Acute Respiratory Tract Infections Among a Birth Cohort of Children from Cali, Colombia, Who Were Studied Through 17 Months of Age

Borrero, Isabella; Fajardo, Lucille; Bedoya, Antonio; Zea, Andres; Carmona, Fábio; Borrero, M. F. De

doi:10.1093/clinids/12.supplement_8.s950

Cited by 37 publications

(28 citation statements)

References 6 publications

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“…Thus, "fast breathing" is described only by the impression of the care-takers, most by the mothers of the sick children. Nevertheless, the proportion of "fast breathing" among all ARI was 10.9% (172/1589), which was within the range of the above-mentioned prospective studies (8,15,16). Therefore, discussions on the treatment of fast breathing cases as a proxy of pneumonia should be meaningful.…”

Section: Discussionsupporting

confidence: 57%

A Household Survey on Morbidity and Treatment of Acute Respiratory Infections in Communities in Vietnam

Shimouchi

Huong²,

HIEP

et al. 2002

Environ. Health Prev. Med.

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Objective: To ascertain the extent of under-utilization and insufficiency or inappropriateness in provision of health services as one of the possible causes of high mortality from pediatric pneumonia in pilot areas in Vietnam.Method: The household survey on morbidity and treatment of acute respiratory infections, simple cough, and cold and pneumonia, was conducted in two communities with 10% sampling of the child population.Results: Both under-treatment of "fast breathing", a proxy for pneumonia, and over-treatment of simple cough and cold with antimicrobials by health workers, mothers, and private practitioners were common.Conclusions: A household survey on morbidity and treatment was found to be useful to clarify actual practices in the treatment of acute respiratory infections in the community, which cannot be obtained by mere interview with health workers or mothers. Since a change of knowledge did not automatically lead to change of practice, the training of health workers, health education of mothers and provision of antimicrobials at village health stations would not guarantee improved practice of health workers and mothers. Therefore, constant supervision for health workers, continued health education of mothers and involvement of private practitioners are needed to improve the situation.

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Section: Discussionsupporting

confidence: 57%

A Household Survey on Morbidity and Treatment of Acute Respiratory Infections in Communities in Vietnam

Shimouchi

Huong²,

HIEP

et al. 2002

Environ. Health Prev. Med.

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“…Two well-designed cohort studies out of a series from the 1980s, 13 were conducted in Colombia and Uruguay, with respiratory symptoms being assessed during regular home visits by research nurses. 24,25 The reported mean numbers of acute respiratory tract infections per child during the first year of life (5.2 25 and 6. 6 24 ) is comparable to the mean of 5.2 weeks with symptoms in our study.…”

Section: Frequency Of Respiratory Symptomsmentioning

confidence: 99%

Prospectively assessed incidence, severity, and determinants of respiratory symptoms in the first year of life

Latzin

Frey

Roiha

et al. 2006

Pediatric Pulmonology

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Summary. Respiratory symptoms are common in infancy. Nevertheless, few prospective birth cohort studies have studied the epidemiology of respiratory symptoms in normal infants. The aim of this study was to prospectively obtain reliable data on incidence, severity, and determinants of common respiratory symptoms (including cough and wheeze) in normal infants and to determine factors associated with these symptoms. In a prospective population-based birth cohort, we assessed respiratory symptoms during the first year of life by weekly phone calls to the mothers. Poisson regression was used to examine the association between symptoms and various risk factors. In the first year of life, respiratory symptoms occurred in 181/195 infants (93%), more severe symptoms in 89 (46%). The average infant had respiratory symptoms for 4 weeks and 90% had symptoms for less than 12 weeks (range 0 to 23). Male sex, higher birth weight, maternal asthma, having older siblings and nursery care were associated with more, maternal hay fever with fewer respiratory symptoms. The association with prenatal maternal smoking decreased with time since birth. This study provides reliable data on the frequency of cough and wheeze during the first year of life in healthy infants; this may help in the interpretation of published hospital and community-based studies. The apparently reduced risk in children of mothers with hayfever but no asthma, and the decreasing effect of prenatal smoke exposure over time illustrate the complexity of respiratory pathology in the first year of life. Pediatr Pulmonol. 2007; 42:41-50.

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“…En otro estudio prospectivo hecho entre 1986 y 1988, se evaluaron los episodios de IRA en una cohorte de 340 niños desde el nacimiento hasta la edad de 17 meses (Borrero, et al, 1990). La incidencia de episodios de IRA por niño y año fue de 6,6, lo que sugería la presencia de reinfecciones múltiples.…”

Section: Estudios En Caliunclassified

“…Las diferencias en el diseño y el propósito de los estudios o los métodos de confirmación del VSR de las investigaciones en Cali podrían explicar las diferencias en la frecuencia del VSR con respecto a otros estudios en Colombia. Dos de las investigaciones en Cali correspondieron a seguimientos prospectivos de cohortes con vigilancia activa de los episodios de IRA en niños sanos (Borrero, et al, 1990;Nolan, et al, 2015), en tanto que el resto de estudios en Colombia han sido de corte transveral en población de menores hospitalizados. Aunque los otros dos estudios de Cali con prevalencias de VSR de 4 y 9 %, también se hicieron en pacientes de IRA baja hospitalizados, la confirmación de la infección por VSR se hizo mediante la detección de anticuerpos fijadores del complemento (Berman, et al, 1983), comparada con la detección por IFI o RT-PCR utilizada en los demás estudios colombianos.…”

Section: Discusión Y Conclusionesunclassified

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Prevalencia y periodicidad del virus sincitial respiratorio en Colombia

Barbosa

Parra

Alarcón

et al. 2018

Rev. Acad. Colomb. Cienc. Ex. Fis. Nat.

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ResumenEl virus sincitial respiratorio es uno de los principales agentes causantes de hospitalizaciones en niños menores de 5 años en todo el mundo y es responsable de una significativa mortalidad en los países en vías de desarrollo. Los resultados de estudios recientes sobre la inmunidad antiviral han generado un ambiente de optimismo sobre la posibilidad de lograr una vacuna antiviral segura y eficaz en un futuro cercano. En este contexto, uno de los objetivos del seminario taller sobre integración intersectorial de la investigación en salud, organizado por el Cideim, fue detectar las necesidades de investigación para facilitar la introducción de las vacunas contra el virus sincitial respiratorio en Colombia y, en particular, hacer un análisis de la carga de la enfermedad producida por este agente en Colombia. Como contribución a este último objetivo, en el presente trabajo se hizo la revisión de 36 estudios epidemiológicos y clínicos sobre el virus sincitial respiratorio realizados en el país en los últimos 40 años, con el fin de evaluar históricamente la prevalencia de la enfermedad por este patógeno y la periodicidad reportada en las diferentes ciudades de Colombia. Aunque en varias ciudades existe un pico en la presentación del virus entre marzo y abril, particularmente en Bogotá, la ciudad del país con el mayor número de estudios, en otras ciudades, como Cali, este no parece ser el caso. A pesar de que existe heterogeneidad en la prevalencia de las infecciones por el virus sincitial respiratorio (rango de 7 a 41 %) dependiendo, sobre todo, del tipo de estudio, en los últimos 40 años este ha sido el principal agente responsable de la infección respiratoria baja en niños menores de 5 años en Colombia. © 2017. Acad. Colomb. Cienc. Ex. Fis. Nat. Palabras claves:Virus sincitial respiratorio; Periodicidad; Prevalencia; Colombia; Infecciones respiratorias; Niño. Prevalence and periodicity of respiratory syncytial virus in Colombia AbstractRespiratory syncytial virus is one of the main agents responsible for hospitalizations in children under 5 years of age worldwide and is responsible for significant mortality in developing countries. Recent studies on antiviral immunity have created an atmosphere of optismism about the possibility of achieving a safe and effective antiviral vaccine in the near future. In this context, during the course of the Seminar/Workshop: "Intersectoral integration in health research" organized by CIDEIM, one of the objectives was to identify research needs to facilitate the introduction of respiratory syncytial virus vaccines in Colombia and particularly to estimate the disease burden by this agent in the country. In this context, the present work revised the information reported by epidemiologial and clinical studies on respiratory syncytial virus conducted in the country within the past 40 years to describe the disease prevalence and the temporal distribution of this respiratory pathogen in different cities of Colombia. Although in several cities there is a peak in the presentation of t...

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Acute Respiratory Tract Infections Among a Birth Cohort of Children from Cali, Colombia, Who Were Studied Through 17 Months of Age

Cited by 37 publications

References 6 publications

A Household Survey on Morbidity and Treatment of Acute Respiratory Infections in Communities in Vietnam

A Household Survey on Morbidity and Treatment of Acute Respiratory Infections in Communities in Vietnam

Prospectively assessed incidence, severity, and determinants of respiratory symptoms in the first year of life

Prevalencia y periodicidad del virus sincitial respiratorio en Colombia

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