ISRN pediatrics最新文献_第3页

Selected Health Status Measures of Children from US Immigrant Families. 美国移民家庭儿童健康状况测量的选择

ISRN pediatrics Pub Date : 2013-07-08 Print Date: 2013-01-01 DOI: 10.1155/2013/164757

Stella M Yu, Sue C Lin, Terry Adirim

{"title":"Selected Health Status Measures of Children from US Immigrant Families.","authors":"Stella M Yu, Sue C Lin, Terry Adirim","doi":"10.1155/2013/164757","DOIUrl":"https://doi.org/10.1155/2013/164757","url":null,"abstract":"Using the 2007 National Survey of Children's Health (N = 91,532), we studied the relationship between the joint effects of immigrant family type (foreign-born children, US-born children/one foreign-born parent, US-born children/both foreign-born parents, and US-born children/US-born parents) and race/ethnicity on various health measures (parent-reported physical and dental health, obesity/overweight, breast-feeding, school absence, injury, and chronic condition). We used weighted logistic regression to examine the independent effects of the 12-level joint variable on various health status measures while controlling for confounding factors. Overall, nearly one-third of families with both foreign-born parents were poor, and one-quarter of the parents in these households did not complete high school. Compared with non-Hispanic White US-born children, multivariable analyses indicate that all Hispanic children have higher odds of obesity, poor physical and dental health, with Hispanic foreign-born children 7 times as likely to report poor/fair physical health. Most children of immigrant parents were more likely to have been breast-fed and less likely to miss school more than 11 days. Child age and household poverty status were independently associated with most of the health status measures. Combined race/ethnicity and immigrant family type categories have heterogeneous associations with each health outcome measure examined. Culturally competent interventions and policies should be developed to serve these expanding communities. ","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":" ","pages":"164757"},"PeriodicalIF":0.0,"publicationDate":"2013-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/164757","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31650026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Determinants of oxygen therapy in childhood pneumonia in a resource-constrained region. 资源受限地区儿童肺炎氧疗的决定因素

ISRN pediatrics Pub Date : 2013-06-02 Print Date: 2013-01-01 DOI: 10.1155/2013/435976

Bankole Peter Kuti, Samuel Ademola Adegoke, Benard E Ebruke, Stephen Howie, Oyeku Akibu Oyelami, Martin Ota

{"title":"Determinants of oxygen therapy in childhood pneumonia in a resource-constrained region.","authors":"Bankole Peter Kuti, Samuel Ademola Adegoke, Benard E Ebruke, Stephen Howie, Oyeku Akibu Oyelami, Martin Ota","doi":"10.1155/2013/435976","DOIUrl":"10.1155/2013/435976","url":null,"abstract":"Childhood pneumonia is a leading cause of morbidity and mortality among underfives particularly in the resource-constraint part of the world. A high proportion of these deaths are due to lack of oxygen, thereby making oxygen administration a life-saving adjunctive when indicated. However, many primary health centres that manage most of the cases often lack the adequate manpower and facilities to decide which patient should be on oxygen therapy. Therefore, this study aimed to determine factors that predict hypoxaemia at presentation in children with severe pneumonia. Four hundred and twenty children aged from 2 to 59 months (40% infants) with severe pneumonia admitted to a health centre in rural Gambia were assessed at presentation. Eighty-one of them (19.30%) had hypoxaemia (oxygen saturation < 90%). Children aged 2-11 months, with grunting respiration, cyanosis, and head nodding, and those with cardiomegaly on chest radiograph were at higher risk of hypoxaemia (P < 0.05). Grunting respiration (OR = 5.210, 95% CI 2.287-7.482) and cyanosis (OR = 83.200, 95% CI 5.248-355.111) were independent predictors of hypoxaemia in childhood pneumonia. We conclude that children that grunt and are centrally cyanosed should be preferentially commenced on oxygen therapy even when there is no facility to confirm hypoxaemia. ","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":" ","pages":"435976"},"PeriodicalIF":0.0,"publicationDate":"2013-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31549202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Type of Anesthesia Used during Cesarean Section Is Related to the Transient Tachypnea of the Newborn. 剖宫产术中使用的麻醉类型与新生儿短暂性呼吸急促有关。

ISRN pediatrics Pub Date : 2013-04-24 Print Date: 2013-01-01 DOI: 10.1155/2013/264340

Esengül Keleş, Hamza Yazgan, Arzu Gebeşçe, Emine Pakır

{"title":"The Type of Anesthesia Used during Cesarean Section Is Related to the Transient Tachypnea of the Newborn.","authors":"Esengül Keleş, Hamza Yazgan, Arzu Gebeşçe, Emine Pakır","doi":"10.1155/2013/264340","DOIUrl":"https://doi.org/10.1155/2013/264340","url":null,"abstract":"Aim. To demonstrate whether transient tachypnea of the newborn (TTN) is found more frequently in women undergoing general or combined epidural-spinal (CES) anesthesia during Cesarean section. Methods. This study was done retrospectively. A total of 1447 Cesarean sections (C/S) were performed in our clinic between January 2008 and December 2011. General anesthesia was performed in 1078 (74.5%) of the Cesarean cases. CES anesthesia was performed in 369 cases (25.5%). The International Classification of Diseases,Tenth Revision code of P22.1, was used to identify the infants with TTN. Stratified multivariate analysis was undertaken on subgroups to assess the effect modification by factors known to influence the incidence of TTN: maternal age, maternal systolic-diastolic artery pressure, heart rate, Apgar score at 1 and 5 minutes, sex, time interval from spinal block to skin incision, and time interval from skin incision to umbilical cord clamping. Results. The rate of TTN diagnosis was found to be higher in parturients who had a cesarean section with combined epidural-spinal anesthesia, but no statistical differences were found. (P < 0.05) (odds ratio = 1.471 and 95%CI: 0.92-2.35). Conclusions. The incidence of TTN was found related to C/S but independent from the type of anesthesia. However, studies with a wider spectrum of patients and a lower quantitative difference between the groups are needed in order to draw firm this conclusions.","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":" ","pages":"264340"},"PeriodicalIF":0.0,"publicationDate":"2013-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/264340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31458507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Heart Rate and Arterial Pressure Changes during Whole-Body Deep Hypothermia. 全身深度低温时心率和动脉压的变化。

ISRN pediatrics Pub Date : 2013-04-11 Print Date: 2013-01-01 DOI: 10.1155/2013/140213

Giacomo Cavallaro, Luca Filippi, Genny Raffaeli, Gloria Cristofori, Federico Schena, Elisa Agazzani, Ilaria Amodeo, Alice Griggio, Simona Boccacci, Patrizio Fiorini, Fabio Mosca

{"title":"Heart Rate and Arterial Pressure Changes during Whole-Body Deep Hypothermia.","authors":"Giacomo Cavallaro, Luca Filippi, Genny Raffaeli, Gloria Cristofori, Federico Schena, Elisa Agazzani, Ilaria Amodeo, Alice Griggio, Simona Boccacci, Patrizio Fiorini, Fabio Mosca","doi":"10.1155/2013/140213","DOIUrl":"https://doi.org/10.1155/2013/140213","url":null,"abstract":"Whole-body deep hypothermia (DH) could be a new therapeutic strategy for asphyxiated newborn. This retrospective study describes how DH modified the heart rate and arterial blood pressure if compared to mild hypothermia (MH). Fourteen in DH and 17 in MH were cooled within the first six hours of life and for the following 72 hours. Hypothermia criteria were gestational age ≥36 weeks; birth weight ≥1800 g; clinical signs of moderate/severe hypoxic-ischemic encephalopathy. Rewarming was obtained in the following 6-12 hours (0.5°C/h) after cooling. Heart rates were the same between the two groups; there was statistically significant difference at the beginning of hypothermia and during rewarming. Three babies in the DH group and 2 in the MH group showed HR < 80 bpm and QTc > 520 ms. Infant submitted to deep hypothermia had not bradycardia or Qtc elongation before cooling and after rewarming. Blood pressure was significantly lower in DH compared to MH during the cooling, and peculiar was the hypotension during rewarming in DH group. Conclusion. The deeper hypothermia is a safe and feasible, only if it is performed by a well-trained team. DH should only be associated with a clinical trial and prospective randomized trials to validate its use.","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":" ","pages":"140213"},"PeriodicalIF":0.0,"publicationDate":"2013-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/140213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31538622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Prevalence and Clinical and Immunoviralogical Profile of Human Immunodeficiency Virus-Hepatitis B Coinfection among Children in an Antiretroviral Therapy Programme in Benue State, Nigeria. 尼日利亚贝努埃州抗逆转录病毒治疗项目中儿童人类免疫缺陷病毒-乙型肝炎合并感染的流行率和临床及免疫病毒学特征

ISRN pediatrics Pub Date : 2013-04-03 Print Date: 2013-01-01 DOI: 10.1155/2013/932697

Emmanuel Ademola Anigilaje, Ayodotun Olutola

{"title":"Prevalence and Clinical and Immunoviralogical Profile of Human Immunodeficiency Virus-Hepatitis B Coinfection among Children in an Antiretroviral Therapy Programme in Benue State, Nigeria.","authors":"Emmanuel Ademola Anigilaje, Ayodotun Olutola","doi":"10.1155/2013/932697","DOIUrl":"10.1155/2013/932697","url":null,"abstract":"Background. Nigeria has the world largest burden of paediatric HIV and is also highly endemic for Hepatitis B virus (HBV). However, relatively little is known regarding the prevalence of HBV-HIV coinfections among Nigerian children. Methods. A retrospective study among treatment naive HIV-infected children attending the pediatric clinic of the APIN Plus/Harvard PEPFAR program of the Federal Medical Centre, Makurdi, between June 2008 and June 2012. Results. The mean age of the 395 subjects studied was 7.53 ± 4.23 years. Thirty-one subjects (7.8%) were positive for HBV. No subject was HIV-HBV-HCV triply infected. Significantly higher HIV-HBC coinfections were found, in older subjects (11-15 years), subjects that did not receive nor complete Hepatitis B vaccinations, and subjects that had a severe immunosuppression of < 15% with respective P values of 0.00, 0.01, and 0.00. HIV-HBV co-infection did not significantly impact on other baseline characteristics including, gender, WHO clinical stage, median absolute CD4 count, mean viral load, median ALT, and hepatotoxicity. Conclusion. A high seroprevalence of HBV among this cohort of HIV-infected children contributes to the calls for pre-ART screening for HBV and the necessary paradigm shift in the ART nucleoside backbone to include agent(s) more dually effective against HIV and HBV.","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":" ","pages":"932697"},"PeriodicalIF":0.0,"publicationDate":"2013-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/932697","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31538624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 34

Clinical asthma phenotypes and therapeutic responses. 临床哮喘表型和治疗反应。

ISRN pediatrics Pub Date : 2013-03-31 Print Date: 2013-01-01 DOI: 10.1155/2013/824781

M Zedan, G Attia, M M Zedan, A Osman, N Abo-Elkheir, N Maysara, T Barakat, N Gamil

{"title":"Clinical asthma phenotypes and therapeutic responses.","authors":"M Zedan, G Attia, M M Zedan, A Osman, N Abo-Elkheir, N Maysara, T Barakat, N Gamil","doi":"10.1155/2013/824781","DOIUrl":"10.1155/2013/824781","url":null,"abstract":"Asthma is a heterogeneous disease that means not all asthmatics respond to the same treatment. We hypothesize an approach to characterize asthma phenotypes based on symptomatology (shortness of breath (SOB), cough, and wheezy phenotypes) in correlation with airway inflammatory biomarkers and FEV1. We aimed to detect whether those clinical phenotypes have an impact on the response to asthma medications. Two hundred three asthmatic children were allocated randomly to receive either montelukast (5 mg at bed time) or fluticasone propionate (100 ug twice daily) for 8 consecutive weeks. Serum concentrations of IL-2Rs, ICAM-1, VCAM-1, total IgE, eosinophilic %, eosinophil cationic protein (ECP), and FEV1 were done before and after treatment to patients and once to controls. Children who have SOB were found to have higher levels of total sIgE, older age, and longer disease duration, and they responded to fluticasone alone. Cough group was found to have higher levels of eosinophilic % and sECP, younger age, shorter disease duration and responded to montelukast alone. Wheezy group showed mixed pattern and responded to both medications. Conclusion. Although there is variability in response to ICS and LTRAs, we did identify characteristics of patient that should guide the clinician in the choice of asthma medications.","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":" ","pages":"824781"},"PeriodicalIF":0.0,"publicationDate":"2013-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3628760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31376565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum to "the comparative study of the effectiveness of cimetidine, ranitidine, famotidine, and omeprazole in treatment of children with dyspepsia". 对“西咪替丁、雷尼替丁、法莫替丁和奥美拉唑治疗儿童消化不良疗效的比较研究”的勘误。

ISRN pediatrics Pub Date : 2013-03-28 Print Date: 2013-01-01 DOI: 10.1155/2013/206546

Seyed Mohsen Dehghani, Mohammad Hadi Imanieh, Roya Oboodi, Mahmood Haghighat

{"title":"Erratum to \"the comparative study of the effectiveness of cimetidine, ranitidine, famotidine, and omeprazole in treatment of children with dyspepsia\".","authors":"Seyed Mohsen Dehghani, Mohammad Hadi Imanieh, Roya Oboodi, Mahmood Haghighat","doi":"10.1155/2013/206546","DOIUrl":"https://doi.org/10.1155/2013/206546","url":null,"abstract":"Background. Functional dyspepsia is a common chronic disorder with non specific upper abdominal pain or discomfort. Different approaches with anti-secretory, spasmolytic, prokinetic and anti-inflammatory effects and most preferably reduction of visceral hypersensitivity seem logical. In this study, we compared the effectiveness of the four most drugs used for treatment of dyspepsia in children. Methods. 169 patients between 2 to 16 years old that 47.3% was male and 52.7% was female were enrolled in this clinical trial study by the diagnosis of functional dyspepsia. Then for each patient one of the drugs; Omeprazole, Famotidine, Ranitidine or Cimetidine was administered, for a period of 4 weeks. Patients were followed after 2 and 6 weeks from the beginning of the treatment. Results. The distribution of drugs between these patients were including; 21.9% with Cimetidine, 21.3% with Famotidine, 30.8% with Omeperazole and 26% with Ranitidine that the proportion of patients with all symptoms relief were: 21.6% for Cimetidine, 44.4% for Famotidine, 53.8% for Omeprazole and 43.2% for Cimetidine (P = .024). In followups within 2 and 6 weeks after beginning medical therapy, no side effects due to drugs were seen. Conclusion. If a cure is defined as all symptoms relief after a period of 4 weeks treatment, our findings showed that Omeperazole are superior to Ranitidine, Famotidine, and Cimetidine for management of functional dyspepsia.","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":" ","pages":"206546"},"PeriodicalIF":0.0,"publicationDate":"2013-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/206546","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31538623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of dengue infection severity score. 登革热感染严重程度评分的发展。

ISRN pediatrics Pub Date : 2013-01-01 DOI: 10.1155/2013/845876

Surangrat Pongpan, Apichart Wisitwong, Chamaiporn Tawichasri, Jayanton Patumanond, Sirianong Namwongprom

{"title":"Development of dengue infection severity score.","authors":"Surangrat Pongpan, Apichart Wisitwong, Chamaiporn Tawichasri, Jayanton Patumanond, Sirianong Namwongprom","doi":"10.1155/2013/845876","DOIUrl":"https://doi.org/10.1155/2013/845876","url":null,"abstract":"Objectives. To develop a simple scoring system to predict dengue infection severity based on patient characteristics and routine clinical profiles. Methods. Retrospective data of children with dengue infection from 3 general hospitals in Thailand were reviewed. Dengue infection was categorized into 3 severity levels: dengue infection (DF), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS). Coefficients of significant predictors of disease severity under ordinal regression analysis were transformed into item scores. Total scores were used to classify patients into 3 severity levels. Results. Significant clinical predictors of dengue infection severity were age >6 years, hepatomegaly, hematocrit ≥40%, systolic pressure <90 mmHg, white cell count >5000 / μ L, and platelet ≤50000 / μ L. The derived total scores, which ranged from 0 to 18, classified patients into 3 severity levels: DF (scores <2.5, n = 451, 58.1%), DHF (scores 2.5-11.5, n = 276, 35.5%), and DSS (scores >11.5, n = 50, 6.4%). The derived score correctly classified patients into their original severity levels in 60.7%. An under-estimation of 25.7% and an over-estimation of 13.5% were clinically acceptable. Conclusions. The derived dengue infection severity score classified patients into DF, DHF, or DSS, correctly into their original severity levels. Validation of the score should be reconfirmed before application of routine practice. ","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2013 ","pages":"845876"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/845876","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10668669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 47

Automatic Tube Compensation versus Pressure Support Ventilation and Extubation Outcome in Children: A Randomized Controlled Study. 儿童自动气管补偿与压力支持通气拔管结果:一项随机对照研究。

ISRN pediatrics Pub Date : 2013-01-01 Epub Date: 2013-02-26 DOI: 10.1155/2013/871376

Ahmed Saad El-Din El-Beleidy, Asser Abd El-Hamied Khattab, Seham Awad El-Sherbini, Hebatalla Fadel Al-Gebaly

{"title":"Automatic Tube Compensation versus Pressure Support Ventilation and Extubation Outcome in Children: A Randomized Controlled Study.","authors":"Ahmed Saad El-Din El-Beleidy, Asser Abd El-Hamied Khattab, Seham Awad El-Sherbini, Hebatalla Fadel Al-Gebaly","doi":"10.1155/2013/871376","DOIUrl":"https://doi.org/10.1155/2013/871376","url":null,"abstract":"Background. Automatic tube compensation (ATC) has been developed to overcome the imposed work of breathing due to artificial airways during spontaneous breathing trials (SBTs). Objectives. This study aimed to assess extubation outcome after an SBT (spontaneous breathing trial) with ATC compared with pressure support ventilation (PSV) and to determine the risk factors for extubation failure. Methods. Patients ready for extubation were randomly assigned to two-hour spontaneous breathing trial with either ATC or pressure support ventilation. Results. In the ATC group (n = 17), 11 (65%) patients passed the SBT with subsequent extubation failure (9%). While in PSV group (n = 19), 10 (53%) patients passed the SBT with subsequent extubation failure (10%). This represented a positive predictive value for ATC of 91% and PSV of 90% (P = 0.52). Five (83%) of the patients who failed the SBT in ATC group were reintubated. This represented a higher negative predictive value for ATC of 83% than for PSV which was 56%. None of the assessed risk factors were independently associated with extubation failure including failed trial. Conclusion. ATC was equivalent to PSV in predicting patients with successful extubation. A trial failure in ATC group is associated with but does not definitely predict extubation failure.","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":" ","pages":"871376"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/871376","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40227422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Risk factors of antibiotic misuse for upper respiratory tract infections in children: results from a cross-sectional knowledge-attitude-practice study in Greece. 儿童上呼吸道感染抗生素滥用的危险因素:来自希腊的一项横断面知识-态度-实践研究的结果。

ISRN pediatrics Pub Date : 2012-01-01 Epub Date: 2012-11-01 DOI: 10.5402/2012/685302

Sotiria G Panagakou, Vassiliki Papaevangelou, Adamos Chadjipanayis, George A Syrogiannopoulos, Maria Theodoridou, Christos S Hadjichristodoulou

{"title":"Risk factors of antibiotic misuse for upper respiratory tract infections in children: results from a cross-sectional knowledge-attitude-practice study in Greece.","authors":"Sotiria G Panagakou, Vassiliki Papaevangelou, Adamos Chadjipanayis, George A Syrogiannopoulos, Maria Theodoridou, Christos S Hadjichristodoulou","doi":"10.5402/2012/685302","DOIUrl":"https://doi.org/10.5402/2012/685302","url":null,"abstract":"Background. Upper respiratory tract infections (URTIs) are common in children. The cause of URTIs is usually viral, but parents' attitudes often contribute to inappropriate prescription of antibiotics, promoting antibiotic resistance. The objective of this study was to identify possible risk factors associated with antibiotic misuse in Greece, a country with high levels of antibiotic use and antibiotic resistance. Methods. A knowledge-attitude-practice (KAP) questionnaire was developed and distributed to Greek parents caring for children who were 5-6 years old, between January and July of the same school year. Results. The sample of the study contained 5312 parents from all geographic areas of Greece. The risk factors of being a father, having low education, having immigrant status, being a single parent, having low income, having <2 or >3 children, living in the islands, and being without experience in recurrent URTIs were significantly associated to inadequate knowledge, inappropriate attitudes, and wrong practices. Conclusions. This study has identified the main groups of parents that should be targeted in future intervention programs.","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2012 ","pages":"685302"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/685302","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31098475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25