16 for Windows.Results : 15 children (75%) were exposed to cigarette smoke and 5 children (25%) werenot exposed to cigarette smoke. There was an association between ARI occurrence andexposure of cigarette smoke to under-five children at Puskesmas Baturetno I with p:0.011 <α: 0.05Conclusion : There is a correlation between ARI occurrence and exposure of tobaccosmoke in infants at Puskesmas Baturetno I.Keywords: smoking, acute respiratory infections, less than five years


2021 ◽  
pp. 569-583
Author(s):  
Ria Andriani ◽  
Burhanuddin Basri

Acute Respiratory Infection is caused by viruses, bacteria or fungi. If not handled properly, Acute Respiratory Infections can cause death in sufferers. Complete immunization is one of the early efforts to prevent this complaint. The purpose of this research is to determine the relationship between completeness of immunization and the prevalence of Acute Respiratory Infection in children under five in the working area of the Gintu Health Center. The research is descriptive and analytical with a cross sectional approach. Samples were taken using the simple random sampling technique, and there were 58 respondents. The instrument in the study was a questionnaire. The results were analysed using the Chi square formula. The result was P value: 0.000 <0.05, from which it can be concluded that there is a relationship between completeness of immunization and the occurence of Acute Respiratory Infections in children under five.   Keywords: Completeness of Immunization, Incidence of Acute Respiratory Infection, Children


Author(s):  
Leny Leny

ABSTRACT World Health Organization (WHO) in 2007 stated that there are 1.8 million children under five deaths due to Acute Respiratory Infections (ARI) in the world, or about 20% of 9 million deaths in children under five. In Indonesia, Acute Respiratory Infections (ARI) has always occupied the first cause of death of infants and toddlers. In addition ARI also often been on the list of 10 most diseases in the hospital. In Health Center Social Palembang, in 2011 the incidence of total ARI 147 cases (63.7%). The purpose of this study are known factors associated with incidence of mild respiratory infection in infants in Health Center Social Palembang 2012. This study uses the approach of Analytical Surveys Cross Sectional. The population in this study were all mothers of young children (9 months - 5 years) who visited the IMCI diagnosis of ARI (medium and light) in the Health Center Social Palembang in May 2012, sampling is done in a non-random with Accidental Sampling technique. Data analysis carried out univariate and bivariate statistics with Chi-Square test with significance level α = 0.05. The results showed than 30 respondents there (70.0%) of respondents who suffered from a mild respiratory infection, the age of high-risk infants (26.7%), light birth weight (36.7%), and incomplete immunization status (33.3 %). The results of this study showed no significant association between toddler age, birth weight and immunization status with the incidence of mild respiratory infection in Health Center Social Palembang 2012. From these results, researchers expect health care workers can improve health care of infants and toddlers in Health Center Social Palembang to carry out more frequent counseling on acute respiratory infections (ARI).   ABSTRAK   World Health Organization (WHO) tahun 2007 menyatakan bahwa terdapat 1,8 juta kematian balita karena Infeksi Saluran Pernapasan Akut (ISPA) di dunia atau sekitar 20% dari 9 juta kematian pada balita. Di Indonesia, Infeksi Saluran Pernapasan Akut (ISPA) selalu menempati urutan pertama penyebab kematian pada kelompok bayi dan balita. Selain itu ISPA juga sering berada pada daftar 10 penyakit terbanyak di rumah sakit. Di Puskesmas Sosial Palembang, tahun 2011 angka kejadian ISPA sebanyak 147 kasus (63,7%). Tujuan penelitian ini adalah diketahuinya faktor-faktor yang berhubungan dengan kejadian ISPA ringan pada balita di Puskesmas Sosial Palembang Tahun 2012. Penelitian ini menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Populasi pada penelitian ini adalah seluruh ibu yang memiliki balita (9 bulan - 5 tahun) yang berkunjung ke MTBS terdiagnosa ISPA (sedang, dan ringan) di Puskesmas Sosial pada bulan Mei tahun 2012. pengambilan sampel dilakukan secara non random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 30 responden terdapat (70,0%) responden yang menderita ISPA ringan, umur balita resiko tinggi (26,7%), berat badan lahir ringan (36,7%), dan status imunisasi tidak lengkap (33,3%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara umur balita, berat badan lahir, dan status imunisasi dengan kejadian ISPA ringan di Puskesmas Sosial Palembang Tahun 2012. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan bayi dan balita di Puskesmas Sosial Palembang serta lebih sering untuk melaksanakan penyuluhan tentang infeksi saluran pernapasan akut (ISPA)


2020 ◽  
Vol 8 (1) ◽  
pp. 25-33
Author(s):  
Ratna Indriati ◽  
Sri Aminingsih

Background. Malnutrition in children can affect growth and development. Infectious diseases are also associated with malnutrition, including diarrhea and Acute Respiratory Infections where this condition still occurs in Posyandu Kusuma, Palur Village.The Aim of the Study. To find the relationship between the history of acute respiratory infections and diarrhea with the nutritional status of children. Subject and Method. Subject were 47 of children 1-5 years old in Posyandu Kusuma at Palur Village. This research was observational analytic and correlation design with cross sectional method. Sampling by accidental sampling. The data obtained were analyzed using the Chi Square test.Result. The children with a history of diarrhea were  8 (17%), 39 with no history of diarrhea (83%), 16 with history of acute respiratory infections (34%), 31 with no history of acute respiratory infections (66%). The Childrens with good nutritional status were 34 (72.3%), 13 underweight nutritional status (27.7%). The results showed that the relationship of diarrhea history obtained p = 0.001 and a history of Acute Respiratory Infections obtained p = 0.693 to nutritional status.Conclusion. History of diarrhea has a significant relationship with the nutritional status of children (p=0.001) and a history of acute respiratory infections has no relationship with the nutritional status of children (p=0.693).Keywords : diarrhea, history of acute respiratory infections, nutritional status.Korespondensi: Ratna Indriati. AKPER PANTI KOSALA SURAKARTA. Jalan Raya Solo-Baki Km. 4 Gedangan, Grogol, Sukoharjo, Jawa Tengah. Email: [email protected]. 


Author(s):  
Erman Yıldız

BACKGROUND: Although previous studies have separately revealed that parameters such as anxiety, depression, and secondary traumatic stress (STS) are associated with burnout, there is still a limited understanding of the relationship between anxiety, depression, and STS and burnout in intensive care unit (ICU) nurses. AIMS: To investigate the relationship between levels of burnout, anxiety, depression, and STS in ICU nurses. METHOD: A cross-sectional study was conducted with ICU nurses ( N = 164) from a university hospital in eastern Turkey. The participants completed the anxiety, depression, STS, and burnout scales along with the descriptive characteristics form. The data were analyzed using descriptive statistics, correlation, and logistic regression analysis. RESULTS: The mean scores for STS, anxiety, depression, and burnout were 40.60 ± 13.77, 17.14 ± 12.90, 13.28 ± 9.75 and 41.39 ± 14.87, respectively. The results showed that, in the ICU nurses, anxiety, depression, and STS components explained 61% of emotional exhaustion, 38% of depersonalization, and 13% of personal accomplishment. CONCLUSIONS: While the present findings supported the paradigm that burnout in ICU nurses is associated with STS, anxiety, and depression, they also revealed some details about the psychopathological factors associated with burnout. These details were as follows: (1) individuals who resorted to avoidance as a component of STS on a high level were more likely to experience emotional exhaustion and depersonalization, (2) individuals with severe depressive symptoms were more likely to experience a decrease in their personal accomplishment, and (3) individuals with anxiety symptoms were more likely to experience both emotional exhaustion and personal accomplishment.


Author(s):  
Montaha Al-Iede ◽  
Lena Sarhan ◽  
Leen Abushanab ◽  
Tamara Ayasrah ◽  
Rafaa Al Maani ◽  
...  

Background: Influenza virus and other respiratory viruses have been identified as an essential cause of acute respiratory infections (ARIs) in children worldwide. However, there are few data on its frequency and clinical presentation in Jordan. Objectives: We aimed to identify the viral etiology of acute respiratory infections and the various clinical presentations in hospitalized children, especially those with influenza viruses compared to other respiratory viruses. Methods: A retrospective study that was conducted at the Jordan university hospital. All the positive nasopharyngeal aspirates that were collected from hospitalized children aged 0-19 years from January 2017 to January 2019 were reviewed. Results: A total of 338 nasopharyngeal aspirates (NPAs) with positive viral serology results were reviewed. Among the patients younger than four years, the RSV virus was the most frequently detected. However, the Influenza B virus was the most commonly seen in patients older than 5 years, H1N1 was more frequent in autumn (29.5%), and RSV was the most frequent virus in winter. Bronchopneumonia was the most frequent diagnosis among all hospitalized patients, followed by bronchiolitis. Out of 338 patients, 50.3 % had tachypnea, 70.7% of patients were admitted to the pediatric floor, while 18.6% presented with a severe illness and required admission to the pediatric intensive care unit (PICU). Infants under the age of one were more likely to have higher co-infection rates with other viruses compared to children over five years that had influenza. Conclusion: Presentations of influenza and other respiratory viruses vary between different age groups, such as sepsis in children younger than one year.


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