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Adverse factors that can affect on the course of chronic parenchimatic parotitis in children
Pavlo I Tkachenko1, Serhii O Bilokon1, Yuliia V Popelo1
1Ukrainian Medical Stomatological Academy, Poltava, Ukraine.
Insights
Maternal health issues and non-breastfeeding increase risks for children with chronic parenchymal parotitis. Early intervention is crucial, as latent disease requires further management.
Area of Science:
- Pediatrics
- Immunology
- Infectious Diseases
Background:
- Chronic parenchymal parotitis (CPP) affects children, with disease course influenced by various factors.
- Understanding prenatal and postnatal influences is key to managing CPP in pediatric patients.
Purpose of the Study:
- To investigate developmental disorders in children with CPP.
- To identify ante- and postnatal factors impacting the course of CPP in children aged 2 months to 15 years.
Main Methods:
- Studied 88 children (2 months–15 years) diagnosed with CPP.
- Interviewed mothers regarding pregnancy, childbirth, and infant feeding practices.
- Conducted comprehensive examinations, including specialist consultations and statistical analysis.
Main Results:
- CPP exacerbations were observed in 47% active and 53% inactive cases, often linked to infections or other chronic diseases.
- Mothers of affected children had higher rates of pregnancy complications (3.5x) and birth defects (3.3x).
- Mixed or artificial feeding (70%) correlated with increased illness incidence.
Conclusions:
- Clinical severity of CPP correlates with disease activity, being more pronounced during active phases.
- While 72% showed no overt symptoms during remission, 28% had latent CPP requiring further treatment.
- Prenatal and early feeding factors significantly influence CPP development and severity.
Objective:
The aim: The study of the presence of disorders in the ante- and postnatal periods of development of children from 2 months to 15 years with chronic parenchimatic parotitis, which may affect its course.
Patients And Methods:
Materials and methods: It has been examined and treated 88 children, aged from 2 months to 15 years with chronic parenchimatic parotitis, and their mothers were interviewed, who indicated the pathological course of pregnancy, childbirth and indicated the type of breastfeeding babbies. The scope of the survey included general, additional methods, consultations by related specialists and statistical processing of results.
Results:
Results: 88 children with the exacerbation of chronic parenchimatic parotitis were examined (42 - (47%) with active course and 46 - (53%) with inactive). The exacerbation occurred on the background of acute infectious processes or coincided with the exacerbation of one of the chronic diseases. The first manifestations occurred in spring (55%) and autumn (36%) periods, 44% of children were hospitalized with other diagnoses. The presence of pathological conditions during pregnancy and birth defects in their mothers were recorded more often 3,5 and 3,3 times, respectively, compared with control. 70% of children received mixed and artificial feeding and were more likely to become ill.
Conclusion:
Conclusions: The severity of clinical manifestations of inflammation and disorders of the general condition depended on the activity of the course of chronic parenchimatic parotitis and were more pronounced when active. During the remission period, no apparent clinical manifestations were detected in 72% of observations, however, in 28%, the identified signs indicated a latent course, which required additional treatment and rehabilitation measures.
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