Analysis of risk factors and treatment of recurrent respiratory tract infections in children in Suqian city

Wang Guiling; Wang Yuanyuan; Yang Zheng

doi:10.3760/cma.j.issn.1673-4777.2015.06.011

Abstract：Objective To explore the clinical characteristics,treatment status and risk factors of recurrent respiratory tract infections (RRTIs) in children in Suqian area.Methods Data of 201 children with RRTIs from January 2011 to January 2014 were retrospectively analyzed.The unified questionnaire were filled to collect the general information and clinical manifestations,etc.Results In 201 children,47 cases (23.4％) was ＜ 1 year old;89 cases (44.3％) was 1-3 years old;56 cases (27.9％) was 4-6 years old and 9 cases (4.5％) was ＞6 years old.The common RRTIs included bronchitis,bronchial pneumonia and upper respiratory tract infection.There were 23 cases of bronchitis (48.9％),14 cases of bronchial pneumonia (29.8％) and 10 cases(21.3％) of upper respiratory tract infection in children ＜ 1 year old;37 cases (41.6％) had upper respiratory tract infection;35 cases (39.3％) had bronchitis and 17 cases (19.1％) had bronchial pneumonia in children of 1-3 years old;31 cases (55.4％) had upper respiratory tract infection;19 cases had bronchitis and 6 cases (10.7％) had bronchial pneumonia in children of 4-6 years old;6 cases (66.7％) had upper respiratory tract infection;2 cases (22.2％) had bronchial pneumonia and 1 case (11.1％) had bronchial pneumonia in children ＞ 6 years old.In all 201 children,there were 189 cases (94.0％) receiving intravenous antibacterial drugs,128 cases (63.7％) receiving intravenous traditional Chinese medicine,74 cases (36.8％) receiving theophylline,48 cases 23.9％) receiving oral hormone,39 cases (19.4％) receiving leukotriene receptor antagonist,67 cases (33.3％) receiving anti-allergic drugs,89 cases (44.3％) receiving immune modulators,32 cases (15.9％) receiving bronchodilators and 24 cases (11.9％) using Chinese herbal medicine irregularly.There were 167 cases (83.1％) using 3-4 kinds of drugs.In 22 children who used 2-3 kinds of antibacterial drug,19 cases (86.4％) were from grade Ⅰ hospital and 3 cases (13.6％) were come from grade Ⅱ hospital.Most children experienced repeated treatment of antibiotics and most parents learned some common sense of standard treatments and nursing.Risk factors of RRTIs included passively inhaling fumes (OR =0.644,95％ CI:0.438-0.931),history of antibacterial (OR =1.766,95％ CI:1.358-2.296),poor training of doctors (OR =0.536,95％ CI:0.305-0.982) (all P ＜ 0.05).Conclusion The therapeutic situations of children with RRTIs is bad in Suqian area,especially in rural area.