Acute respiratory infections in children living in two low income communities of Rio de Janeiro, Brazil

Sutmoller, Frits; Maia, Paulo Ricardo da Silva

doi:10.1590/s0074-02761995000600001

Cited by 10 publications

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“…The majority of respiratory illnesses reported in our study were upper respiratory infections, which is in agreement with other prospective studies from developing countries [20-22,29]. The incidence of respiratory morbidities was highest during infancy, decreasing thereafter, which differed from our previous birth cohort study where the incidence of respiratory infections was comparable across the three years of follow-up [8].…”

Section: Discussionsupporting

confidence: 91%

Burden of childhood diseases and malnutrition in a semi-urban slum in southern India

et al. 2013

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BackgroundIndia has seen rapid unorganized urbanization in the past few decades. However, the burden of childhood diseases and malnutrition in such populations is difficult to quantify. The morbidity experience of children living in semi-urban slums of a southern Indian city is described.MethodsA total of 176 children were recruited pre-weaning from four geographically adjacent, semi-urban slums located in the western outskirts of Vellore, Tamil Nadu for a study on water safety and enteric infections and received either bottled or municipal drinking water based on their area of residence. Children were visited weekly at home and had anthropometry measured monthly until their second birthday.ResultsA total of 3932 episodes of illness were recorded during the follow-up period, resulting in an incidence of 12.5 illnesses/child-year, with more illness during infancy than in the second year of life. Respiratory, mostly upper respiratory infections, and gastrointestinal illnesses were most common. Approximately one-third of children were stunted at two years of age, and two-thirds had at least one episode of growth failure during the two years of follow up. No differences in morbidity were seen between children who received bottled and municipal water.ConclusionsOur study found a high burden of childhood diseases and malnutrition among urban slum dwellers in southern India. Frequent illnesses may adversely impact children’s health and development, besides placing an additional burden on families who need to seek healthcare and find resources to manage illness.

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Section: Discussionsupporting

confidence: 91%

Burden of childhood diseases and malnutrition in a semi-urban slum in southern India

et al. 2013

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“…Outros estudos confirmam essa tendência: Monteiro et al 35 encontraram, para crianças menores de cinco anos em São Paulo, que 68% dos pais só tinham alcançado o primá-rio completo. Sutmoller et al 11 , em duas comunidades do Rio de Janeiro, mostrou que 44% e 66% das mães dessas crianças tinham apenas o nível primário completo.…”

Section: Casuística E Métodosunclassified

“…Em estudo sobre IRA no Rio de Janeiro foi encontrado que a desnutrição estava associada com risco aumentado para IRA (risco relativo=1,30), mas não com risco aumentado para IVAI 11 . Da mesma forma, Sampaio et al 37 , estudando IVAS e fatores predisponentes, não encontraram a desnutrição influenciando a gravidade da IRA.…”

Section: Casuística E Métodosunclassified

“…Estudos têm mostrado a importância de fatores sociais para a morbimortalidade da IRA, tais como tamanho da família, nível de escolaridade e densidade de moradores no domicílio [9][10][11] . Destaca-se o grau de escolaridade materna como fator social relacionado à sobrevivência infantil, sendo que os relatos apontam que quanto menor esta escolaridade, maiores são as taxas da IRA e a sua gravidade [12][13][14] .…”

Section: Introductionunclassified

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Clinical profile in children under five year old with acute respiratory tract infections

Duarte

Botelho²

2000

J Pediatr (Rio J)

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Objective: To describe the clinical and epidemiological profile of acute respiratory infections (ARI) in children younger than five years old, of both sexes, diagnosed at the University Hospital Júlio Müller.Methods: This is a descriptive and cross sectional study. A standard questionnaire was answered by the children's parents, during the period of October/1996 to February/1997. The cases were classified according to the Health Ministry criteria in Upper Airway Infection (UAI) or Acute Lower Respiratory Infection (ALRI). The following data were analyzed: signs and symptoms, clinical diagnosis, socioeconomic variables, nutritional appraisal and passive smoking. The data were analyzed with EPI-Info 6.02b program. The c 2 test was used with confidence interval of 95% (a = 5%).Results: The ARI prevalence in children under five years was 25.6%. From the total number of 491 children, 76.4% (n=375) had UAI and 23.6% (n=116) ALRI. The most frequent diagnosis was nasopharyngitis. The most frequent respiratory symptoms were nasal discharge (82.1%) and cough (80.4%). Around 6.1% of the total number of the cases were due to pneumonia (77.7% of the cases involving hospitalization). There were no associations of ARI with children's nutritional status, family income or passive smoking. There was statistical association between maternal educational status and ALRI (c 2 = 16.57).Conclusions: The findings show that most of the children presented nasopharyngitis (UAI), being most of them male. Pneumonia (ALRI) was the main cause of hospitalization. The most common symptoms were nasal discharge and cough. Besides, the most important risk factor associated was the mother's educational status. J. pediatr. (Rio J. IntroduçãoAs infecções respiratórias agudas (IRA) são mundialmente reconhecidas como sendo uma das principais causas de morbidade e mortalidade em todas as idades, particularmente em crianças 1,2 . Nos países desenvolvidos assim como nos em desenvolvimento, a morbidade da IRA é semelhante, entretanto nos países em desenvolvimento a mortalidade é superior, alcançando até trinta vezes ou mais 1,3,4 . A alta taxa de morbidade faz da IRA a principal causa de utilização dos serviços de saúde, representando em todo o mundo de 20 a 40% das consultas em serviços de pediatria e 12 a 35% das internações hospitalares 3 . As pneumonias, de acordo com dados da OPAS/OMS 5 , são as responsáveis por 20 a 40% das hospitalizações de menores de cinco anos nos países em desenvolvimento. Em zona

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“…Em abril, ocorreram a maior quantidade de casos diagnosticados do hRSV. No Brasil, dados semalhantes em relação ao padrão sazonal do hRSV são demonstrados na cidade do Rio de Janeiro Sutmoller et al, 1995), e em São Paulo (Botosso, 2003;Vieira et al, 2001;Tomazelli, 2007).…”

Section: Comparação Entre As Sequências Da Proteína F E Os Genótipos unclassified

Ausência de escapes mutantes para o medicamento palivizumab® do Vírus Respiratório Sincicial Humano (hRSV) circulante, na cidade de São Paulo durante o ano de 2004.

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Acute respiratory infections in children living in two low income communities of Rio de Janeiro, Brazil

Cited by 10 publications

References 0 publications

Burden of childhood diseases and malnutrition in a semi-urban slum in southern India

Burden of childhood diseases and malnutrition in a semi-urban slum in southern India

Clinical profile in children under five year old with acute respiratory tract infections

Ausência de escapes mutantes para o medicamento palivizumab® do Vírus Respiratório Sincicial Humano (hRSV) circulante, na cidade de São Paulo durante o ano de 2004.

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