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Prevention of recurrent respiratory infections : Inter-society Consensus
Elena Chiappini1, Francesca Santamaria2, Gian Luigi Marseglia3
1Meyer University Hospital, Department of Health Science, University of Florence, Florence, Italy. elena.chiappini@unifi.it.
Insights
Recurrent respiratory infections (RRIs) affect many children, impacting quality of life and incurring costs. This consensus document proposes an updated definition and management guidelines for RRIs in children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Clinical Medicine
Background:
- Recurrent respiratory infections (RRIs) are prevalent in children, affecting 25% of infants under one and 6% by age six.
- While often mild, RRIs significantly impair child and family quality of life, leading to substantial medical and social costs.
Framework:
- Lack of a standardized definition for RRIs complicates diagnosis and management.
- This consensus document aims to establish a clear, updated definition for RRIs.
Implementation:
- Provides updated diagnostic criteria for RRIs.
- Offers recommendations for the management and prevention of RRIs in pediatric patients.
Implications:
- Aims to guide physicians in the diagnosis, management, and prevention of RRIs.
- Expected to improve clinical practice and reduce the burden of RRIs on children and families.
Abstract:
Recurrent respiratory infections (RRIs) are a common clinical condition in children, in fact about 25% of children under 1 year and 6% of children during the first 6 years of life have RRIs. In most cases, infections occur with mild clinical manifestations and the frequency of episodes tends to decrease over time with a complete resolution by 12 years of age. However, RRIs significantly reduce child and family quality of life and lead to significant medical and social costs.Despite the importance of this condition, there is currently no agreed definition of the term RRIs in the literature, especially concerning the frequency and type of infectious episodes to be considered. The aim of this consensus document is to propose an updated definition and provide recommendations with the intent of guiding the physician in the complex process of diagnosis, management and prevention of RRIs.
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