Recurrent wheezing in infants in the first year of life in Belém (Pará, Brazil)
prevalence and associated risk factors
DOI:
https://doi.org/10.4322/prmj.2019.008Keywords:
respiratory sounds, recurrent, wheezing infant, risk factors, asthmaAbstract
Purpose: To identify the prevalence and risk factors for recurrent wheezing in infants fromBelém, Pará, Brazil. Methods: A cross-sectional study that used the written questionnaire EstudioInternational de Sibilancias en Lactentes (EISL) for parents of infants 12 to15 month-old, in the Health Units of Belém at the time of vaccination between May and August 2006. The Student t test for continuous variables and Chi-square test for categorical variables, estimation of Odds ratio (OR) with 95% confidence interval and adjustmentof logistic regression model to evaluate risk factors with a significance level of 5% were done. Results: 3,024 children participated in the study. The prevalence of recurrent wheezing in these infants was 21.9%. Risk factors associated with recurrent wheezing were male sex, respiratory infections, especially under five months-old, rhinitis and asthma in the family, atopic dermatitis, living in a polluted area, and blackrace. Immunization schedule completeand respiratory infections after six months-old were protective factor. Conclusion: The prevalence of recurrent wheezing is higher in Belém and some of its known risk factors may help to promote preventive measures applicable to wheezing.
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