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Risk factors for respiratory infections among children attending day care centres.
Fam Pract. 2016 Apr; 33(2):161-6.FP

Abstract

BACKGROUND

Upper respiratory tract infection (URTI), lower respiratory tract infection (LRTI) and acute otitis media (AOM) are common in children attending day care centres.

OBJECTIVES

This study aimed to characterize the risk factors of URTI, LRTI and AOM in children attending day care.

METHODS

A cross-sectional study was conducted in children aged up to 3 years (n = 152) of six day care centres in Porto. Logistic regression was used on independent variables: mother-related, household-related, child-related and day care-related risk factors as predictors of the dependent variables: URTI, LRTI and AOM.

RESULTS

The risk of URTI increased as the number of children decreased [odds ratio (OR) = 0.620, 95% CI = 0.411-0.935], as the area per child decreased (OR = 0.434, 95% CI = 0.206-0.914) and as the disinfection of WC/diapers-change increased (OR = 2.56, 95% CI = 1.089-6.017). There was a higher risk of URTI if nasal aspirators (OR = 6.763, 95% CI = 1.022-44.753), rather than physiologic serum (OR = 5.296, 95% CI = 1.097-25.559), were used at day care centres. The risk of LRTI increased as the household size decreased (OR = 0.213, 95% CI = 0.048-0.937) and it was higher if the child had no siblings (OR = 7.831, 95% CI = 1.065-57.578). The risk of LRTI was higher if the child was not exclusively breastfed (OR = 24.612, 95% CI = 1.108-546.530) and the risk increased as the duration of exclusive breastfeeding decreased (OR = 0.396, 95% CI = 0.170-0.920). The risk of AOM increased as the birth body mass index (OR = 2.247, 95% CI = 1.011-4.992) and weight (OR = 1.607, 95% CI = 1.014-2.545) increased and if nasal aspirators were used (OR = 6.763, 95% CI = 1.022-44.753).

CONCLUSION

URTI were related with day care centres' risk factors, LRTI were associated with mother-related and household-related risk factors and AOM was connected with child-related risk factors.

Authors+Show Affiliations

Department of Physiotherapy, School of Allied Health Technologies, Polytechnic Institute of Porto, Vila Nova de Gaia and Department of Health Sciences, University of Aveiro, Aveiro, Portugal. ama@estsp.ipp.pt.Department of Physiotherapy, School of Allied Health Technologies, Polytechnic Institute of Porto, Vila Nova de Gaia and.Department of Physiotherapy, School of Allied Health Technologies, Polytechnic Institute of Porto, Vila Nova de Gaia and.Department of Health Sciences, University of Aveiro, Aveiro, Portugal.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26884444

Citation

Alexandrino, Ana S., et al. "Risk Factors for Respiratory Infections Among Children Attending Day Care Centres." Family Practice, vol. 33, no. 2, 2016, pp. 161-6.
Alexandrino AS, Santos R, Melo C, et al. Risk factors for respiratory infections among children attending day care centres. Fam Pract. 2016;33(2):161-6.
Alexandrino, A. S., Santos, R., Melo, C., & Bastos, J. M. (2016). Risk factors for respiratory infections among children attending day care centres. Family Practice, 33(2), 161-6. https://doi.org/10.1093/fampra/cmw002
Alexandrino AS, et al. Risk Factors for Respiratory Infections Among Children Attending Day Care Centres. Fam Pract. 2016;33(2):161-6. PubMed PMID: 26884444.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors for respiratory infections among children attending day care centres. AU - Alexandrino,Ana S, AU - Santos,Rita, AU - Melo,Cristina, AU - Bastos,José M, Y1 - 2016/02/16/ PY - 2016/2/18/entrez PY - 2016/2/18/pubmed PY - 2016/12/29/medline KW - At-risk groups KW - ear KW - health promotion KW - nose and throat (ENT, otolaryngology) KW - paediatrics KW - upper respiratory infections/common cold/bronchitis. SP - 161 EP - 6 JF - Family practice JO - Fam Pract VL - 33 IS - 2 N2 - BACKGROUND: Upper respiratory tract infection (URTI), lower respiratory tract infection (LRTI) and acute otitis media (AOM) are common in children attending day care centres. OBJECTIVES: This study aimed to characterize the risk factors of URTI, LRTI and AOM in children attending day care. METHODS: A cross-sectional study was conducted in children aged up to 3 years (n = 152) of six day care centres in Porto. Logistic regression was used on independent variables: mother-related, household-related, child-related and day care-related risk factors as predictors of the dependent variables: URTI, LRTI and AOM. RESULTS: The risk of URTI increased as the number of children decreased [odds ratio (OR) = 0.620, 95% CI = 0.411-0.935], as the area per child decreased (OR = 0.434, 95% CI = 0.206-0.914) and as the disinfection of WC/diapers-change increased (OR = 2.56, 95% CI = 1.089-6.017). There was a higher risk of URTI if nasal aspirators (OR = 6.763, 95% CI = 1.022-44.753), rather than physiologic serum (OR = 5.296, 95% CI = 1.097-25.559), were used at day care centres. The risk of LRTI increased as the household size decreased (OR = 0.213, 95% CI = 0.048-0.937) and it was higher if the child had no siblings (OR = 7.831, 95% CI = 1.065-57.578). The risk of LRTI was higher if the child was not exclusively breastfed (OR = 24.612, 95% CI = 1.108-546.530) and the risk increased as the duration of exclusive breastfeeding decreased (OR = 0.396, 95% CI = 0.170-0.920). The risk of AOM increased as the birth body mass index (OR = 2.247, 95% CI = 1.011-4.992) and weight (OR = 1.607, 95% CI = 1.014-2.545) increased and if nasal aspirators were used (OR = 6.763, 95% CI = 1.022-44.753). CONCLUSION: URTI were related with day care centres' risk factors, LRTI were associated with mother-related and household-related risk factors and AOM was connected with child-related risk factors. SN - 1460-2229 UR - https://www.unboundmedicine.com/medline/citation/26884444/Risk_factors_for_respiratory_infections_among_children_attending_day_care_centres_ DB - PRIME DP - Unbound Medicine ER -