Exposing children to secondhand smoke

Pool, J; Петрова, Н. А.; Russell, Robert B.

doi:10.1136/thoraxjnl-2012-201607

Cited by 7 publications

(5 citation statements)

References 4 publications

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“…An extensive search was conducted, and only one similar study was identified, which was conducted by Jenny Pool et al and titled Exposure to second hand smoke in England [18]. This study used the same method for cotinine detection and documented positive levels of between 10 and 100 ng/ml in 96% of the cases, similar to the level found in the present study (97.8%).…”

Section: Discussionsupporting

confidence: 80%

“…This is contrary to the perception of parents, who consider that exposure is reduced by 100% when performing these cleaning actions. This finding is supported by a study by Jenny Pool et al [18], in which no difference in exposure was observed between those who smoked outside or inside the home. Thus, education and awareness of parents and caregivers regarding this practice and its impact on the health of the child is very important.…”

Section: Discussionsupporting

confidence: 72%

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Prevalence of urinary cotinine levels in children under 5 years of age during consultations for acute respiratory disease at the emergency department of the Universidad de La Sabana clinic

et al. 2020

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Background Several environmental factors favour the occurrence of acute respiratory disease, which is the main reason for paediatric consultations in our country (Colombia). Tobacco smoke is considered a significant environmental pollutant with a great impact on health. The objective of this study is to estimate the prevalence of cotinine levels measured in urine, in children between 1 to 60 months of age who attended an emergency department with acute respiratory disease. Methods A cross-sectional study was conducted that included children between 1 and 60 months of age with acute respiratory disease who were admitted to the emergency department of the Universidad de La Sabana Clinic between April and July 2016. Results We included 268 patients and 36% were female. Of the total population examined, 33.96% showed positive results for urinary cotinine, of whom 97.8% had values between 10 and 100 ng/ml, which is considered positive for exposure to second-hand smoke. The principal pathology was recurrent wheezing in 43.96% of these cases. Regarding the presence of smokers at home, it is important to mention that in 54.95% of the children with positive urinary cotinine test was no related with smokers at home. And in 45.05% of positive urinary cotinine was evidence of smokers at home, being associated with the positive result P < 0.001 and smoking within the house P = 0.018; smoking when children were present did not have significant P = 0.105. The activities performed after smoking such as hand washing, change of clothes, eating, brushing teeth, did not influence the test result P = 0.627. Conclusions A high prevalence of urinary cotinine was observed, which is associated with the presence of a smoker at home, and this relationship was independent of the activities performed by the smoker after smoking. In addition, a positive test for urinary cotinine was presented in some children without documented exposure to cigarette smoke inside the home, which may be explained by the presence of environmental cotinine. Therefore, it is necessary to perform educational interventions aimed at parents and caregivers who smoke.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 72%

Prevalence of urinary cotinine levels in children under 5 years of age during consultations for acute respiratory disease at the emergency department of the Universidad de La Sabana clinic

et al. 2020

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“…Pool and colleagues make an important point about exposure to tobacco smoke1 but we are uncertain of the relevance to our paper,2 which reported the effects of smoking by parents as a behaviour rather than source of passive exposure. While we cannot discount the possibility that children of smokers are more likely to become smokers as a consequence of passive smoke exposure, our interpretation is that it is the behaviour that is responsible.…”

mentioning

confidence: 80%

Authors' response: exposing children to secondhand smoke

Britton

Leonardi‐Bee

2012

Thorax

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“…Despite consistent scientific support on the association of exposure to tobacco smoke39 and air pollution40 with triggering of wheezing symptoms in the first years of life, attention to environmental measures continues to be largely overlooked by parents 41. As physicians, we should never tire of repeating that we ought to spend much more of our time in discussing environmental prevention actions with the parents of a wheezy child before writing down any medication in our prescription book.…”

Section: On the Edge Of Reasonmentioning

confidence: 99%

Infantile wheeze: rethinking dogma

Benedictis

Bush

2016

Arch Dis Child

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Wheeze is a common symptom in young children and is usually associated with viral illnesses. It is a major source of morbidity and is responsible for a high consumption of healthcare and economic resources worldwide. A few children have a condition resembling classical asthma. Rarer specific conditions may have a wheezy component and should be considered in the differential diagnosis. Over the last half century, there have been many circular discussions about the best way of managing preschool wheeze. In general, intermittent wheezing should be treated with intermittent bronchodilator therapy, and a controller therapy should be prescribed for a young child with recurrent wheezing only if positively indicated, and only then if carefully monitored for efficacy. Good multidisciplinary support, attention to environmental exposition and education are essential in managing this common condition. This article analyses the pathophysiological basis of wheezing in infancy and critically discusses the evolution of the scientific progress over time in this unique field of respiratory medicine.

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Exposing children to secondhand smoke

Cited by 7 publications

References 4 publications

Prevalence of urinary cotinine levels in children under 5 years of age during consultations for acute respiratory disease at the emergency department of the Universidad de La Sabana clinic

Prevalence of urinary cotinine levels in children under 5 years of age during consultations for acute respiratory disease at the emergency department of the Universidad de La Sabana clinic

Authors' response: exposing children to secondhand smoke

Infantile wheeze: rethinking dogma

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