Is recurrent respiratory infection associated with allergic respiratory disease?

Oliveira, Tiago Bittencourt de; Klering, Everton Andrei; Veiga, Ana Beatriz Gorini da

doi:10.1080/02770903.2018.1445266

Cited by 24 publications

(15 citation statements)

References 29 publications

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“…Food allergy has been reported in around 25% of children with asthma, allergic rhinitis in 60%, atopic dermatitis in 45% and recurrent respiratory tract infections in 60%. [6][7][8][9][10] Atopic comorbidities and recurrent respiratory tract infections are associated with increased asthma morbidity. Children with asthma and food allergy have increased asthma symptoms and a significantly lower lung function compared to asthmatic children without food allergy.…”

Section: Introductionmentioning

confidence: 99%

<p>Prevalence and Predictors of Uncontrolled Asthma in Children Referred for Asthma and Other Atopic Diseases</p>

Kansen¹,

Le²,

Uiterwaal³

et al. 2020

JAA

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Background: Uncontrolled asthma in children is still highly prevalent despite the availability of effective asthma treatment. We investigated 1) the prevalence of uncontrolled asthma among children referred for asthma and referred for atopic diseases other than asthma (ie food allergy, allergic rhinitis or atopic dermatitis) to secondary care; and 2) the predictors associated with uncontrolled asthma. Methods: All children (4 to 18 years) referred for asthma or atopic diseases other than asthma to 8 secondary care centers in The Netherlands were invited to an electronic portal (EP). The EP is a web-based application with several validated questionnaires including the ISAAC questionnaires and the Asthma Control Test (ACT). Children were eligible for inclusion in this study when their parents reported in the EP that their child had asthma diagnosed by a physician. The ACT was used to assess asthma control. Multiple predictors of asthma control (patient, asthma and atopic characteristics) were evaluated by univariable and multivariable logistic regression analyses. Results: We included 408 children: 259 children (63%) with asthma referred for asthma and 149 children (37%) with asthma referred for atopic diseases other than asthma. Thirty-nine percent of all children had uncontrolled asthma: 47% of the children referred for asthma and 26% of the children referred for atopic diseases other than asthma. Predictors associated with uncontrolled asthma were a family history of asthma (odds ratio [OR] 2.08; 95% confidence interval [95% CI] 1.34 to 3.24), and recurrent upper and lower respiratory tract infections in the past year (OR 2.40; 95% CI 1.52 to 3.81 and OR 2.00; 95% CI 1.25 to 3.23, respectively). Conclusion: Uncontrolled asthma is highly prevalent in children with asthma referred to secondary care, even if children are primarily referred for atopic diseases other than asthma. Thus, attention should be paid to asthma control in this population.

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Section: Introductionmentioning

confidence: 99%

<p>Prevalence and Predictors of Uncontrolled Asthma in Children Referred for Asthma and Other Atopic Diseases</p>

Kansen¹,

Le²,

Uiterwaal³

et al. 2020

JAA

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“…For example, findings might be affected by respiratory infections, recall bias, and gender. Epidemiological studies have found an association between respiratory tract infection and risk of allergic rhinitis [40,41]. Acetaminophen exposure for such episodes could cause confounding.…”

Section: Discussionmentioning

confidence: 99%

Cumulative Evidence for Association of Acetaminophen Exposure and Allergic Rhinitis

Zeng

Song

Gao

et al. 2020

Int Arch Allergy Immunol

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Background: Several studies have linked acetaminophen exposure to the risk of allergic rhinitis, with controversial results. Methods: A systematic search of PubMed, Embase, Cochrane Library, and Web of Science was conducted up to December 1, 2019. We included observational studies that examined the association between acetaminophen exposure and the risk of allergic rhinitis. Two reviewers independently extracted data and assessed study quality. Summary odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using randomeffects meta-analysis. Results: Eighteen studies with 870,492 participants were included. Analysis showed that acetaminophen exposure was associated with an increased risk of allergic rhinitis (OR: 1.54, 95% CI: 1.41-1.69). Also, early exposure and exposure in the past year to acetaminophen was positively associated with risk of allergic rhinitis (OR: 1.34, 95% CI: 1.21-1.49 and OR: 1.74, 95% CI: 1.48-2.04, respectively). The risk of allergic rhinitis was greater for people who had acet-aminophen exposure once per month over the past year (OR: 1.90, 95% CI: 1.60-2.26) compared to once per year (OR: 1.28, 95% CI: 1.11-1.48). Conclusion: With our meta-analysis, we provide the evidence that exposure to acetaminophen is associated with an increased risk of allergic rhinitis. In addition, acetaminophen exposure in early life and acetaminophen exposure in the past year are positively associated with the risk of allergic rhinitis. Future research is needed to evaluate whether the association is causal.

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“…the previous studies, the factors which related to the recurrent URTI are social economy status, exposure to cigarette smoke, rickets, immunization status, family history, older siblings in the family, nutritional status, breastfeeding, cardiovascular disease, and congenital disease in respiratory tract. [7][8][9][10][11][12] These risk factors may be used for recurrent infection control program in children. Therefore, this study aimed to understand the risk factors which influence the occurrence of recurrent upper respiratory infection in children aged 3-60 months at primary healthcare centers (Puskesmas) in Gresik.…”

Section: Original Articlementioning

confidence: 99%

Risk Factors of Recurrent Upper Respiratory Tract Infection in Children Aged 3-60 Months at Primary Healthcare Centers (Puskemas) in Gresik

Asyiroh

Setyoningrum

Fatmaningrum

et al. 2021

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Background: Acute respiratory tract infection (ARTI) is one of the causes of morbidity and mortality in children. This infection may happen in either the upper or lower respiratory tracts. It may also happen recurrently in some children according to the risk factors they have. This study aimed to understand the correlation between risk factors and recurrent upper respiratory tract infection in children aged 3-60 months at primary healthcare centers (Puskesmas) in Gresik.Methods: This study used an analytic observational study with cross-sectional design. The amount of sample used was 110 patients with upper respiratory infection from October 2019-April 2020 at Puskesmas Industri and Puskesmas Alun-Alun, Gresik. Data analysis was performed using chi-square test and logistic regression. The data were taken from medical records as well as questionnaires.Results: The result of bivariate analysis showed that asthma (p = 0.000), exposure to cigarette smoke (p = 0.045), healthy home status (p = 0.002), and the occupancy of the house (p = 0.019) had correlations with the occurrence of recurrent upper respiratory infection. Meanwhile, the multivariate analysis presented some variables which had significant correlation with recurrent upper respiratory tract infection such as asthma (p= 0.000), exposure to cigarette smoke (p = 0.012), and healthy home status (p = 0.001).Conclusion: There was a strong relationship between asthma, exposure to cigarette smoke, and healthy home status with the occurrence of recurrent upper respiratory tract infection (URTI) in children.

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Is recurrent respiratory infection associated with allergic respiratory disease?

Abstract: RRI is associated with previous atopic diseases, and these conditions should be considered when treating children.

Cited by 24 publications

References 29 publications

<p>Prevalence and Predictors of Uncontrolled Asthma in Children Referred for Asthma and Other Atopic Diseases</p>

<p>Prevalence and Predictors of Uncontrolled Asthma in Children Referred for Asthma and Other Atopic Diseases</p>

Cumulative Evidence for Association of Acetaminophen Exposure and Allergic Rhinitis

Risk Factors of Recurrent Upper Respiratory Tract Infection in Children Aged 3-60 Months at Primary Healthcare Centers (Puskemas) in Gresik

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