Navegando por Palavras-chave "Respiratory Tract Infections"
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- ItemAcesso aberto (Open Access)Fatores ambientais e hospitalizações em crianças menores de cinco anos com infecção respiratória aguda(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2003-12-01) Botelho, Clovis [UNIFESP]; Correia, Ademir Lopes [UNIFESP]; Silva, Ageo Mário Cândido da; Macedo, Alex Gonçalves [UNIFESP]; Silva, Clystenes Odyr Soares [UNIFESP]; Universidade Federal de Mato Grosso Pró-Reitoria de Ensino e Graduação; Universidade de Cuiabá; Universidade Federal de São Paulo (UNIFESP); Universidade de Várzea GrandeConsidering hospitalization as an indicator of seriousness of acute respiratory infection (ARI), this study focuses on the association between some environmental factors with the need for hospitalization of children with a diagnosis of ARI. The study analyzed all the medical records (at the Municipal Emergency Ward in Cuiabá, Mato Grosso State) of children under five years of age (both sexes), collected by month of attendance. Two weather seasons were considered: dry (May-October) and rainy (November-April). Variables included: temperature, relative humidity, and number of fires (due to extensive slashing and burning for agriculture in the region). Prevalence of ARI was 49.8%, and hospitalization was required in 7.6% of cases, with a higher percentage during the dry season. The dry season and lower relative humidity were associated with increased pediatric hospitalization rate due to ARI.
- ItemSomente MetadadadosRisk factors for recurrent wheezing - international study of wheezing in infants (eisl) phase 3(Elsevier doyma sl, 2016) Aranda, Carolina Sanchez [UNIFESP]; Wandalsen, Gustavo Falbo [UNIFESP]; Fonzar, Ligia Furtado [UNIFESP]; Dela Bianca, Ana Caroline Cavalcanti; Mallol, Javier; Solé, Dirceu [UNIFESP]Background: We aimed to identify factors associated with recurrent wheezing (RW) in infants in the first year of life living in the Southern region of Sao Paulo city and participating in the "Estudio Internacional de Sibilancias en Lactantes (EISL)" - phase 3 (P3). Methods: 1335 parents of infants who were attended in primary care health units in the Southern region of Sao Paulo city from 2009 to 2010 answered the EISL-P3 written questionnaire. The wheezing group was stratified in accordance to the frequency of wheezing episodes as occasional wheezing (OW, less than three episodes), or RW (three or more episodes). Wheezing-associated factors were evaluated using multivariate analysis and were expressed as odds ratio (OR) and 95% confidence interval (95%CI). Results: The most relevant factors related to OW were pneumonia (OR = 3.10, 95%CI=1.68-5.73), hospitalisation due to pneumonia (OR = 2.88, 95%CI = 1.26-6.56) and recurrent upper respiratory infection (URI, OR = 1.87, 95%CI = 1.25-2.81). Regarding RW, recurrent URI (OR = 5.34, 95%CI = 3.83-7.45), pneumonia (OR= 4.06, 95%CI = 2.87-5.74) and asthmatic siblings (OR= 3.02, 95%CI = 1.67-5.45) were the most significantly associated factors. Conclusions: In the present study, we found that recurrent URI, positive history of pneumonia and familiar history of asthma were the most relevant factors associated with RW. The precocious knowledge of these factors can enable the identification of the probable asthmatic infants and can improve both prevention strategies and treatment of these patients. (C) 2014 SEICAP. Published by Elsevier Espana, S.L.U. All rights reserved.