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Published on: October 22, 2020
Environmental tobacco smoke exposure as a risk factor for infections in infancy
F Ladomenou1, A Kafatos, E Galanakis
1Department of Paediatrics, University of Crete, Crete, Greece.
Insights
Environmental tobacco smoke (ETS) exposure in infants increases infection frequency and hospitalizations. Exclusive breastfeeding offers protection against these harmful effects, highlighting ETS as a preventable risk factor.
Area of Science:
- Pediatrics
- Environmental Health
- Public Health
Background:
- Environmental tobacco smoke (ETS) exposure is a significant concern for infant health.
- Understanding the impact of parental smoking on common infantile infections is crucial for preventative strategies.
Purpose of the Study:
- To investigate the association between environmental tobacco smoke (ETS) exposure and the frequency and severity of common infections in infants.
- To identify factors that may modify the effects of ETS on infant health.
Main Methods:
- A prospective observational study involving 926 infants.
- Parental smoking habits were recorded at 1 and 9 months postpartum.
- Infantile infectious episodes were systematically recorded at multiple time points up to 12 months postpartum.
Main Results:
- Infants exposed to ETS showed a significantly increased frequency of total infectious episodes (p = 0.025) and hospitalizations for infection (p = 0.007).
- Factors such as birth season (autumn) and presence of siblings exacerbated infection rates in ETS-exposed infants.
- Exclusive breastfeeding demonstrated a protective effect against ETS-related infections, hospital admissions, and thrush.
Conclusions:
- Environmental tobacco smoke (ETS) has a detrimental effect on infant health, increasing susceptibility to infections.
- The impact of ETS can be modulated by other environmental and protective factors, such as breastfeeding.
- ETS represents a modifiable risk factor that should be addressed to improve infant health outcomes.
Aim:
This prospective observational study investigated the effect of environmental tobacco smoke (ETS) on frequency and severity of common infantile infections.
Methods:
In a representative sample of 926 infants, parental smoking was recorded at months 1 and 9 postpartum, and all infantile infectious episodes were recorded at 1, 3, 6, 9 and 12 months postpartum.
Results:
Both parents were regular smokers all through the first year in 107 (11.6%), at least one smoked regularly or occasionally in 492 (53.1%), and parents did not smoke at all in 327 (35.3%) families. Among mothers, 168 (18.1%) smoked perinatally. Infantile ETS exposure was associated with increased frequency of total infectious episodes (p = 0.025) and hospitalizations for infection (p = 0.007). In ETS exposed infants, birth in autumn and presence of siblings contributed to increased frequency of most infections and of hospital admissions for infection. By contrast, exclusive breastfeeding protected against the effect of ETS on total infantile infections (OR 0.982, 95% CI 0.965-0.999; p = 0.036), hospital admissions for infection (OR 0.980, 95% CI 0.961-0.999; p = 0.036) and thrush (OR 0.973, 95% CI 0.951-0.996; p = 0.022).
Conclusion:
Our findings point to harmful effect of ETS on infantile health and further suggest that this effect may be enhanced or diminished by other factors. ETS should be regarded as a preventable risk factor for infections in infancy.
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