Incidence of community-acquired infections of lower airways among infants

Martins, Ana Luísa Oenning; Nascimento, Deisy da Silva Fernandes; Schneider, Ione Jayce Ceola; Schuelter-Trevisol, Fabiana

doi:10.1016/j.rppede.2015.10.005

Cited by 12 publications

(14 citation statements)

References 27 publications

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“…A study conducted in Jataí, GO, found that the prevalence of antibiotic use in the last month in children aged 0-4 years was 11%, reaching 59% and for those in the income range of 1-3 minimum wages 25 . In the present study, using educational level as socioeconomic indicator, it was found that children whose mothers had higher educational level had lower prevalence of antibiotic prescription.…”

Section: Discussionmentioning

confidence: 99%

Use of antibiotics in the health care unit: 2015 Pelotas Birth Cohort

et al. 2019

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OBJECTIVE:To estimate the use of the first dose of antibiotics in the health care unit in children from the 2015 Pelotas Birth Cohort at 24 months. METHODS:A total of 4,014 children were monitored. We used descriptive statistics and Poisson regression to analyze the association between socioeconomic and demographic variables, participation in daycare units, in the activities of the Pastoral da Criança and in the Primeira Infância Melhor program, low birth weight, hospitalization between 12 and 24 months, place of medical appointment, prevalence of medical appointment in the last 30 days, prescription of antibiotics, and administration of the first dose in the health care unit. RESULTS:A total of 1,044 children had medical appointments in the last 30 days, of which 45% were prescribed antibiotics and only 10.5% were administered the first dose of this medication in the health care unit. Children with brown, yellow or indigenous skin color were administered 2.5 times more antibiotics than white children. Children whose mothers had 12 years or more of education were administered 83.0% fewer antibiotics than those whose mothers had up to 4 years of education. Among those who were hospitalized for 12 to 24 months, the use of antibiotics was almost four times higher than among those who were not. Among the children served by the Brazilian Unified Health System (SUS), only 15.3% were administered the first dose of antibiotic in the health care unit. When compared with children served by private health care or health plan, administration of the first dose in the SUS was 76.0% higher. CONCLUSIONS:Despite the efforts related to the Pastoral da Criança campaign "Antibiotic: first dose immediately," adherence to the provision of antibiotics in the health care unit is still low. Strategies are necessary and urgent so children have access to the first dose of antibiotics in the health care unit.

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Section: Discussionmentioning

confidence: 99%

Use of antibiotics in the health care unit: 2015 Pelotas Birth Cohort

et al. 2019

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“…Pneumonia poses a significant threat to the lives of children below five years worldwide, contributing to a high number of hospitalizations and death [1][2][3] . Morbidity and morbidity is especially common in children under five and the elderly, although any age group can be affected 4,5 .…”

Section: Introductionmentioning

confidence: 99%

Pneumococcal carriage and antibiotic susceptibility patterns in mother-baby pairs in a rural community in Eastern Uganda: a cross-sectional study

et al. 2020

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Background: Pneumonia poses a significant threat to the lives of children below five years old worldwide, contributing to a high number of hospitalizations and death. Morbidity and morbidity are especially common in children under five and the elderly, although any age group can be affected. This study aimed to estimate pneumococcal carriage and determine antibiotic susceptibility patterns of the pneumococci isolated from mother-baby pairs in Ngora district after the rollout of the pneumococcal vaccine. We hypothesized that high carriage of Streptococcus pneumoniae in mothers leads to carriage in their babies and hence a greater chance of contracting pneumonia. Methods: Consecutive sampling was used to select 152 mother-baby pairs from community visits and those seeking care at the health facility. We collected nasal swabs from both baby and mother for culture and sensitivity testing using the Kirby-Bauer’s agar disc diffusion method. Results: This study found that there was a low prevalence of pneumococcal carriage in the mother-baby pair in Ngora district. We also observed high rates of microbial resistance to penicillin, which is the first-line drug for the management of pneumonia in Uganda. Conclusions: The relationship between pneumococcal carriage and immunization status suggests that the pneumococcal vaccine is protective against pneumococcal carriage. Resistance of S. pneumoniae to commonly used antibiotics was high.

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“…Estas são caracterizadas por rinofaringites virais, faringoamigdalites virais e bacterianas, hipertrofia de amígdalas e adenóides, otite média aguda, sinusite, obstrução inflamatória aguda das VA, enquanto aquelas incluem principalmente bronquite, bronquiolite e pneumonias. Outro distúrbio infeccioso é a coqueluche (MAIA et al, 2014). Os distúrbios respiratórios, a partir do século XX, caracterizaram-se como a maior causa de mortalidade na infância, principalmente em menores de cinco anos (PRATO et al, 2014).…”

Section: Introductionunclassified

“…Os distúrbios respiratórios, a partir do século XX, caracterizaram-se como a maior causa de mortalidade na infância, principalmente em menores de cinco anos (PRATO et al, 2014). Na América Latina, as infecções respiratórias foram responsáveis por mais de 80.000 mortes de crianças por ano, 40% ocorreram no Brasil (MARTINS et al, 2016). As Infecções de Vias Aéreas superiores (IVAS) representam um importante fator preditor de saúde pública devido serem as principais causas de consulta médica no ambiente hospitalar e unidades básicas de saúde no primeiro ano de vida, além do alto absenteísmo escolar (CARVALHO;PEREIRA, 2002).…”

Section: Introductionunclassified

“…Aproximadamente 20 a 40% de todas as hospitalizações em crianças com idade menor que cinco anos incluem causas de IVAI como pneumonia, bronquite, bronquiolite e outras doenças do aparelho respiratório. Apesar de apenas 2-3% dos pacientes com Infecções Respiratórias Agudas (IRAs) evoluírem para pneumonia, a mortalidade está, na maioria das vezes, relacionada às infecções das vias aéreas inferiores, principalmente a pneumonia, com 80% dos óbitos atribuídos a esta patologia (MAIA et al, 2014). Os fatores de risco, ou fatores associados ao maior risco de morbimortalidade relacionados aos distúrbios respiratórios são: má adesão ao uso de vacinas como método preventivo; nível socioeconômico baixo; frequência em lugares aglomerados, como creches; retirada do aleitamento materno exclusivo antes dos seis meses da criança; inverno ou mudança brusca de temperaturas e umidade do ar; tabagismo por parte dos cuidadores; más condições básicas de saúde, sendo este último, o principal fator entre todos os outros (ALVIM;LASMAR, 2009).…”

Section: Introductionunclassified

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Distúrbios Respiratórios Em Pacientes Pediátricos De 0 Até 5 Anos Em Unidades De Saúde De Rio Verde-Go/ Respiratory Disorders in Pediatric Patientes Aged 0 to 5 Years in Health Units in Rio Verde-Go

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Arrighi

et al. 2020

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RESUMO As doenças do sistema respiratório na infância podem ser tanto de etiologia infecciosa como não infecciosa. Elas podem causar um comprometimento mais grave, que é quando acometem o trato respiratório inferior. As patologias que acometem o sistema respiratório até cinco anos de idade são as principais causas de mortalidade nessa faixa etária, inclusive sendo importante preditor do índice

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Incidence of community-acquired infections of lower airways among infants

Cited by 12 publications

References 27 publications

Use of antibiotics in the health care unit: 2015 Pelotas Birth Cohort

Use of antibiotics in the health care unit: 2015 Pelotas Birth Cohort

Pneumococcal carriage and antibiotic susceptibility patterns in mother-baby pairs in a rural community in Eastern Uganda: a cross-sectional study

Distúrbios Respiratórios Em Pacientes Pediátricos De 0 Até 5 Anos Em Unidades De Saúde De Rio Verde-Go/ Respiratory Disorders in Pediatric Patientes Aged 0 to 5 Years in Health Units in Rio Verde-Go

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