Epidemiological characteristics and risk factors of rotavirus lower respiratory tract infection in preschool children
10.3969/j.issn.1006-2483.2023.02.035
- VernacularTitle:学龄前儿童轮状病毒下呼吸道感染流行特征及其危险因素
- Author:
Xiumei WANG
1
,
2
;
Shuang QIN
1
,
2
Author Information
1. Department of Pediatrics , Jiangyou People'
2. s Hospital , Jiangyou , Sichuan 621700 , China
- Publication Type:Journal Article
- Keywords:
Preschool child;
Rotavirus;
Lower respiratory tract infection
- From:
Journal of Public Health and Preventive Medicine
2023;34(2):157-161
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate and study epidemiological characteristics and risk factors of rotavirus lower respiratory tract infection in preschool children. Methods The preschool children with rotavirus enteritis and lower respiratory tract infection admitted to the hospital were retrospectively analyzed January 2021 and June 2022. The situations and risk factors of lower respiratory tract infection were evaluated by chest X-ray, serological examination and throat swab culture. Results In the 155 preschool children with rotavirus enteritis, there were 59 (38.06%) cases with lower respiratory tract infection. The results of pathogens culture showed that proportion of Haemophilus influenzae was the highest (28.81%), followed by Streptococcus pneumoniae and Klebsiella pneumoniae (18.64%, 15.25%). There were significant differences between infection group and non-infection group in age, histories of family members smoking, children's aggregated activities and family members' respiratory diseases, family members' and children' attention to hand hygiene, pregnancy outcomes, age at the first usage of antibiotics and onset seasons (P<0.05), but there was no significant difference in gender, feeding situations or children's place of residence (P>0.05). Logistic regression analysis showed that age <3 years (OR=2.962, P=0.031), history of family members' smoking (OR=2.869, P=0.035), history of family members' respiratory diseases (OR=2.354, P=0.039) and the age at the first usage of antibiotics <1 year (OR=2.622, P=0.033) were all independent risk factors of rotavirus lower respiratory tract infection in preschool children. Conclusion The preschool children with rotavirus are prone to lower respiratory tract infection. Clinically, more attentions should be payed to children with age <3 years, history of family members' smoking, history of family members' respiratory diseases and the age at the first usage of antibiotics <1 year. The targeted measures should be actively taken to prevent the risk of lower respiratory tract infection.
