Risk Factors Associated with Asthmatic Children
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 4
Abstract
Objectives: The aims of this study were to estimate hospital admission rates of asthma and to identify the risk factors associated with asthma in children, regarding family history of atopic diseases, environmental factors, and feeding practice in early infancy. Patients and Methods: Descriptive study (Longitudinal hospital based study) in Paediatric Department, Misurata teaching hospital, extended for 22 month, from February 2012-Nov 2013. Children were recruited to the study if they were aged between 3 month and 14 year, had history of persistent wheeze or recurrent wheeze. Prospectively collected data on Asthmatic admitted cases include; history, clinical examination, investigations, and treatment, are recorded on a data collecting form. To know the pattern of wheeze, the patients were grouped to three groups; < 3 years, 3 ─ ≤ 6 years, > 6 years. Results: In our hospital, 4.3% of children (82 children) who are admitted to the hospital suffer from acute exacerbation of asthma. The majority of asthmatic children admitted are below 3 years (71%) with mean age 14 months. About 86% of asthmatic children above 6 year are persistent asthmatic and just 14% of children older than 6 year are late onset asthmatic. Regarding family history of atopic disease 50% of persistent asthmatic had family history of atopic diseases. Paternal indoor smoking was reported in 67% of persistent asthmatic. Approximately 95% of infants associated with viral upper respiratory tract infection (URTI) compared to only 57% of children older than 6 years were associated with URTI. Conclusion: Viral infection considered to be an important risk factor in exacerbation of asthma in young children. Other risk factors appear to predispose children to developing persistent asthma including atopy in the family and paternal smoking. Duration of breast feeding and the age for introduction of cow’s milk not differ markedly between different asthmatic groups.
Authors and Affiliations
Dr Anwar T Elgasseir
Keywords
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