Asthma predictive index and associated risk factors in under five-year-old children with recurrent wheezes
Keywords:
RESPIRATORY SOUNDS, AIRWAY OBSTRUCTIONAbstract
Background:children under five years old show frequent bronchial obstruction and many of them have transient wheezes without necessarily being asthmatic.
Objective: to identify the predictive index criteria of bronchial asthma with recurrent wheezes and their associated risk factors in children under five years of age who were treated in “Aleida Fernández Chardiet” Teaching General Hospital in Güines, Mayabeque province.
Methods: a descriptive and cross-sectional study was carried out to identify the predictive index criteria of bronchial asthma and their associated risk factors in all the children under five years old who were admitted because of recurrent wheezes in the respiratory diseases ward of the mentioned hospital from April, 2014 to April, 2015.
Results: wheeze was most frequent in children under one year old (48,8 %), with a slight predominance of males (54,1 %). First line family history of bronchial asthma (48,1 %), atopic dermatitis (42,7 %), three or more episodes of wheezes not related to acute respiratory infections (60,3 %), and eosinophilia upper than 4 % (44,3 %) showed the highest incidence. The most frequent associated risk factors were: nonexclusive breastfeeding up to six months (61 %), recurrent acute respiratory infections (60,3 %), inside home pollutants (90,8 %) and environmental pollution (83,2 %).
Conclusions: the predictive index criteria of bronchial asthma and their associated risk factors were identified in the children population studied. That will permit an adequate diagnosis, follow-up, therapeutics, and promoting actions to modify them.
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