Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon

Abstract Background Acute respiratory infections (ARI) are a leading cause of morbidity and mortality in under-five children worldwide. About 6.6 million children less than 5 years of age die every year in the world; 95% of them in low-income countries and one third of the total deaths is due to ARI...

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Main Authors: Alexis A. Tazinya, Gregory E. Halle-Ekane, Lawrence T. Mbuagbaw, Martin Abanda, Julius Atashili, Marie Therese Obama
Format: Article
Language:English
Published: BMC 2018-01-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12890-018-0579-7
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author Alexis A. Tazinya
Gregory E. Halle-Ekane
Lawrence T. Mbuagbaw
Martin Abanda
Julius Atashili
Marie Therese Obama
author_facet Alexis A. Tazinya
Gregory E. Halle-Ekane
Lawrence T. Mbuagbaw
Martin Abanda
Julius Atashili
Marie Therese Obama
author_sort Alexis A. Tazinya
collection DOAJ
description Abstract Background Acute respiratory infections (ARI) are a leading cause of morbidity and mortality in under-five children worldwide. About 6.6 million children less than 5 years of age die every year in the world; 95% of them in low-income countries and one third of the total deaths is due to ARI. This study aimed at determining the proportion of acute respiratory infections and the associated risk factors in children under 5 years visiting the Bamenda Regional Hospital in Cameroon. Methods A cross-sectional analytic study involving 512 children under 5 years was carried out from December 2014 to February 2015. Participants were enrolled by a consecutive convenient sampling method. A structured questionnaire was used to collect clinical, socio-demographic and environmental data. Diagnosis of ARI was based on the revised WHO guidelines for diagnosing and management of childhood pneumonia. The data was analyzed using the statistical software EpiInfo™ version 7. Results The proportion of ARIs was 54.7% (280/512), while that of pneumonia was 22.3% (112/512). Risk factors associated with ARI were: HIV infection ORadj 2.76[1.05–7.25], poor maternal education (None or primary only) ORadj 2.80 [1.85–4.35], exposure to wood smoke ORadj 1.85 [1.22–2.78], passive smoking ORadj 3.58 [1.45–8.84] and contact with someone who has cough ORadj 3.37 [2.21–5.14]. Age, gender, immunization status, breastfeeding, nutritional status, fathers’ education, parents’ age, school attendance and overcrowding were not significantly associated with ARI. Conclusion The proportion of ARI is high and is associated with HIV infection, poor maternal education, exposure to wood smoke, passive cigarette smoking, and contact with persons having a cough. Control programs should focus on diagnosis, treatment and prevention of ARIs.
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spelling doaj.art-bace8a65a57046bf8ad96bbe5853a63b2022-12-22T02:08:15ZengBMCBMC Pulmonary Medicine1471-24662018-01-011811810.1186/s12890-018-0579-7Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in CameroonAlexis A. Tazinya0Gregory E. Halle-Ekane1Lawrence T. Mbuagbaw2Martin Abanda3Julius Atashili4Marie Therese Obama5Department of Internal Medicine and Pediatrics, Faculty of Health Sciences University of BueaDepartment of Surgery and Obstetrics/Gynecology, Faculty of Health Sciences, University of BueaDepartment of Internal Medicine and Pediatrics, Faculty of Health Sciences University of BueaDepartment of Internal Medicine and Pediatrics, Faculty of Health Sciences University of BueaDepartment of Public Health and Hygiene, Faculty of Health Sciences, University of BueaFaculty of Medicine and Biomedical Sciences, University of Yaoundé 1Abstract Background Acute respiratory infections (ARI) are a leading cause of morbidity and mortality in under-five children worldwide. About 6.6 million children less than 5 years of age die every year in the world; 95% of them in low-income countries and one third of the total deaths is due to ARI. This study aimed at determining the proportion of acute respiratory infections and the associated risk factors in children under 5 years visiting the Bamenda Regional Hospital in Cameroon. Methods A cross-sectional analytic study involving 512 children under 5 years was carried out from December 2014 to February 2015. Participants were enrolled by a consecutive convenient sampling method. A structured questionnaire was used to collect clinical, socio-demographic and environmental data. Diagnosis of ARI was based on the revised WHO guidelines for diagnosing and management of childhood pneumonia. The data was analyzed using the statistical software EpiInfo™ version 7. Results The proportion of ARIs was 54.7% (280/512), while that of pneumonia was 22.3% (112/512). Risk factors associated with ARI were: HIV infection ORadj 2.76[1.05–7.25], poor maternal education (None or primary only) ORadj 2.80 [1.85–4.35], exposure to wood smoke ORadj 1.85 [1.22–2.78], passive smoking ORadj 3.58 [1.45–8.84] and contact with someone who has cough ORadj 3.37 [2.21–5.14]. Age, gender, immunization status, breastfeeding, nutritional status, fathers’ education, parents’ age, school attendance and overcrowding were not significantly associated with ARI. Conclusion The proportion of ARI is high and is associated with HIV infection, poor maternal education, exposure to wood smoke, passive cigarette smoking, and contact with persons having a cough. Control programs should focus on diagnosis, treatment and prevention of ARIs.http://link.springer.com/article/10.1186/s12890-018-0579-7AcuteRespiratory infectionsRisk factorsProportionUnder-five
spellingShingle Alexis A. Tazinya
Gregory E. Halle-Ekane
Lawrence T. Mbuagbaw
Martin Abanda
Julius Atashili
Marie Therese Obama
Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon
BMC Pulmonary Medicine
Acute
Respiratory infections
Risk factors
Proportion
Under-five
title Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon
title_full Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon
title_fullStr Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon
title_full_unstemmed Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon
title_short Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon
title_sort risk factors for acute respiratory infections in children under five years attending the bamenda regional hospital in cameroon
topic Acute
Respiratory infections
Risk factors
Proportion
Under-five
url http://link.springer.com/article/10.1186/s12890-018-0579-7
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