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Pediatric respiratory tract diseases: Chronological trends and perspectives
Houda Ben Ayed1, Sourour Yaïch1, Maïssa Ben Jmaa1
1Department of Community Health and Epidemiology, Hedi Chaker University Hospital, Sfax, Tunisia.
Insights
Childhood respiratory tract diseases (RTD) in Sfax, Tunisia, show increasing trends, particularly acute bronchitis and asthma, posing a significant health concern. Urgent preventive and curative strategies are needed to address rising morbidity and mortality.
Area of Science:
- Pediatrics
- Epidemiology
- Public Health
Background:
- Childhood respiratory tract diseases (RTD) represent a significant public health issue.
- Understanding the epidemiological profile and trends of RTD is crucial for effective healthcare planning.
Purpose of the Study:
- To describe the epidemiological profile of childhood RTD in Sfax, Tunisia.
- To evaluate the 13-year trends in childhood RTD incidence and outcomes.
Main Methods:
- Retrospective study of children under 14 hospitalized with RTD.
- Data collected from the regional morbidity register of Sfax University Hospital (2003-2015).
Main Results:
- 10,797 RTD cases identified (21.7% of pediatric hospitalizations), with male predominance (60%).
- Acute bronchitis (53.8%) and asthma (15%) were the most common RTD.
- Significant increases in hospital incidence rates (HIR) for RTD, acute bronchitis, and asthma were observed, alongside a decrease in acute upper respiratory infection (AURI).
- Acute bronchitis lethality rate significantly increased.
Conclusions:
- Childhood RTD remain a serious health problem in Sfax, Tunisia, characterized by increasing morbidity and mortality.
- Urgent implementation of preventive and curative strategies is necessary to mitigate the impact of RTD.
Background:
The aim of this study was to describe the epidemiological profile of childhood respiratory tract diseases (RTD) in the region of Sfax, Tunisia, and to evaluate their trends over a 13 year period.
Methods:
We conducted a retrospective study of all children hospitalized with RTD aged under 14 years. We collected data from the regional morbidity register of the university hospital of Sfax from 2003 to 2015.
Results:
A total of 10 797 RTD patients were enrolled from 49 880 pediatric hospitalizations (21.7%). A male predominance was noted (60%). The median age was 8 months (IQR, 2-36 months). Acute bronchitis (AB) accounted for 53.8%, followed by asthma (15%), pneumonia (14%) and acute upper respiratory infection (AURI; 7.2%). The hospital incidence rate (HIR) of RTD was 34/10 000 inhabitants/year. It was 18.2; 5.07; 4.7 and 2.4/10 000 inhabitants for AB, asthma, pneumonia and AURI, respectively. We noted a significant increase in the HIR of RTD with an annual percentage change (APC) of 10.94% (P < 0.001); in the HIR of AB (APC, 5.27%; P < 0.001); and in asthma HIR (APC, 11.2%; P < 0.001). Otherwise, a significant decrease in AURI HIR was observed (APC, -8.8%; P < 0.001). AB lethality rate increased significantly, with an APC of 7.4% (P < 0.001). Projected trends analysis up to 2024 showed a significant rise in AB and in asthma, while AURI would significantly decrease.
Conclusions:
RTD continues to be a serious health problem over time in terms of morbidity and mortality. Preventive and curative strategies are needed urgently.
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