Risk factors associated with acute respiratory tract infection in children among one month to 5 years

Dr.Sonali Shah, Dr. Triya Malde, Dr. Darshan Nayakpara
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Abstract

Background: Acute respiratory tract infections are among the major cause of morbidity and mortality among children developing countries accounting for 40% of mortality in children fewer than 5 years of age. Objectives: To find out the risk factors associated with acute respiratory tract infection in children between 1 month to 5 years. Methodology: An observational study was conducted was conducted in G.G. Hospital , Jamnagar over a period of 12 months. Institutional ethical clearance taken. After written consent taken from parents, total 150 patients taken in the age group 1 month to 5 years of acute respiratory tract infections as per inclusion and exclusion criteria. Detailed history, anthropometry and physical examination carried out. Assessment of various risk factors done. Results: Most of the parents of patients of ARI were having lower education. Presence of anemia, absence of predominant breast feeding, Exposure to biomass fuel, preterm delivery, low birth weight are predominant risk factors as its association with ARI is found statistically significant. Bottle feeding, prelacteal feeds, no birth spacing and exposure to kerosene lamps are amongst the probable risk factors Conclusion: Lack of predominant breast feeding, anemia, malnutrition, passive smoking, exposure to biomass fuel, preterm delivery, low birth weight and meconium aspiration syndrome definite risk factors of ARI, with incomplete immunization and faulty feeding practices also plays a major role in causation of ARI in children.
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1个月至5岁儿童急性呼吸道感染的相关危险因素
背景:急性呼吸道感染是发展中国家儿童发病和死亡的主要原因之一,占5岁以下儿童死亡率的40%。目的:探讨1个月~ 5岁儿童急性呼吸道感染的相关危险因素。方法:在贾姆纳格尔G.G.医院进行了为期12个月的观察性研究。已通过机构伦理审查。经父母书面同意后,根据纳入和排除标准,选取年龄在1个月至5岁的急性呼吸道感染患者共150例。详细病史、人体测量和体格检查。各种风险因素的评估已经完成。结果:ARI患者的家长多为文化程度较低的人群。贫血、缺乏主要的母乳喂养、接触生物质燃料、早产、低出生体重是主要的危险因素,因为其与ARI的关联具有统计学意义。结论:缺乏主要的母乳喂养、贫血、营养不良、被动吸烟、接触生物质燃料、早产、低出生体重和胎粪吸入综合征是急性呼吸道感染的明确危险因素,免疫接种不完全和错误的喂养方法也是导致儿童急性呼吸道感染的主要因素。
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