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ACUTE LOWER RESPIRATORY INFECTION IN GUARANI INDIGENOUS CHILDREN, BRAZIL
OBJECTIVE: To describe the clinical profile and treatment of Brazilian Guarani indigenous children aged less than five years hospitalized for acute lower respiratory infection (ALRI), living in villages in the states from Rio de Janeiro to Rio Grande do Sul. METHODS: Of the 234 children, 23 were exc...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade de Pediatria de São Paulo
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038787/ https://www.ncbi.nlm.nih.gov/pubmed/29617476 http://dx.doi.org/10.1590/1984-0462/;2018;36;2;00017 |
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author | de Souza, Patricia Gomes Cardoso, Andrey Moreira Sant’Anna, Clemax Couto March, Maria de Fátima Bazhuni Pombo |
author_facet | de Souza, Patricia Gomes Cardoso, Andrey Moreira Sant’Anna, Clemax Couto March, Maria de Fátima Bazhuni Pombo |
author_sort | de Souza, Patricia Gomes |
collection | PubMed |
description | OBJECTIVE: To describe the clinical profile and treatment of Brazilian Guarani indigenous children aged less than five years hospitalized for acute lower respiratory infection (ALRI), living in villages in the states from Rio de Janeiro to Rio Grande do Sul. METHODS: Of the 234 children, 23 were excluded (incomplete data). The analysis was conducted in 211 children. Data were extracted from charts by a form. Based on record of wheezing and x-ray findings, ALRI was classified as bacterial, viral and viral-bacterial. A bivariate analysis was conducted using multinomial regression. RESULTS: Median age was 11 months. From the total sample, the ALRI cases were classified as viral (40.8%), bacterial (35.1%) and viral-bacterial (24.1%). It was verified that 53.1% of hospitalizations did not have clinical-radiological-laboratorial evidence to justify them. In the multinomial regression analysis, the comparison of bacterial and viral-bacterial showed the likelihood of having a cough was 3.1 times higher in the former (95%CI 1.11-8.70), whereas having chest retractions was 61.0% lower (OR 0.39, 95%CI 0.16-0.92). Comparing viral with viral-bacterial, the likelihood of being male was 2.2 times higher in the viral (95%CI 1.05-4.69), and of having tachypnea 58.0% lower (OR 0.42, 95%CI 0.19-0.92). CONCLUSIONS: Higher proportion of viral processes was identified, as well as viral-bacterial co-infections. Coughing was a symptom indicative of bacterial infection, whereas chest retractions and tachypnea showed viral-bacterial ALRI. Part of the resolution of non-severe ALRI still occurs at hospital level; therefore, we concluded that health services need to implement their programs in order to improve indigenous primary care. |
format | Online Article Text |
id | pubmed-6038787 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Sociedade de Pediatria de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-60387872018-07-16 ACUTE LOWER RESPIRATORY INFECTION IN GUARANI INDIGENOUS CHILDREN, BRAZIL de Souza, Patricia Gomes Cardoso, Andrey Moreira Sant’Anna, Clemax Couto March, Maria de Fátima Bazhuni Pombo Rev Paul Pediatr Original Article OBJECTIVE: To describe the clinical profile and treatment of Brazilian Guarani indigenous children aged less than five years hospitalized for acute lower respiratory infection (ALRI), living in villages in the states from Rio de Janeiro to Rio Grande do Sul. METHODS: Of the 234 children, 23 were excluded (incomplete data). The analysis was conducted in 211 children. Data were extracted from charts by a form. Based on record of wheezing and x-ray findings, ALRI was classified as bacterial, viral and viral-bacterial. A bivariate analysis was conducted using multinomial regression. RESULTS: Median age was 11 months. From the total sample, the ALRI cases were classified as viral (40.8%), bacterial (35.1%) and viral-bacterial (24.1%). It was verified that 53.1% of hospitalizations did not have clinical-radiological-laboratorial evidence to justify them. In the multinomial regression analysis, the comparison of bacterial and viral-bacterial showed the likelihood of having a cough was 3.1 times higher in the former (95%CI 1.11-8.70), whereas having chest retractions was 61.0% lower (OR 0.39, 95%CI 0.16-0.92). Comparing viral with viral-bacterial, the likelihood of being male was 2.2 times higher in the viral (95%CI 1.05-4.69), and of having tachypnea 58.0% lower (OR 0.42, 95%CI 0.19-0.92). CONCLUSIONS: Higher proportion of viral processes was identified, as well as viral-bacterial co-infections. Coughing was a symptom indicative of bacterial infection, whereas chest retractions and tachypnea showed viral-bacterial ALRI. Part of the resolution of non-severe ALRI still occurs at hospital level; therefore, we concluded that health services need to implement their programs in order to improve indigenous primary care. Sociedade de Pediatria de São Paulo 2018-03-29 2018 /pmc/articles/PMC6038787/ /pubmed/29617476 http://dx.doi.org/10.1590/1984-0462/;2018;36;2;00017 Text en https://creativecommons.org/licenses/by/4.0/ Este é um artigo publicado em acesso aberto sob uma licença Creative Commons |
spellingShingle | Original Article de Souza, Patricia Gomes Cardoso, Andrey Moreira Sant’Anna, Clemax Couto March, Maria de Fátima Bazhuni Pombo ACUTE LOWER RESPIRATORY INFECTION IN GUARANI INDIGENOUS CHILDREN, BRAZIL |
title | ACUTE LOWER RESPIRATORY INFECTION IN GUARANI INDIGENOUS CHILDREN,
BRAZIL |
title_full | ACUTE LOWER RESPIRATORY INFECTION IN GUARANI INDIGENOUS CHILDREN,
BRAZIL |
title_fullStr | ACUTE LOWER RESPIRATORY INFECTION IN GUARANI INDIGENOUS CHILDREN,
BRAZIL |
title_full_unstemmed | ACUTE LOWER RESPIRATORY INFECTION IN GUARANI INDIGENOUS CHILDREN,
BRAZIL |
title_short | ACUTE LOWER RESPIRATORY INFECTION IN GUARANI INDIGENOUS CHILDREN,
BRAZIL |
title_sort | acute lower respiratory infection in guarani indigenous children,
brazil |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038787/ https://www.ncbi.nlm.nih.gov/pubmed/29617476 http://dx.doi.org/10.1590/1984-0462/;2018;36;2;00017 |
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