Bronchiectasis in children from Qikiqtani (Baffin) Region, Nunavut, Canada.
Identifieur interne : 000244 ( Main/Exploration ); précédent : 000243; suivant : 000245Bronchiectasis in children from Qikiqtani (Baffin) Region, Nunavut, Canada.
Auteurs : Lopamudra Das ; Thomas A. KovesiSource :
- Annals of the American Thoracic Society [ 2325-6621 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Appréciation des risques (méthodes), Dilatation des bronches (ethnologie), Dilatation des bronches (imagerie diagnostique), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Incidence (MeSH), Inuits (ethnologie), Mâle (MeSH), Nourrisson (MeSH), Nunavut (épidémiologie), Prévalence (MeSH), Tomodensitométrie (MeSH), Études rétrospectives (MeSH).
- MESH :
- ethnologie : Dilatation des bronches, Inuits.
- imagerie diagnostique : Dilatation des bronches.
- méthodes : Appréciation des risques.
- épidémiologie : Nunavut.
- Adolescent, Enfant, Enfant d'âge préscolaire, Facteurs de risque, Femelle, Humains, Incidence, Mâle, Nourrisson, Prévalence, Tomodensitométrie, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent (MeSH), Bronchiectasis (diagnostic imaging), Bronchiectasis (ethnology), Child (MeSH), Child, Preschool (MeSH), Female (MeSH), Humans (MeSH), Incidence (MeSH), Infant (MeSH), Inuits (ethnology), Male (MeSH), Nunavut (epidemiology), Prevalence (MeSH), Retrospective Studies (MeSH), Risk Assessment (methods), Risk Factors (MeSH), Tomography, X-Ray Computed (MeSH).
- MESH :
- diagnostic imaging : Bronchiectasis.
- epidemiology : Nunavut.
- ethnology : Bronchiectasis, Inuits.
- methods : Risk Assessment.
- Adolescent, Child, Child, Preschool, Female, Humans, Incidence, Infant, Male, Prevalence, Retrospective Studies, Risk Factors, Tomography, X-Ray Computed.
Abstract
RATIONALE
Bronchiectasis not related to cystic fibrosis is common in indigenous populations globally, but it has not been studied in Canadian indigenous children.
OBJECTIVE
The objective of this study was to describe bronchiectasis in Canadian Inuit children and examine potentially causal factors.
METHODS
We described the clinical features of bronchiectasis in Canadian Inuit children residing in the Qikiqtani (Baffin) Region, Nunavut, Canada, by performing a retrospective chart review of children from this region. Patients had computed tomography-confirmed bronchiectasis and were diagnosed at the Children's Hospital of Eastern Ontario, Ottawa, Canada, the regional tertiary center, between 1998 and 2011.
MEASUREMENTS AND MAIN RESULTS
We identified 17 cases of bronchiectasis. We conservatively estimated the prevalence at 202/100,000 children. Bronchiectasis was strongly associated with lower respiratory tract infection (LRTI) in infancy. Reported environmental tobacco smoke exposure and overcrowding in the home appeared to be common. The left lower lobe was the most common lung lobe involved. Haemophilus influenza, Streptococcus, and Streptococcus pneumoniae were commonly isolated. The range of FEV1 values measured during pulmonary function testing was 46-108% predicted.
CONCLUSIONS
Previous researchers have reported that Canadian Inuit children have markedly elevated rates of LRTI early in life. Our study suggests that this may lead to long-term pulmonary sequelae. Preventing LRTI in Inuit infants may both prevent acute, severe illness and reduce their risk of developing permanent lung damage.
DOI: 10.1513/AnnalsATS.201406-257OC
PubMed: 25496305
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Kovesi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25496305</idno><idno type="pmid">25496305</idno><idno type="doi">10.1513/AnnalsATS.201406-257OC</idno><idno type="wicri:Area/Main/Corpus">000243</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000243</idno><idno type="wicri:Area/Main/Curation">000243</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000243</idno><idno type="wicri:Area/Main/Exploration">000243</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Bronchiectasis in children from Qikiqtani (Baffin) Region, Nunavut, Canada.</title><author><name sortKey="Das, Lopamudra" sort="Das, Lopamudra" uniqKey="Das L" first="Lopamudra" last="Das">Lopamudra Das</name><affiliation><nlm:affiliation>1 Department of Pediatrics and.</nlm:affiliation><wicri:noCountry code="no comma">1 Department of Pediatrics and.</wicri:noCountry></affiliation></author><author><name sortKey="Kovesi, Thomas A" sort="Kovesi, Thomas A" uniqKey="Kovesi T" first="Thomas A" last="Kovesi">Thomas A. Kovesi</name></author></analytic><series><title level="j">Annals of the American Thoracic Society</title><idno type="eISSN">2325-6621</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Bronchiectasis (diagnostic imaging)</term><term>Bronchiectasis (ethnology)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Infant (MeSH)</term><term>Inuits (ethnology)</term><term>Male (MeSH)</term><term>Nunavut (epidemiology)</term><term>Prevalence (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Risk Assessment (methods)</term><term>Risk Factors (MeSH)</term><term>Tomography, X-Ray Computed (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Appréciation des risques (méthodes)</term><term>Dilatation des bronches (ethnologie)</term><term>Dilatation des bronches (imagerie diagnostique)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Inuits (ethnologie)</term><term>Mâle (MeSH)</term><term>Nourrisson (MeSH)</term><term>Nunavut (épidémiologie)</term><term>Prévalence (MeSH)</term><term>Tomodensitométrie (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Bronchiectasis</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Nunavut</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Dilatation des bronches</term><term>Inuits</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Bronchiectasis</term><term>Inuits</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Dilatation des bronches</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Risk Assessment</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Appréciation des risques</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Nunavut</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Infant</term><term>Male</term><term>Prevalence</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Mâle</term><term>Nourrisson</term><term>Prévalence</term><term>Tomodensitométrie</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>RATIONALE</b></p><p>Bronchiectasis not related to cystic fibrosis is common in indigenous populations globally, but it has not been studied in Canadian indigenous children.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The objective of this study was to describe bronchiectasis in Canadian Inuit children and examine potentially causal factors.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We described the clinical features of bronchiectasis in Canadian Inuit children residing in the Qikiqtani (Baffin) Region, Nunavut, Canada, by performing a retrospective chart review of children from this region. Patients had computed tomography-confirmed bronchiectasis and were diagnosed at the Children's Hospital of Eastern Ontario, Ottawa, Canada, the regional tertiary center, between 1998 and 2011.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS AND MAIN RESULTS</b></p><p>We identified 17 cases of bronchiectasis. We conservatively estimated the prevalence at 202/100,000 children. Bronchiectasis was strongly associated with lower respiratory tract infection (LRTI) in infancy. Reported environmental tobacco smoke exposure and overcrowding in the home appeared to be common. The left lower lobe was the most common lung lobe involved. Haemophilus influenza, Streptococcus, and Streptococcus pneumoniae were commonly isolated. The range of FEV1 values measured during pulmonary function testing was 46-108% predicted.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Previous researchers have reported that Canadian Inuit children have markedly elevated rates of LRTI early in life. Our study suggests that this may lead to long-term pulmonary sequelae. Preventing LRTI in Inuit infants may both prevent acute, severe illness and reduce their risk of developing permanent lung damage.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25496305</PMID><DateCompleted><Year>2015</Year><Month>11</Month><Day>23</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2325-6621</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Annals of the American Thoracic Society</Title><ISOAbbreviation>Ann Am Thorac Soc</ISOAbbreviation></Journal><ArticleTitle>Bronchiectasis in children from Qikiqtani (Baffin) Region, Nunavut, Canada.</ArticleTitle><Pagination><MedlinePgn>96-100</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1513/AnnalsATS.201406-257OC</ELocationID><Abstract><AbstractText Label="RATIONALE" NlmCategory="BACKGROUND">Bronchiectasis not related to cystic fibrosis is common in indigenous populations globally, but it has not been studied in Canadian indigenous children.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The objective of this study was to describe bronchiectasis in Canadian Inuit children and examine potentially causal factors.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We described the clinical features of bronchiectasis in Canadian Inuit children residing in the Qikiqtani (Baffin) Region, Nunavut, Canada, by performing a retrospective chart review of children from this region. Patients had computed tomography-confirmed bronchiectasis and were diagnosed at the Children's Hospital of Eastern Ontario, Ottawa, Canada, the regional tertiary center, between 1998 and 2011.</AbstractText><AbstractText Label="MEASUREMENTS AND MAIN RESULTS" NlmCategory="RESULTS">We identified 17 cases of bronchiectasis. We conservatively estimated the prevalence at 202/100,000 children. Bronchiectasis was strongly associated with lower respiratory tract infection (LRTI) in infancy. Reported environmental tobacco smoke exposure and overcrowding in the home appeared to be common. The left lower lobe was the most common lung lobe involved. Haemophilus influenza, Streptococcus, and Streptococcus pneumoniae were commonly isolated. The range of FEV1 values measured during pulmonary function testing was 46-108% predicted.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Previous researchers have reported that Canadian Inuit children have markedly elevated rates of LRTI early in life. Our study suggests that this may lead to long-term pulmonary sequelae. Preventing LRTI in Inuit infants may both prevent acute, severe illness and reduce their risk of developing permanent lung damage.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Das</LastName><ForeName>Lopamudra</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>1 Department of Pediatrics and.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kovesi</LastName><ForeName>Thomas A</ForeName><Initials>TA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Am Thorac Soc</MedlineTA><NlmUniqueID>101600811</NlmUniqueID><ISSNLinking>2325-6621</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001987" MajorTopicYN="N">Bronchiectasis</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004930" MajorTopicYN="N">Inuits</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020957" MajorTopicYN="N">Nunavut</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Inuits</Keyword><Keyword MajorTopicYN="N">bronchiectasis</Keyword><Keyword MajorTopicYN="N">bronchiolitis</Keyword><Keyword MajorTopicYN="N">child</Keyword><Keyword MajorTopicYN="N">pneumonia</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25496305</ArticleId><ArticleId IdType="doi">10.1513/AnnalsATS.201406-257OC</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Das, Lopamudra" sort="Das, Lopamudra" uniqKey="Das L" first="Lopamudra" last="Das">Lopamudra Das</name><name sortKey="Kovesi, Thomas A" sort="Kovesi, Thomas A" uniqKey="Kovesi T" first="Thomas A" last="Kovesi">Thomas A. 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