Breastfeeding can prevent hospitalization for pneumonia among children under 1 year old

Cristiano Siqueira Boccolini1, Márcia Lazaro de Carvalho, Maria Inês Couto de Oliveira

  • 1Epidemiologia em Saúde Pública, Programa de Pós-Graduação em Epidemiologia em Saúde Pública, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil. cristianoboccolini@yahoo.com.br

Jornal De Pediatria
|November 30, 2011
PubMed

Insights

Breastfeeding, especially exclusive breastfeeding in the first six months, significantly lowers pneumonia hospitalization rates in infants. This highlights breastfeeding as a key preventive health strategy for child respiratory health.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Pneumonia is a leading cause of infant hospitalization.
  • Breastfeeding is recognized for its protective health benefits in infants.

Purpose of the Study:

  • To investigate the association between breastfeeding and infant hospitalizations due to pneumonia.
  • To quantify the impact of breastfeeding prevalence on pneumonia hospitalization rates.

Main Methods:

  • Ecological study utilizing secondary data from Brazilian cities in 2008.
  • Negative binomial regression model applied to hospitalization data and breastfeeding prevalence.
  • Adjusted for socioeconomic factors like Gini Index and smoking prevalence.

Main Results:

  • Higher breastfeeding prevalence (9-12 months) correlated with reduced pneumonia hospitalization (RR=0.62).
  • Exclusive breastfeeding (under 6 months) showed a stronger association with lower hospitalization rates (RR=0.52).

Conclusions:

  • Increasing breastfeeding rates in the first year of life is crucial for reducing infant pneumonia hospitalizations.
  • Promoting exclusive breastfeeding in the first six months offers significant protection against severe pneumonia.
Abstract

Related Concept Videos

Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
Pneumonia IV: Management01:28

Pneumonia IV: Management

The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...