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Published on: January 26, 2019
[Recurrent respiratory infection in children: its clinical and laboratory evaluation]
N Pavía-Ruz1, P López, J I Santos
1Departamento de Enfermedades Infecciosas y Parasitarias, Hospital Infantil de México Federico Gómez, D.F.
Insights
Recurrent respiratory infections in young children are common, but distinguishing normal illness from underlying conditions requires evaluating host factors and environmental influences. This overview details clinical and lab findings for diagnosing children with frequent respiratory infections.
Area of Science:
- Pediatrics
- Infectious Diseases
- Immunology
Context:
- Respiratory infections are a leading cause of morbidity and mortality in children under five in developing nations.
- Preschool children commonly experience 4-6 respiratory infections annually, making it challenging to identify abnormal patterns.
- Pediatricians often face diagnostic dilemmas regarding children with recurrent respiratory infections.
Purpose:
- To provide an overview of clinical and laboratory evaluation findings for children experiencing recurrent respiratory infections.
- To explore predisposing factors, including host (immune and non-immune) and environmental elements, contributing to recurrent infections.
- To aid healthcare providers in differentiating normal infection frequency from potentially pathological conditions.
Summary:
- This article reviews the clinical presentation and laboratory diagnostic approaches for recurrent respiratory infections in children.
- It examines various host-related factors, encompassing immune and non-immune defense mechanisms, that may predispose children to frequent infections.
- Environmental influences and infectious agents are also considered as contributing elements to the pattern of recurrent respiratory illness.
Impact:
- Enhances the diagnostic capabilities of clinicians managing children with recurrent respiratory infections.
- Facilitates a better understanding of the multifactorial etiology of recurrent respiratory infections in pediatric populations.
- Aims to improve patient outcomes by enabling timely identification and management of underlying predisposing conditions.
Abstract:
Respiratory infections comprise the main cause of medical consultations, and one of two of the first causes of morbidity and mortality in children under five in developing countries. Epidemiological studies have shown that preschool children contract between four and six respiratory infections in the course of a year without this causing any alarm as a deviation from "normality". Yet, the general practitioner and the pediatrician are frequently faced with the dilemma of deciding whether the child who is "always ill" the use of the recurrent infections is, normal or has predisposing conditions to the infections. Among the predisposing conditions for recurrent respiratory infections in children are several host factors, such as immune defense mechanisms and non-immune mechanisms as well as the infections agent and/or the environment. This article is an overview of the clinical and laboratory evaluation findings of children with recurrent respiratory infections.
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