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Epidemiology of acute respiratory infections in children - preliminary results of a cohort in a rural north Indian community
A. Krishnan, R. Amarchand, V. Gupta, K.E. Lafond, R.A. Suliankatchi, , S. Rai, P. Misra, D.R. Purakayastha, A. WahiShow More
Published in BioMed Central Ltd.
2015
PMID: 26502931
Volume: 15
   
Issue: 1
Abstract
Background: Despite acute respiratory infections being a major cause of death among children in developing countries including India, there is a lack of community-based studies that document its burden and aetiology. Methods: A dynamic cohort of children aged 0-10 years was established in four villages in a north Indian state of Haryana from August 2012 onwards. Trained health workers conducted weekly home visits to screen children for acute respiratory infection (ARI) defined as one of the following: cough, sore throat, nasal congestion, earache/discharge, or breathing difficulty. Nurses clinically assessed these children to grade disease severity based on standard age-specific guidelines into acute upper or lower respiratory infection (AURI or ALRI) and collected nasal/throat swabs for pathogen testing. Results: Our first year results show that ARI incidence in 0-10 years of age was 5.9 (5.8-6.0) per child-year with minimal gender difference, the ALRI incidence in the under-five age group was higher among boys (0.43; 0.39-0.49) as compared to girls (0.31; 0.26-0.35) per child year. Boys had 2.4 times higher ARI-related hospitalization rate as compared to girls. Conclusion: ARI impose a significant burden on the children of this cohort. This study platform aims to provide better evidence for prevention and control of pneumonia in developing countries. © 2015 Krishnan et al.
About the journal
JournalBMC Infectious Diseases
PublisherBioMed Central Ltd.
ISSN14712334