Does atopy affect the course of viral pneumonia?
Allergol. immunopatol
; 46(2): 119-126, mar.-abr. 2018. tab
Artigo
em Inglês
| IBECS
| ID: ibc-172169
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Background:
The presence of atopy is considered as a risk factor for severe respiratory symptoms in children. The objective of this study was to examine the effect of atopy on the course of disease in children hospitalised with viral pneumonia.Methods:
Children between the ages of 1 and 6 years hospitalised due to viral pneumonia between the years of 2013 and 2016 were included to this multicentre study. Patients were classified into two groups as mild-moderate and severe according to the course of pneumonia. Presence of atopy was evaluated with skin prick tests. Groups were compared to evaluate the risk factors associated with severe viral pneumonia.Results:
A total of 280 patients from nine centres were included in the study. Of these patients, 163 (58.2%) were male. Respiratory syncytial virus (29.7%), Influenza A (20.5%), rhinovirus (18.9%), adenovirus (10%), human metapneumovirus (8%), parainfluenza (5.2%), coronavirus (6%), and bocavirus (1.6%) were isolated from respiratory samples. Eighty-five (30.4%) children had severe pneumonia. Atopic sensitisation was found in 21.4% of the patients. Ever wheezing (RR 1.6, 95% CI 1.1-2.4), parental asthma (RR 1.5, 95% CI 1.1-2.2), other allergic diseases in the family (RR 1.8, 95% CI 1.2-2.9) and environmental tobacco smoke (RR 1.6, 95% CI 1.1-3.5) were more common in the severe pneumonia group.Conclusions:
When patients with mild-moderate pneumonia were compared to patients with severe pneumonia, frequency of atopy was not different between the two groups. However, parental asthma, ever wheezing and environmental tobacco smoke exposure are risk factors for severe viral pneumonia in children (AU)RESUMEN
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Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Pneumonia Viral
/
Hipersensibilidade Imediata
Tipo de estudo:
Ensaio clínico controlado
/
Estudo de etiologia
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Estudo observacional
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Fatores de risco
Limite:
Criança
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Criança, pré-escolar
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Feminino
/
Humanos
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Lactente
/
Masculino
Idioma:
Inglês
Revista:
Allergol. immunopatol
Ano de publicação:
2018
Tipo de documento:
Artigo
Instituição/País de afiliação:
Adnan Menderes University Medical Faculty/Turkey
/
Akdeniz University Faculty of Medicine/Turkey
/
Celal Bayar University Medical Faculty/Turkey
/
Dicle University Faculty of Medicine/Turkey
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Dr Behcet Uz Children's Hospital/Turkey
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Dr. Sami Ulus Obstetrics and Child Health and Diseases Training and Research Hospital/Turkey
/
Inonu University Faculty of Medicine/Turkey
/
Kartal Dr Lütfü Kırdar Training and Research Hospital/Turkey
/
Marmara University Faculty of Medicine/Turkey
/
Necmettin Erbakan University/Turkey