Day Care Increases the Risk of Respiratory Morbidity in Chronic Lung Disease of Prematurity
Day Care Increases the Risk of Respiratory Morbidity in Chronic Lung Disease of Prematurity
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DOI：
10.1542/peds.2010-0844
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发表时间：
2010-10-01
期刊：
影响因子：
8
通讯作者：
Collaco, J. Michael
中科院分区：
文献类型：
--
作者：
McGrath-Morrow, Sharon A.;Lee, Grace;Collaco, J. Michael
目的：早产儿慢性肺部疾病(CLDP)是呼吸道病毒感染致病和死亡的高危人群。在日托环境中接触呼吸道病毒可能会增加。在慢性阻塞性肺病患者中，日间护理导致呼吸道疾病的风险尚不清楚。因此，我们试图确定日托服务是否是慢性阻塞性肺疾病婴儿和儿童呼吸道发病率和症状增加的重要危险因素。方法：在2008年1月至2009年10月期间，对患有慢性阻塞性肺病的婴儿和儿童的父母进行了调查。收集了有关儿童的围产史、社会人口学信息、日间护理和呼吸道发病率指标的信息，包括急诊科就诊、住院、全身皮质类固醇的使用、抗生素的使用和呼吸道症状。
OBJECTIVES: Infants and children with chronic lung disease of prematurity (CLDP) are at increased risk for morbidity and mortality from respiratory viral infections. Exposure to respiratory viruses may be increased in the day care environment. The risk of respiratory morbidity from day care attendance in the CLDP population is unknown. We therefore sought to determine if day care attendance is a significant risk factor for increased respiratory morbidity and symptoms in infants and children with CLDP.METHODS: Between January 2008 and October 2009, parents of infants and children with CLDP were surveyed. Information on perinatal history, sociodemographic information, day care attendance, and indicators of respiratory morbidity, including emergency department (ED) visits, hospitalizations, systemic corticosteroid use, antibiotic use, and respiratory symptoms, was collected on children