The impact of passive smoking on the development of lower respiratory tract infection in infancy Original Article

Abstract

Aim: The goal of this study was to evaluate the impact of passive smoking on the development of lower respiratory tract infection LRTI in children aged 0 24 months Material and Method: 95 infants with LRTI and 95 healthy control infants were included in the case control study conducted by random sample method Urinary cotinine creatinine ratios u CCR were determined in all children Smoking habits of their parents were evaluated Data were analysed by Chi square Mann Whitney U and Pearson correlation tests Results: The frequency of LRTI was increased in children with exposure to passive smoking The incidence of LRTI was also increased as the number of cigarettes smoked increased The infants whose mothers were active smokers had more LRTI compared to those whose mothers were non smokers OR= 2 5 p= 0 026 The prevalence of passive smoking was quite high in both group sof children according to u CCR 95 8 92 7 respectively The prevalence of passive smoking detected with quantitative measurements among children was higher than parental self reports Conclusions: Passive smoking prevalence was very high in infants with LRTI and in healthy infants However passive smoking exposure and smoking density among infants with LRTI were higher than healthy infants Turk Arch Ped 2009; 44: 12 7 Key words: Infant lower respiratory tract infection passive smoking

Keywords

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Süt çocukluğu döneminde edilgin sigara içiminin alt solunum yolu enfeksiyonu gelişimine etkisi Orijinal Araştırma

Öz

Amaç: Çalışmanın amacı süt çocuklarında alt solunum yolu enfeksiyonunun pasif sigara içimi ile ilişkisini araştırmaktır Gereç ve Yöntem: Rastgele örnekleme yöntemi kullanılan olgu kontrol çalışmasına alt solunum yolu enfeksiyonu ASYE tanısı almış 0 24 ay yaş grubunda 95 süt çocuğu ve 95 sağlıklı süt çocuğu alındı Tüm çocuklarda idrar kotinin kreatinin oranları i KKO ölçüldü Ailelerinin sigara içme özellikleri değerlendirildi Veri değerlendirmeleri için Mann Whitney U Ki kare ve Pearson korelasyon testleri kullanıldı Bulgular: Alt solunum yolu enfeksiyonu sigara dumanı ile karşılaşan çocuklarda daha fazla idi İçilen sigara miktarı arttıkça ASYE sıklığı da artmaktaydı Annesi sigara içen çocuklarda içmeyenlere göre anlamlı olarak daha fazla nbsp; ASYE geliştiği saptandı OR= 2 5 p= 0 026 i KKO’ya göre olgu ve kontrol gruplarında pasif içicilik yüksek oranda bulundu sırasıyla 95 8 92 7 Çocuklarda ölçümlerle saptanan pasif içicilik sıklığı ailelerin bildiriminden daha yüksekti nbsp; nbsp; nbsp; Çıkarımlar: Alt solunum yolu enfeksiyonlu ve sağlıklı süt çocuklarının büyük çoğunluğunun pasif sigara dumanı ile karşılaştığı belirlendi Ancak pasif sigara içiciliği ve yoğunluğu nbsp; ASYE’li süt çocuklarında daha yüksekti Türk Ped Arş 2009; 44: 12 7 Anahtar kelimeler: Alt solunum yolu enfeksiyonu edilgin sigara içimi süt çocuğu

Anahtar Kelimeler

• Alt solunum yolu enfeksiyonu, edilgin sigara içimi, süt çocuğu

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