Lower respiratory tract infections in Inuit infants on Baffin Island.
Identifieur interne : 000A81 ( Main/Exploration ); précédent : 000A80; suivant : 000A82Lower respiratory tract infections in Inuit infants on Baffin Island.
Auteurs : A. Banerji [Canada] ; A. Bell ; E L Mills ; J. Mcdonald ; K. Subbarao ; G. Stark ; N. Eynon ; V G LooSource :
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne [ 0820-3946 ] ; 2001.
Descripteurs français
- KwdFr :
- Durée du séjour (MeSH), Enfant d'âge préscolaire (MeSH), Femelle (MeSH), Hospitalisation (statistiques et données numériques), Humains (MeSH), Indice de gravité de la maladie (MeSH), Infections de l'appareil respiratoire (classification), Infections de l'appareil respiratoire (épidémiologie), Inuits (MeSH), Mâle (MeSH), Nourrisson (MeSH), Nouveau-né (MeSH), Nunavut (épidémiologie), Pollution de l'air intérieur (effets indésirables), Études prospectives (MeSH).
- MESH :
- effets indésirables : Infections de l'appareil respiratoire, Pollution de l'air intérieur.
- statistiques et données numériques : Hospitalisation.
- épidémiologie : Infections de l'appareil respiratoire, Nunavut.
- Durée du séjour, Enfant d'âge préscolaire, Femelle, Humains, Indice de gravité de la maladie, Inuits, Mâle, Nourrisson, Nouveau-né, Études prospectives.
English descriptors
- KwdEn :
- Air Pollution, Indoor (adverse effects), Child, Preschool (MeSH), Female (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Infant (MeSH), Infant, Newborn (MeSH), Inuits (MeSH), Length of Stay (MeSH), Male (MeSH), Nunavut (epidemiology), Prospective Studies (MeSH), Respiratory Tract Infections (classification), Respiratory Tract Infections (epidemiology), Severity of Illness Index (MeSH).
- MESH :
- geographic , epidemiology : Nunavut.
- adverse effects : Air Pollution, Indoor.
- classification : Respiratory Tract Infections.
- epidemiology : Respiratory Tract Infections.
- statistics & numerical data : Hospitalization.
- Child, Preschool, Female, Humans, Infant, Infant, Newborn, Inuits, Length of Stay, Male, Prospective Studies, Severity of Illness Index.
Abstract
BACKGROUND
It has long been suspected that Canadian Inuit children suffer from frequent severe lower respiratory tract infections (LRTIs), but the causes and risk factors have not been documented. This study assessed the infectious causes and other epidemiologic factors that may contribute to the severity of LRTI in young Inuit children on Baffin Island.
METHODS
A prospective case study was carried out at the Baffin Regional Hospital in Iqaluit, Nunavut, of infants less than 6 months of age, who were admitted to hospital between October 1997 and June 1998 with a diagnosis of LRTI. Immunofluorescent antibody testing was used to identify respiratory viruses, and enzyme immunoassay (EIA) and polymerase chain reaction (PCR) were used to test for Chlamydia trachomatis. Demographic and risk factor data were obtained through a questionnaire.
RESULTS
The annualized incidence rate of admission to hospital for bronchiolitis at Baffin Regional Hospital was 484 per 1000 infants who were less than 6 months of age; 12% of the infants were intubated. Probable pathogens were identified for 18 of the 27 cases considered in our study. A single agent was identified for 14 infants: 8 had respiratory syncytial virus, 2 adenovirus, 1 rhinovirus, 1 influenza A, 1 parainfluenza 3 and 1 had cytomegalovirus. For 4 infants, 2 infectious agents were identified: these were enterovirus and Bordetella pertussis, adenovirus and enterovirus, cytomegalovirus and respiratory syncytial virus, and respiratory syncytial virus and adenovirus. C. trachomatis was not identified by either EIA or PCR. All infants were exposed to maternal smoking in utero, second-hand smoke at home and generally lived in crowded conditions.
INTERPRETATION
Inuit infants in the Baffin Region suffer from an extremely high rate of hospital admissions for LRTI. The high frequency and severity of these infections calls for serious public health attention.
PubMed: 11450280
PubMed Central: PMC81192
Affiliations:
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Subbarao</name></author><author><name sortKey="Stark, G" sort="Stark, G" uniqKey="Stark G" first="G" last="Stark">G. Stark</name></author><author><name sortKey="Eynon, N" sort="Eynon, N" uniqKey="Eynon N" first="N" last="Eynon">N. Eynon</name></author><author><name sortKey="Loo, V G" sort="Loo, V G" uniqKey="Loo V" first="V G" last="Loo">V G Loo</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2001">2001</date><idno type="RBID">pubmed:11450280</idno><idno type="pmid">11450280</idno><idno type="pmc">PMC81192</idno><idno type="wicri:Area/Main/Corpus">000A78</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000A78</idno><idno type="wicri:Area/Main/Curation">000A78</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000A78</idno><idno type="wicri:Area/Main/Exploration">000A78</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lower respiratory tract infections in Inuit infants on Baffin Island.</title><author><name sortKey="Banerji, A" sort="Banerji, A" uniqKey="Banerji A" first="A" last="Banerji">A. Banerji</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, University of British Columbia, Vancouver, BC. abanerji@sprint.ca</nlm:affiliation><country wicri:rule="url">Canada</country></affiliation></author><author><name sortKey="Bell, A" sort="Bell, A" uniqKey="Bell A" first="A" last="Bell">A. Bell</name></author><author><name sortKey="Mills, E L" sort="Mills, E L" uniqKey="Mills E" first="E L" last="Mills">E L Mills</name></author><author><name sortKey="Mcdonald, J" sort="Mcdonald, J" uniqKey="Mcdonald J" first="J" last="Mcdonald">J. Mcdonald</name></author><author><name sortKey="Subbarao, K" sort="Subbarao, K" uniqKey="Subbarao K" first="K" last="Subbarao">K. Subbarao</name></author><author><name sortKey="Stark, G" sort="Stark, G" uniqKey="Stark G" first="G" last="Stark">G. Stark</name></author><author><name sortKey="Eynon, N" sort="Eynon, N" uniqKey="Eynon N" first="N" last="Eynon">N. Eynon</name></author><author><name sortKey="Loo, V G" sort="Loo, V G" uniqKey="Loo V" first="V G" last="Loo">V G Loo</name></author></analytic><series><title level="j">CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne</title><idno type="ISSN">0820-3946</idno><imprint><date when="2001" type="published">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Air Pollution, Indoor (adverse effects)</term><term>Child, Preschool (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Inuits (MeSH)</term><term>Length of Stay (MeSH)</term><term>Male (MeSH)</term><term>Nunavut (epidemiology)</term><term>Prospective Studies (MeSH)</term><term>Respiratory Tract Infections (classification)</term><term>Respiratory Tract Infections (epidemiology)</term><term>Severity of Illness Index (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Durée du séjour (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Femelle (MeSH)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Infections de l'appareil respiratoire (classification)</term><term>Infections de l'appareil respiratoire (épidémiologie)</term><term>Inuits (MeSH)</term><term>Mâle (MeSH)</term><term>Nourrisson (MeSH)</term><term>Nouveau-né (MeSH)</term><term>Nunavut (épidémiologie)</term><term>Pollution de l'air intérieur (effets indésirables)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Nunavut</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Air Pollution, Indoor</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Infections de l'appareil respiratoire</term><term>Pollution de l'air intérieur</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hospitalisation</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections de l'appareil respiratoire</term><term>Nunavut</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Inuits</term><term>Length of Stay</term><term>Male</term><term>Prospective Studies</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Durée du séjour</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Inuits</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>It has long been suspected that Canadian Inuit children suffer from frequent severe lower respiratory tract infections (LRTIs), but the causes and risk factors have not been documented. This study assessed the infectious causes and other epidemiologic factors that may contribute to the severity of LRTI in young Inuit children on Baffin Island.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A prospective case study was carried out at the Baffin Regional Hospital in Iqaluit, Nunavut, of infants less than 6 months of age, who were admitted to hospital between October 1997 and June 1998 with a diagnosis of LRTI. Immunofluorescent antibody testing was used to identify respiratory viruses, and enzyme immunoassay (EIA) and polymerase chain reaction (PCR) were used to test for Chlamydia trachomatis. Demographic and risk factor data were obtained through a questionnaire.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The annualized incidence rate of admission to hospital for bronchiolitis at Baffin Regional Hospital was 484 per 1000 infants who were less than 6 months of age; 12% of the infants were intubated. Probable pathogens were identified for 18 of the 27 cases considered in our study. A single agent was identified for 14 infants: 8 had respiratory syncytial virus, 2 adenovirus, 1 rhinovirus, 1 influenza A, 1 parainfluenza 3 and 1 had cytomegalovirus. For 4 infants, 2 infectious agents were identified: these were enterovirus and Bordetella pertussis, adenovirus and enterovirus, cytomegalovirus and respiratory syncytial virus, and respiratory syncytial virus and adenovirus. C. trachomatis was not identified by either EIA or PCR. All infants were exposed to maternal smoking in utero, second-hand smoke at home and generally lived in crowded conditions.</p></div><div type="abstract" xml:lang="en"><p><b>INTERPRETATION</b></p><p>Inuit infants in the Baffin Region suffer from an extremely high rate of hospital admissions for LRTI. The high frequency and severity of these infections calls for serious public health attention.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11450280</PMID><DateCompleted><Year>2001</Year><Month>08</Month><Day>09</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0820-3946</ISSN><JournalIssue CitedMedium="Print"><Volume>164</Volume><Issue>13</Issue><PubDate><Year>2001</Year><Month>Jun</Month><Day>26</Day></PubDate></JournalIssue><Title>CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne</Title><ISOAbbreviation>CMAJ</ISOAbbreviation></Journal><ArticleTitle>Lower respiratory tract infections in Inuit infants on Baffin Island.</ArticleTitle><Pagination><MedlinePgn>1847-50</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">It has long been suspected that Canadian Inuit children suffer from frequent severe lower respiratory tract infections (LRTIs), but the causes and risk factors have not been documented. This study assessed the infectious causes and other epidemiologic factors that may contribute to the severity of LRTI in young Inuit children on Baffin Island.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A prospective case study was carried out at the Baffin Regional Hospital in Iqaluit, Nunavut, of infants less than 6 months of age, who were admitted to hospital between October 1997 and June 1998 with a diagnosis of LRTI. Immunofluorescent antibody testing was used to identify respiratory viruses, and enzyme immunoassay (EIA) and polymerase chain reaction (PCR) were used to test for Chlamydia trachomatis. Demographic and risk factor data were obtained through a questionnaire.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The annualized incidence rate of admission to hospital for bronchiolitis at Baffin Regional Hospital was 484 per 1000 infants who were less than 6 months of age; 12% of the infants were intubated. Probable pathogens were identified for 18 of the 27 cases considered in our study. A single agent was identified for 14 infants: 8 had respiratory syncytial virus, 2 adenovirus, 1 rhinovirus, 1 influenza A, 1 parainfluenza 3 and 1 had cytomegalovirus. For 4 infants, 2 infectious agents were identified: these were enterovirus and Bordetella pertussis, adenovirus and enterovirus, cytomegalovirus and respiratory syncytial virus, and respiratory syncytial virus and adenovirus. C. trachomatis was not identified by either EIA or PCR. All infants were exposed to maternal smoking in utero, second-hand smoke at home and generally lived in crowded conditions.</AbstractText><AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">Inuit infants in the Baffin Region suffer from an extremely high rate of hospital admissions for LRTI. The high frequency and severity of these infections calls for serious public health attention.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Banerji</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, University of British Columbia, Vancouver, BC. abanerji@sprint.ca</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bell</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Mills</LastName><ForeName>E L</ForeName><Initials>EL</Initials></Author><Author ValidYN="Y"><LastName>McDonald</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Subbarao</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Stark</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Eynon</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Loo</LastName><ForeName>V G</ForeName><Initials>VG</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>CMAJ</MedlineTA><NlmUniqueID>9711805</NlmUniqueID><ISSNLinking>0820-3946</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D016902" MajorTopicYN="N">Air Pollution, Indoor</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004930" MajorTopicYN="Y">Inuits</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020957" MajorTopicYN="N" Type="Geographic">Nunavut</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012141" MajorTopicYN="N">Respiratory Tract Infections</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2001</Year><Month>7</Month><Day>14</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2001</Year><Month>8</Month><Day>10</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2001</Year><Month>7</Month><Day>14</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">11450280</ArticleId><ArticleId IdType="pmc">PMC81192</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Int J Circumpolar Health. 2001 Aug;60(3):375-9</Citation><ArticleIdList><ArticleId IdType="pubmed">11590877</ArticleId></ArticleIdList></Reference><Reference><Citation>Arch Environ Health. 1965 Nov;11(5):620-3</Citation><ArticleIdList><ArticleId IdType="pubmed">5844964</ArticleId></ArticleIdList></Reference><Reference><Citation>Arch Environ Health. 1968 Oct;17(4):517-23</Citation><ArticleIdList><ArticleId IdType="pubmed">5687553</ArticleId></ArticleIdList></Reference><Reference><Citation>Can Med Assoc J. 1979 May 5;120(9):1116, 1119, 1121</Citation><ArticleIdList><ArticleId IdType="pubmed">445307</ArticleId></ArticleIdList></Reference><Reference><Citation>J 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19;348(9034):1060-4</Citation><ArticleIdList><ArticleId IdType="pubmed">8874457</ArticleId></ArticleIdList></Reference><Reference><Citation>Pediatr Infect Dis J. 1997 Mar;16(3):293-7</Citation><ArticleIdList><ArticleId IdType="pubmed">9076818</ArticleId></ArticleIdList></Reference><Reference><Citation>Can Commun Dis Rep. 1997 Aug 1;23(15):113-20</Citation><ArticleIdList><ArticleId IdType="pubmed">9439038</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 1983 Sep 22;309(12):699-703</Citation><ArticleIdList><ArticleId IdType="pubmed">6888441</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Bell, A" sort="Bell, A" uniqKey="Bell A" first="A" last="Bell">A. Bell</name><name sortKey="Eynon, N" sort="Eynon, N" uniqKey="Eynon N" first="N" last="Eynon">N. Eynon</name><name sortKey="Loo, V G" sort="Loo, V G" uniqKey="Loo V" first="V G" last="Loo">V G Loo</name><name sortKey="Mcdonald, J" sort="Mcdonald, J" uniqKey="Mcdonald J" first="J" last="Mcdonald">J. Mcdonald</name><name sortKey="Mills, E L" sort="Mills, E L" uniqKey="Mills E" first="E L" last="Mills">E L Mills</name><name sortKey="Stark, G" sort="Stark, G" uniqKey="Stark G" first="G" last="Stark">G. Stark</name><name sortKey="Subbarao, K" sort="Subbarao, K" uniqKey="Subbarao K" first="K" last="Subbarao">K. Subbarao</name></noCountry><country name="Canada"><noRegion><name sortKey="Banerji, A" sort="Banerji, A" uniqKey="Banerji A" first="A" last="Banerji">A. Banerji</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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